Korkem D1, Alıpsatıcı Ç2, Çırak Y3
1Uskudar University, Faculty of Health Sciences, Physiotherapy and Rehabilitation, Istanbul, Turkey, 2Special Umraniye Aktif Medical Centre, Istanbul, Turkey, 3Istinye University, Faculty of Health Sciences, Physiotherapy and Rehabilitation, Istanbul, Turkey
Background: Stroke is the second leading cause of death and a major cause of long-term disability in adults.Locomotor ability is an important factor in determining the degree of physical disability after stroke.The impact of stroke on walking is significant, with only 37% of stroke survivors able to walk after the first week post-stroke.Significant residual deficits in balance persist with a 73% incidence of falls among individuals with mild to moderate impairment 6 months post-stroke.Walking and balance deficits contribute substantially to long-term disability post-stroke.There are studies that examined the treadmill training in acute and chronic stroke patients and reported improved gait speed compared to individuals who participated in non-specific low intensity exercise programs.Also resistance training is a common intervention aiming to improve function by increasing muscular strength.However, there is no study evaluating the effect of the resistance training during treadmill training in stroke patients.
Purpose: The aim of this study was to investigate the effects of the elastic resistant band during treadmill training on balance and walking parameters in stroke patients.
Methods: Subjects were included if they could ambulate and had a voluntary control of affected lower limb between Brunstrom stage 3 to stage 5, good cognitive and communication ability to understand and follow verbal instructions.Participants were excluded if they had neurological or musculoskeletal disorders unrelated to the most recent stroke or cardiopulmonary diseases. All subjects read and signed an informed consent form approved by the Uskudar University Ethics Committee for Human Investigations prior to participation.40 patients aged between 23-50 years were included. Patients were randomly assigned in two groups; control group (n=20); conventional rehabilitation program, study group (n=20) conventional rehabilitation program and the resistance training during treadmill training. Patients received therapy for eight weeks. Berg balance scale, rivermead mobility index, single-step length, double-step length and cadence were evaluated.
Results: Twenty-seven male and 13 female patients participated in the study. Twenty patients were on the right side and 20 patients had left side stroke. Cadence was 58.65 ±16.544 before treatment in the study group and 42.25±16.989 in the control group. The post-treatment it was 71.4 ±13.153 in the study group, while it was 49.95±18.326 in the control group.The berg balance scale score was 42.60 ±8.127 in the study group and 35.3 ±12.205 in the control group before treatment.It was 50.45 ±5.063 in the study group and 40.3 ± 11.793 in the control group after treatment. Single-step length was 36.45± 6.362 in the study group and 33.85± 8.119 in the control group before treatment. Post-treatment it was 44.5±7.776 for the study group and 38.60 ±7.639 for the control group. There is significant improvement in cadence, berg balance scale scores and rivermead mobility index scores after 8 weeks of training (p 0.05). But there is no significant difference between groups in single-step length and double-step length (p>0.05).
Conclusion(s): The use of elastic resistant band during treadmill training contributed to faster recovery on balance, cadance and functional parameters compared to the control group.
Implications: This trial is to provide some evidence and alternative methods to guide post-stroke walking recovery programs.
Keywords: stroke, treadmill, gait tarining
Funding acknowledgements: This study have no financier.
Purpose: The aim of this study was to investigate the effects of the elastic resistant band during treadmill training on balance and walking parameters in stroke patients.
Methods: Subjects were included if they could ambulate and had a voluntary control of affected lower limb between Brunstrom stage 3 to stage 5, good cognitive and communication ability to understand and follow verbal instructions.Participants were excluded if they had neurological or musculoskeletal disorders unrelated to the most recent stroke or cardiopulmonary diseases. All subjects read and signed an informed consent form approved by the Uskudar University Ethics Committee for Human Investigations prior to participation.40 patients aged between 23-50 years were included. Patients were randomly assigned in two groups; control group (n=20); conventional rehabilitation program, study group (n=20) conventional rehabilitation program and the resistance training during treadmill training. Patients received therapy for eight weeks. Berg balance scale, rivermead mobility index, single-step length, double-step length and cadence were evaluated.
Results: Twenty-seven male and 13 female patients participated in the study. Twenty patients were on the right side and 20 patients had left side stroke. Cadence was 58.65 ±16.544 before treatment in the study group and 42.25±16.989 in the control group. The post-treatment it was 71.4 ±13.153 in the study group, while it was 49.95±18.326 in the control group.The berg balance scale score was 42.60 ±8.127 in the study group and 35.3 ±12.205 in the control group before treatment.It was 50.45 ±5.063 in the study group and 40.3 ± 11.793 in the control group after treatment. Single-step length was 36.45± 6.362 in the study group and 33.85± 8.119 in the control group before treatment. Post-treatment it was 44.5±7.776 for the study group and 38.60 ±7.639 for the control group. There is significant improvement in cadence, berg balance scale scores and rivermead mobility index scores after 8 weeks of training (p 0.05). But there is no significant difference between groups in single-step length and double-step length (p>0.05).
Conclusion(s): The use of elastic resistant band during treadmill training contributed to faster recovery on balance, cadance and functional parameters compared to the control group.
Implications: This trial is to provide some evidence and alternative methods to guide post-stroke walking recovery programs.
Keywords: stroke, treadmill, gait tarining
Funding acknowledgements: This study have no financier.
Topic: Neurology: stroke
Ethics approval required: Yes
Institution: Uskudar University, Health Sciences Institute
Ethics committee: Uskudar University
Ethics number: 43153
All authors, affiliations and abstracts have been published as submitted.
