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http://dx.doi.org/10.12674/ptk.2013.20.3.009

Comparison of the Effect of Treadmill Walking Combined With Obstacles-Crossing on Walking Function in Stroke Patients  

Jeong, Yeon-Gyu (Dept. of Physical Therapy, Dongguk University Ilsan Medical Center)
Jeong, Yeon-Jae (Dept. of Physical Therapy, Hanyang University Medical Center)
Kim, Hyun-Sook (Dept. of Physical Therapy, Yeoju Institute of Technology)
Publication Information
Physical Therapy Korea / v.20, no.3, 2013 , pp. 9-18 More about this Journal
Abstract
The study aimed to compare the effect of the treadmill walking training combined with obstacle-crossing (TWT-OC) and treadmill walking training (TWT) on the walking function of patients with chronic stroke. 29 subjects volunteered to participate in this study; they were randomly assigned to either TWT-OC group (15 subjects) or TWT group (14 subjects). Subjects from the TWT-OC group underwent a treadmill walking combined with obstacles-crossing for 30 minutes daily, three days a week for four weeks, whereas subjects from the TWT group received only a treadmill walking. The 10 m walk test (10MWT), 6-min walk test (6MWT), berg balance scale (BBS), timed up and go test (TUG), activities-specific balance confidence-Korean version (ABC-K), and walking ability questionnaire (WAQ) were measured before and after the 4-week training. The TWT-OC group showed significantly better functional mobility of walking and balance measured by 6MWT (p<.01), BBS (p<.01), and TUG scores (p<.05) when compared with those of the TWT group. Further, within-group comparison showed significant improvement in all variables (p<.01) except for 10MWT. These findings suggest that the TWT-OC and TWT may be helpful for improving the walking function of patients with chronic stroke, and the TWT-OC has probably more favorable outcomes for chronic stroke, however, further trials with wider range of subjects are warranted for generalization and clinical relevance.
Keywords
Obstacle-cross; Stroke; Treadmill walking; Walking function;
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