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http://dx.doi.org/10.5762/KAIS.2013.14.6.2788

The Effects of Community Ambulation Training on the Gait Ability and Stroke Impact Scale in Stroke Patients  

Ji, Sang-Goo (Dept. of Physical Therapy, Eulji University Hospital)
Cha, Hyun-Gyu (Dept. of Physical Therapy, Eulji University Hospital)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.14, no.6, 2013 , pp. 2788-2794 More about this Journal
Abstract
The study was conducted to determine the effect of community ambulation training and treadmill training on the gait ability and stroke impact scale in patients with hemiplegia due to stroke. Twenty-two patients with hemiplegia due to stroke were assigned to the community ambulation training group(n=11) or treadmill training group(n=11). Both groups were executed conventional treatment for 5 times per week for 6 weeks 30 minutes per session. Each group performed additional exercise for 30 minutes. Post treatment, compared to the treadmill training group, community ambulation training group showed significantly increased velocity, cadence, stroke impact scale(p<.05). These results support the perceived benefits of community ambulation training to augment on the gait ability and stroke impact scale of stroke patients. Therefore, community ambulation training is feasible and suitable for stroke patients.
Keywords
Community ambulation training; Gait; Stroke;
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1 N. F. Gordon, M. Gulanick, F. Costa, G. Fletcher, B. A. Franklin, E. J. Roth and T. Shephard. "Physical activity and exercise recommendations for stroke survivors: An American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; The Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council", Stroke, Vol. 35(5), pp. 1230-1240, 2004. DOI: http://dx.doi.org/10.1161/01.STR.0000127303.19261.19   DOI   ScienceOn
2 C. S. Robinett and M. A. Vondran. "Functional ambulation velocity and distance requirements in rural and urban communities: A clinical report", Phys Ther, Vol. 68(9), pp. 1371-1373, 1988.   DOI
3 A. Shumway-Cook, A. E. Patla, A. Stewart, L. Ferrucci, M. A. Ciol and J. M. Guralnik. "Environmental demands associated with community mobility in older adults with and without mobility disabilities", Phys ther, Vol. 82(7), pp. 670-681, 2002.
4 Y. R. Yang, M. P. Tsai, T. Y. Chuang, W. H. Sung and R. Y. Wang. "Virtual reality-based training improves community ambulation in individuals with stroke: A randomized controlled trial", Gait Posture, Vol. 28(2), pp. 201-206, 2008. DOI: http://dx.doi.org/10.1016/j.gaitpost.2007.11.007   DOI   ScienceOn
5 Y. R. Yang, Y. C. Chen and C. S. Lee. "Dual-task-related gait changes in individual with stroke", Gait Posture, Vol. 25(2), pp. 185-190, 2007. DOI: http://dx.doi.org/10.1016/j.gaitpost.2006.03.007   DOI   ScienceOn
6 P. Duncan, S. Studenski, L. Richards, S. Gollub, S. M. Lai, D. Reker, S. Perera, J. Yates, V. Koch and S. Rigler. "Randomized clinical trial of therapeutic exercise in subacute stroke" Stroke, Vol. 34(9), pp. 2173-2180, 2003. DOI: http://dx.doi.org/10.1161/01.STR.0000083699.95351.F2   DOI   ScienceOn
7 S. E. Lord and L. Rochester. "Measurement of community ambulation after stroke: Current status and future developments", Stroke, Vol. 36(7), pp. 1457-1461, 2005. DOI: http://dx.doi.org/10.1161/01.STR.0000170698.20376.2e   DOI   ScienceOn
8 H. J. Park and H. S. Cho. "Effectiveness of community ambulation training for patients with post-stroke hemiparesis", J Korean Neur Rehabil, Vol. 1(2), pp. 54-62, 2011.
9 J. S. Winter. "Clinical, biochemical and molecular aspects of 17-hydroxylase deficiency", Endoer Res, Vol. 17(1-2), pp. 53-62, 1991. DOI: http://dx.doi.org/10.1080/07435809109027189   DOI
10 S. E. Lord, K. McPherson, H. K. McNaughton, L. Rochester and M. Weatherall. "Community ambulation after stroke: Ho important and obtainable is it and what measures appear predictive?" Arch Phys Med Rehabil, Vol. 85(2), pp. 234-239, 2004. DOI: http://dx.doi.org/10.1016/j.apmr.2003.05.002   DOI   ScienceOn
11 S. Hesse, C. Bertelt, M. T. Jahnke and A. Schaffrin. "Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients", Stroke, Vol. 26(6), pp. 976-981, 1995. DOI: http://dx.doi.org/10.1161/01.STR.26.6.976   DOI   ScienceOn
12 H. G. Cha, J. Y. Park, S. G. Ji, M. K. Kim and D. G. Lee. "The effect of visual feedback training integrated mental practice on the balance function and walking ability of hemiplegia", J Spec Edu & Rehabil Sci, Vol. 51(2), pp. 337-354, 2012.
13 S. Hesse, T. Platz and K. H. Mauritz. "Indication for optimal use of orthoses in the treatment of hemiparetic patients", Biomed Tech(Berl), Vol. 35(3), pp. 52-53, 1990. DOI: http://dx.doi.org/10.1515/bmte.1990.35.s3.52   DOI   ScienceOn
14 B. H. Dobkin. "Strategies for stroke rehabilitation", Neuro, Vol. 3, pp. 528-536, 2004.
15 M. Anne, S. Angela and P. Alex. "Treadmill training and body weight support for walking after stroke", Stroke, Vol. 34, pp. 3006, 2003. DOI: http://dx.doi.org/10.1161/01.STR.0000102415.43108.66   DOI   ScienceOn
16 A. M. Jones and J. H. A. Doust. "1% treadmill grade most accurately reflects the energetic cost of outdoor running", J Sprots Sci, Vol. 14(4), pp. 321-327, 1996. DOI: http://dx.doi.org/10.1080/026404196367796   DOI   ScienceOn
17 P. Pound, P. Gompertz and S. Ebrahim. "A patient-centred study of the consequences of stroke", Clin Rehabil, Vol. 12(4), pp. 338-347, 1998. DOI: http://dx.doi.org/10.1191/026921598677661555   DOI   ScienceOn
18 R. J. De Haan, M. Limburg, J. H. P. Van der Meulen and H. M. Jacobs. "Quality of life after stroke. Impact of stroke type and lesion location", Stroke, Vol. 26(3), pp. 402-408, 1995. DOI: http://dx.doi.org/10.1161/01.STR.26.3.402   DOI   ScienceOn
19 C. D. Cozean, W. S. Pease and S. L. Hubbell. "Biofeedback and functional electric stimulation instroke rehabilitation", Arch Phys Med Regabil, Vol. 69(6), pp. 401-405, 1988.
20 M. G. Bowedn, C. K. Balasubramanian and R. R. Neptune. "Anterior posterior ground reaction forces as a measure of paretic leg contribution in hemi paretic walking", Stroke, Vol. 37(3), pp. 872-876, 2006. DOI: http://dx.doi.org/10.1161/01.STR.0000204063.75779.8d   DOI   ScienceOn
21 J. Carod-Artal, J. A. Egido, J. L. Gonzalez and E. V. de Seijas. "Quality of life among stroke survivors evaluated 1 year after stroke: experience of a stroke unit", Stroke, Vol. 31(12), pp. 2995-3000, 2000. DOI: http://dx.doi.org/10.1161/01.STR.31.12.2995   DOI   ScienceOn
22 S. M. Lai, S. Perera, P. W. Duncan and R. Bode. "Physical and social functioning after stroke: Comparison of the Stroke Impact Scale and Short Form-36", Stoke, Vol. 34(2), pp. 488-493, 2003.
23 M. Pohl, J. Mehrholz, C. Ristschel and S. Ruckriem. "Speed dependent treadmill training in ambulatory hemiparetic stroke patients: A randomized controlled trial" Stroke, Vol. 33(2), pp. 553-558, 2002. DOI: http://dx.doi.org/10.1161/hs0202.102365   DOI   ScienceOn
24 J. Perry, M. Garrett and J. K. Gronley. "Classification of walking handicap in the stroke population" stroke, Vol. 26(6), pp. 982-989, 1995.   DOI   ScienceOn
25 L. Ada, C. M. Dean, J. M. Hall and J. Bampton. "A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled randomized trial", Arch Phys Med Rehabil, Vol. 84(10), pp. 1486-1491, 2003. DOI: http://dx.doi.org/10.1016/S0003-9993(03)00349-6   DOI   ScienceOn
26 K. H. Mauritz. "Gait training in hemiplegia", Eur J Neurol, Vol. 9(1), pp. 23-29, 2002. DOI: http://dx.doi.org/10.1046/j.1468-1331.2002.0090s1023.x   DOI   ScienceOn
27 F. Alton, L. Baldey and S. Caplan. "A kinematic comparison of overground and treadmill walking and treadmill walking", Clin Biomech(Bristol, Avon), Vol. 13(6), pp. 434-440, 1998. DOI: http://dx.doi.org/10.1016/S0268-0033(98)00012-6   DOI   ScienceOn
28 J. R. Nymark, S. J. Balmer, E. H. Melis, E. D. Lemaire and S. Millar. "Electromyographic and kinematic nondisabled gait differences at extremely slow overground and treadmill walking speeds", J Rehabil Res Dev, Vol. 42(4), pp. 523-534, 2005. DOI: http://dx.doi.org/10.1682/JRRD.2004.05.0059   DOI   ScienceOn
29 S. W. Saunders, D. Rath, and P. W. Hodges. "Postural and respiratory activatin of the trunk muscles change with mode and speed of locomation", Gait Posture, Vol. 20(3), pp. 280-290, 2004. DOI: http://dx.doi.org/10.1016/j.gaitpost.2003.10.003   DOI   ScienceOn
30 G. Chen and C. Patten. "Treadmill training with harness support: selection of parameters for individuals with poststroke hemiparesis", J Rehabil Res Dev, Vol. 43(4), pp. 485-498, 2006. DOI: http://dx.doi.org/10.1682/JRRD.2005.04.0063   DOI   ScienceOn
31 K. Hill, P. Ellis and J. Berngardt. "Balance and mobility outcomes for stroke patients: A comprehensive audit", Aust J Physiother, Vol. 43(3), pp. 173-180, 1997.   DOI