Effects of individualized versus group task-oriented circuit training on balance ability and gait endurance in chronic stroke inpatients

Bonggil Kim, Yunjin Park, Yonggon Seo, Sangseo Park, Hyeyoung Cho, Hyunghoon Moon, Haelim Lee, Myungki Kim, Jaeho Yu, Bonggil Kim, Yunjin Park, Yonggon Seo, Sangseo Park, Hyeyoung Cho, Hyunghoon Moon, Haelim Lee, Myungki Kim, Jaeho Yu

Abstract

[Purpose] The purpose of this study was to analyze the effects of task-oriented circuit training on the balance ability and gait endurance of chronic stroke inpatients. [Subjects and Methods] The participants were 30 patients who had stroke >6 months previously, resulting in a disability such as hemiparesis. The participants were randomly divided into the group task-oriented circuit training group and the individual task-oriented circuit-training group. They performed eight types of modified task-oriented training. Balance ability and gait endurance were measured by using the Berg balance scale questionnaire and the 6-min walk test, respectively, before and after the experiment. [Results] Significant differences were observed between before and after the intervention in all variables. There was a significant difference between groups in Berg balance scale scores; however, no significant differences were seen in the timed up and go test and the 6-min walk test. [Conclusion] The results of this study indicated that group exercise can better improve the balance ability of chronic stroke inpatients after stroke than can individualized exercise intervention.

Keywords: Balance ability; Gait endurance; Stroke inpatients; Task-oriented circuit training.

References

    1. O’sullivan SB, Schmitz TJ: Physical Rehabilitation, 5th ed. Philadelphia: F.A. Davis, 2012.
    1. Ika T, Kamikubo T, Takenhara I: Dynamic postural control in inpatients with hemiparesis. Am J Phys Med Rehabil, 2003, 82: 1131–1141.
    1. Tyson SF, Hanley M, Chillala J, et al. : Balance disability after stroke. Phys Ther, 2006, 86: 30–38.
    1. Park JS, Lee DH, Lee SY, et al. : Comparison of the effects of exercise by chronic stroke inpatients in aquatic and land environments. J Phys Ther Sci, 2011, 23: 821–824.
    1. Kim CS, Gong WT, Kim SG: The effects of lower extremity muscle strengthening exercise and treadmill walking exercise on the gait and balance of stroke inpatients. J Phys Ther Sci, 2011, 23: 405–408.
    1. Shin WS, Lee SW, Lee YW, et al. : Effects of combined exercise training on balance of hemiplegic stroke inpatients. J Phys Ther Sci, 2011, 23: 639–643.
    1. Shumway CA, Woollacott M: Motor control: translating research into clinical practice, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2007.
    1. Rensink M, Schuurmans M, Lindeman E, et al. : Task-oriented training in rehabilitation after stroke: systematic review. J Adv Nurs, 2009, 65: 737–754.
    1. Salbach NM, Mayo NE, Wood-Dauphinee S, et al. : A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil, 2004, 18: 509–519.
    1. English CK, Hillier SL, Stiller KR, et al. : Circuit class therapy versus individual physiotherapy sessions during inpatient stroke rehabilitation: a controlled trial. Arch Phys Med Rehabil, 2007, 88: 955–963.
    1. Dean CM, Richards CL, Malouin F: Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil, 2000, 81: 409–417.
    1. Manning CD, Pomeroy VM: Effectiveness of treadmill retraining on gait of hemiparetic stroke inpatients: systematic review of current evidence. Physiotherapy, 2003, 89: 337–349.
    1. Salbach NM, Mayo NE, Robichaud-Ekstrand S, et al. : The effect of a task-oriented walking intervention on improving balance self-efficacy poststroke: a randomized, controlled trial. J Am Geriatr Soc, 2005, 53: 576–582.
    1. Carr JH, Shepherd RB: Stroke rehabilitation: Guideline for exercise and training to optimal motor skill. London: Butterworth heineman, Oxford, 2003.
    1. Song HS, Kim JY, Park SD: Effect of the class and individual applications of task-oriented circuit training on gait ability in patients with chronic stroke. J Phys Ther Sci, 2015, 27: 187–189.
    1. Choi JU, Kang SH: The effects of patient-centered task-oriented training on balance activities of daily living and self-efficacy following stroke. J Phys Ther Sci, 2015, 27: 2985–2988.
    1. 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: 234–239.
    1. Mudge S, Barber PA, Stott NS: Circuit-based rehabilitation improves gait endurance but not usual walking activity in chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil, 2009, 90: 1989–1996.

Source: PubMed

Patrocinadores e Colaboradores

Condições médicas

Intervenções de drogas

3
Se inscrever