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Comparison Task-Oriented Training according to the Applicable Blocked Practice and Random Practice: Chronic Hemiplegic Patients  

Lee, Nam-Yung (Department of Physical Therapy, The Graduate School, Daejeon University)
Kim, Suhn-Yeop (Department of Physical Therapy, College of Natural Science, Daejeon University)
Song, Hyun-Seung (Department of Physical Therapy, The Graduate School, Daejeon University)
Publication Information
The Journal of Korean Physical Therapy / v.27, no.4, 2015 , pp. 240-245 More about this Journal
Abstract
Purpose: The purpose of this study was to compare the blocked practice and random practice of task-oriented training in patients with chronic stroke to determine the effect of lower extremity muscle activity and balance ability. Methods: The thirty participants were randomly assigned to either the block practice group (BP) group or the random practice group (RP) and received the training three times per week, 30 minutes per day, for six weeks. Surface electromyography was used for measurement of lower extremity muscle activity. Static balance was to measured the stability index (SI) and weight distribution index (WDI) using the Tetrax. The four square step test (FSST) was used to measure dynamic balance. The paired t-test was used for determination of differences before and after intervention, and the independent t-test was used for determination of differences between groups. Results: Lower extremity muscle activity, RA and GCM was improved in the RP group after intervention and between groups. TA was significantly improved in the RP group compared with the BP group. In comparison of before and after interventions, SI was reduced in BP and RP. WDI in OS was reduced in comparison of BP and RP before and after intervention. CS was reduced in BP and RP. The OS and CS was improved in RP compared with BP. In comparison of before and after intervention, FSST was improved in BP and RP. Conclusion: Task-oriented training methods using random practice was found to be effective in promoting lower extremity muscle activity and balance ability in chronic stroke patients.
Keywords
Blocked practice; Random practice; Stroke; Task-oriented training;
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