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http://dx.doi.org/10.18857/jkpt.2020.32.2.107

Effects of Knowledge of Result Versus Knowledge of Performance on Treadmill Training on gait ability in Stroke Patients: A Randomized Clinical Trial  

Park, Jin (Department of Physical Therapy, Drim Sol Hospital)
Publication Information
The Journal of Korean Physical Therapy / v.32, no.2, 2020 , pp. 107-113 More about this Journal
Abstract
Purpose: This study compared the walking ability of chronic stroke patients following either treadmill training with knowledge of the result (KR group) or treadmill training with knowledge of the performance (KP group). Methods: Nineteen patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a KR group (10 patients) and a KP group (9 patients). They received 30 minutes of neuro-developmental therapy and treadmill training 30 minutes, five times a week for three weeks. The gait parameters were measured before and after training using the Optogait system. Results: After the training periods, the KR group showed significant improvement in gait speed, cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait assessment compared to the KP group (p<0.05). Conclusion: The results showed that treadmill training with KR was more effective in improving the gait speed and cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait ability than the treadmill training with KP. Therefore, to improve the walking ability of stroke patients, it is necessary to consider treadmill training with KR. If it can be combined with conventional neurological physiotherapy, it would be an effective rehabilitation for stroke patients.
Keywords
Feedback; Gait; Knowledge of performance; Knowledge of result; Stroke; Treadmill training;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Broderick P, Horgan F, Blake C et al. Mirror therapy and treadmill training for a patient with chronic stroke: A case report. Physiotherapy theory and practice. 2018;35(5):1-11.
2 Hollands KL, Pelton TA, Wimperis A et al. Feasibility and preliminary efficacy of visual cue training to improve adaptability of walking after stroke: Multi-centre, single-blind randomised control pilot trial. PLoS One. 2015;10(10):e0139261.   DOI
3 Brasileiro A, Gama G, Triqueiro L et al. Influence of visual and auditory biofeedback on partial body weight support treadmill training of individuals with chronic hemiparesis: A randomized controlled clinical trial. Eur J Phys Rehabil Med. 2015;51(1):49-58.
4 Pavare Z, Garuta I, Ananjeva T et al. Gait rehabilitation of post-stroke patients by treadmill gait training with visual feedback. Gait & Posture. 2015;1(42):S69-S70.
5 Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Arch Phys Med Rehabil. 1997; 78(11):1231-6.   DOI
6 Peurala SH, Kononen P, Pitkanen K et al. Postural instability in patients with chronic stroke. Restorative Neurology and Neuroscience. 2007; 25(2):101-8.
7 Lamontagne A, De Serres SJ, Fung J et al. Stroke affects the coordination and stabilization of head, thorax and pelvic during voluntary horizontal head motions performed in walking. Clinical Neuro Physiology. 2005; 116(1):101-11.
8 Mercier L, Audet T, Hebert R et al. Impact of motor, cognitive, and perceptual disorders on ability to perform activities of daily living after stroke. Stroke. 2001;32(11):2602-8.   DOI
9 Januario F, Campos I, Amaral C. Rehabilitation of postural stability in ataxic/hemiplegic patients after stroke. Disabil Rehabil. 2010;32(21): 1775-9.   DOI
10 Nyberg L, Gustafson Y. Patient falls in stroke rehabilitation. a challenge to rehabilitation strategies. Stroke. 1995;26(5):838-42.   DOI
11 Jung T, Lee D, Charalambous C, Vrongistinos K. The influence of applying additional weight to the affected leg on gait patterns during aquatic treadmill walking in people poststroke. Arch Phys Med Rehabil. 2010; 91(1):129-36.   DOI
12 Patterson SL, Forrester LW, Rodgers MM et al. Determinants of walking function after stroke: differences by deficit severity. Arch Phys Med Rehabil. 2007;88(1):115-9.   DOI
13 Kim CM, Eng JJ. Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke. Gait Posture. 2003;18(1):23-8.   DOI
14 Balasubramanian CK, Bowden MG, Neptune RR et al. Relationships between step length asymmetry and walking performance in subjects with chronic heparesis. Arch Phys Med Rehabil. 2007;88(1):43-9.   DOI
15 Bowden MG, Balasubramanian CK, Neptune RR et al. Anterior-posterior ground reaction forces as a measure of paretic leg contribution in hemiplegic walking. Stroke. 2006;37(3):872-6.   DOI
16 Von Schroeder HP, Coutts RD, Lyden PD et al. Gait parameters following stroke: a practical assessment. J Rehabil Res Dev. 1995;32(1):25-31.
17 Lau KW, Mak MK. Speed-dependent treadmill training is effective to improve gait and balance performance in patients with sub-acute stroke. J Rehabil Med. 2011;43(8):709-13.   DOI
18 Mainka S, Wissel J, Voller H et al. The use of rhythmic auditory stimulation to optimize treadmill training for stroke patients: a randomized controlled trial. Front Neurol. 2018;9:755.   DOI
19 Lord SE, McPherson K, McNaughton HK et al. Community ambulation after stroke: How important and obtainable is it and what measures appear predictive?. Arch Phys Med Rehabil. 2004;85(2):234-9.   DOI
20 Hase K, Suzuki E, Matsumoto M et al. Effects of therapeutic gait training using a prosthesis and a treadmill for ambulatory patients with hemiparesis. Arch Phys Med Rehabil. 2011;92(12):1961-6.   DOI
21 Madhavan S, Lim H, Sivaramakrishnan A et al. Effects of high intensity speed-based treadmill training on ambulatory function in people with chronic stroke: a preliminary study with long-term follow-up. Sci Rep. 2019;9(1):1985.   DOI
22 Jeong YG, Koo JW. The effects of treadmill walking combined with obstacle-crossing on walking ability in ambulatory patients after stroke: a pilot randomized controlled trial. Top Stroke Rehabil. 2016;23(6):406-12.   DOI
23 Ham SC, Lim CG. The effects of robot-assisted gait training with visual feedback on gait, balance and balance confidence in chronic stroke patients. J Kor Phys Ther. 2016;28(2):71-6.   DOI
24 Allen JL, Ting LH, Kesar TM. Gait rehabilitation using functional electrical stimulation induces changes in ankle muscle coordination in stroke survivors: a preliminary study. Front Neurol. 2018;9:1127.   DOI
25 Genthe K, Schenck C, Eicholtz S et al. Effects of real-time gait biofeedback on paretic propulsion and gait biomechanics in individuals post-stroke. Top Stroke Rehabil. 2018;25(3):186-93.   DOI
26 Yu KH, Kang KY. Functional electrical stimulation with augmented feedback training improves gait and functional performance in individuals with chronic stroke: a randomized controlled trial. J Kor Phys Ther. 2017;29(2):74-9.   DOI
27 Lewek MD, Feasel J, Wentz E et al. Use of visual and proprioceptive feedback to improve gait speed and spatiotemporal symmetry following chronic stroke: a case series. Phys Ther. 2012;92(5):748-56.   DOI
28 Schmidt RA, Young DE. Methodology for motor learning: a paradigm for kinematic feedback. J Mot Behav. 1991;23(1):13-24.   DOI
29 Shumway-Cook AS, Woolacott MH. Motor control: translating research into clinical practice. 4th ed. Lippincott Williams & Wilkins, Philadelphia, 2012.
30 Druzbicki M, Guzik A, Przysada G et al. Efficacy of gait training using a treadmill with and without visual biofeedback in patients after stroke: A randomized study. J Rehabil Med. 2015;47(5):419-25.   DOI
31 Hsu CJ, Kim J, Wu M. Combined Visual Feedback with Pelvic Assistance Force Improves Step Length during treadmill walking in Individuals with Post-Stroke Hemiparesis. Conf Proc IEEE Eng Med Biol Soc. 2018; 2018:2333-6.
32 Kim WH, Jeon BJ. Effect of Knowledge of Results and Performance on Motor Learning in Adult with Mental Retardation. Korea J Occup Ther. 2005;13(2):31-9.
33 Ploughman M, Shears J, Quinton S et al. Therapists' cues influence lower limb muscle activation and kinematics during gait training in subacute stroke. Disabil Rehabil. 2018;40(26):3156-63.   DOI
34 Lienhard K, Schneider D, Maffiuletti NA et al. Validity of the optogait photoelectric system for the assessment of spatiotemporal gait parameters. Med Eng Phys. 2013;35(4):500-4.   DOI
35 Thieme H, Ritschel C, Zange C. Reliability and validity of the functional gait assessment (German version) in subacute stroke patients. Arch Phys Med Rehabil. 2009;90(9):1565-70.   DOI
36 Hamilton DM, Haennel RG. Validity and reliability of the 6-minute walk test in a cardiac rehabilitation population. J Cardiopulm Rehabil. 2000; 20(3):156-64.   DOI