![Open Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltextgreen.png)
![Restricted Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltextred.png)
![Open Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltextgreen.png)
![Open Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltext_open_medium.gif)
![Restricted Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltextred.png)
![Restricted Access](https://i-scholar.in/lib/pkp/templates/images/icons/fulltext_restricted_medium.gif)
To Study the effect of Task Oriented Intervention on Walking Distance, Speed and Balance efficiency in Post Stroke Patients
Subscribe/Renew Journal
Subjects: 30 individuals with a residual Walking deficit within one year of a first or recurrent stroke consented to participate.
Interventions: The experimental intervention comprised 5 functional task designed to increase the strength of the lower extremities and enhance walking balance, speed and distance. Both the group received treatment 5 days a week for three weeks.
Main measures: Six-minute walk test (SMWT), 5-m walk, Berg Balance Scale, timed 'up and go'.
Results: At baseline, subjects in the experimental (n_/15) and control (n_/15) groups walked an average distance of 152 mtsThere was statistically significant increase in the distance covered by the experimental group median152 to 208 mts.There was statistically significant difference in speed in five mts walk test. The experimental group showed increase in the median from 0.55m/s to 0.71m/ s.Experimental group showed statistically significant reduction in the time taken to complete the timed Up & Go test. The median decreased to 21 from the pre intervention value of 26.
Conclusions: Study findings support that a task-orientated intervention enhances walking distance, balance and speed in the post stroke patients.
Keywords
- Murray CJL, Lopez AD. Alternative projections of mortality and disability by cause 1990-/2020: Global burden of disease study. Lancet 1997; 349:1498-/5041)Salbach NM, Mayo NE, Wood- Dauphinee S, Hanley JA, Richards CL, Cote R . A task-orientated intervention enhances walking distance and speed in the first year post stroke: A randomized controlled trial. Clinical Rehabilitation.2004; 18: 509–519.
- Laufer Y, Dickstein R, Chefez Y, Marcovitz E. The effect of treadmill training on the ambulation of stroke survivors in the early stages of rehabilitation: a randomized study. J Rehabil Res Dev 2001; 38:69-78.
- Herbert p, Coutts etal: Gait parameters following stroke. A practical assessmen. J ournal of rehabilitation. Research And Development; Feb 1995, vol 32 (1): 25-31
- Shumway-Cook A, Woollacott M. Motor control: theory and practical applications. Baltimore:Williams & Wilkins; 1995
- Werner C, Von Frankenberg S, Treig T, Konrad M, Hesse S. Treadmill training with partial body weightsupport and an electromechanical gait trainer forrestoration of gait in subacute stroke patients: a randomized crossover study. Stroke 2002; 33: 2895-901
- Winter DA, Patla AE, Frank JS, Walt SE. Biomechanicalwalking pattern changes in the fit and healthy elderly. PhysTher. 1990 Jun; 70(6):340–47.
- Nilsson L, Carlsson J, Danielsson A et al. Walkingtraining of patients with hemiparesis at an earlystage after stroke: a comparison of walking trainingon a treadmill with body weight support andwalking training on the ground. Clin Rehabil 2001; 15: 515-27.
- Wagenaar RC, Meijer OG. Effects of strokerehabilitation (1). J Rehabil Sci 1991; 4: 61-/73.
- Richards CL, Malouin F, Wood-Dauphinee S et al .Task-specific physical therapy for optimization ofgait recovery in acute stroke patients. Arch Phys Med Rehabil 1993; 74: 612_/20.
- Kwakkel G, Kollen BJ, Wagenaar RC. Therapyimpact on functional recovery in strokerehabilitation: a critical review of the literature.Physiotherapy 1999; 85: 377-91.
- Hesse S, Bertelt C, Jahnke MT et al. Treadmilltraining with partial body weight support comparedwith physiotherapy in nonambulatory hemiparetic patients. Stroke 1995; 26: 976-/81.
- da Cunha IT, Jr., Lim PA, Qureshy H et al . Gaitoutcomes after acute stroke rehabilitation withsupported treadmill ambulation training: arandomized controlled pilot study. Arch Phys Med Rehabil 2002; 83: 1258-/65.
- Sullivan KJ, Knowlton BJ, Dobkin BH. Step training with body weight support: effect oftreadmill speed and practice paradigms onpoststroke locomotor recovery. Arch Phys MedRehabil 2002; 83: 683_/91.
- Pohl M, Mehrholz J, Ritschel C, Ruckriem S. Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: a randomizedcontrolled trial. Stroke 2002; 33: 553_/58.
- Van der Lee JH, Wagenaar RC, Lankhorst GJ et al .Forced use of the upper extremity in chronic strokepatients: results from a single-blind randomizedclinical trial. Stroke 1999; 30: 2369_/75.
- Ashburn A, Partridge C, De Souza L.Physiotherapy in the rehabilitation of stroke: areview. Clin Rehabil 1993; 7: 337-/45.
- Said CM, Goldie PA, Patla AE, Sparrow WA. Obstaclecrossing in subjects with stroke. Arch Phys Med Rehabil.1999 Sep; 80(9):1054–59.
- David L. Jaffe, MS; David A. Brown, PhD, PT; Cheryl D. Pierson-Carey, MS, PT; Ellie L. Buckley, MS, PT etal Stepping over obstacles to improve walking in individuals with poststroke hemiplegia 2004 Journal of Rehabilitation Research & Development ; 41, (3A), 283–292.
- Selzer ME Clarke S Cohen LG Duncan PW Gage FH. Textbook of Neural Repair and Rehabilitation. Vol II. Cambridge: Cambridge university press; 2006. 580-581
- Carr J, Shepherd R. Neurological Rehabilitation optimizing motor performance: Training motor control, increasing strength and fitness & promoting skill acquisition. New Delhi: Elesvie; 2004.29,37.
- Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotortasks in chronic stroke: a randomized, controlledpilot trial. Arch Phys Med Rehabil; 2000; 81: 409-417
- Werver L Port I Vennnue m Mead G Kawakkel. Effect of Task oriented circuit training class training on walking competency after stroke: .A systemic review. Stroke; 2009: 40:2450-2459.
![](https://i-scholar.in/public/site/images/abstractview.png)
Abstract Views: 789
![](https://i-scholar.in/public/site/images/pdfview.png)
PDF Views: 0