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KMID : 1035420220100030119
Journal of The Korean Society of Integrative Medicine
2022 Volume.10 No. 3 p.119 ~ p.129
The Effects of Obstacle Walking training on Gait and Balance of Stroke Patients
Lee Hyo-Jeong

Abstract
Purpose : The purpose of the study was to find out the effects of obstacle walking training according on gait, function and balance in stroke patients.

Methods :Twenty-four stroke patients are randomly assigned to experimental group ¥° (n=8), experimental group ¥± (n=8) and control group(n=8). Experimental group ¥° performed Unexpected obstacle walking training, experimental group ¥± performed fixed obstacle walking training and control group performed non obstacle walking training for 12 minutes per session, 5 times a week for 4 weeks, and three groups received additional general physical therapy for 30 minutes per session. The gait analyzer(G-Walk) were evaluated using gait cadence, gait velocity, and stride length, FES-K(Korea version of Falls Efficacy Scale), BBS(Berg Balance Scale).

Results : In within-group comparison of gait cadence, gait velocity and stride length of change, the experimental ¥°¥± groups showed significant improvements post intervention (P<.05) but control group showed no significant improvement. In between-groups comparison there was significant difference in the change of gait cadence, gait velocity and stride length pre and post intervention. In within-group comparison of FES-K scores, the experimental ¥°¥± groups showed significant improvements post intervention(P<.05) but control group showed no significant improvement. In between-groups comparison there was significant difference in the change of FES-K scores pre and post intervention. In within-group comparison of BBS scores, the experimental ¥°¥± groups showed significant improvements post intervention(P<.05) but control group showed no significant improvement. In between-groups comparison there was significant difference in the change of BBS scores pre and post intervention.(p<.05).

Conclusion : The results of this study show that obstacle walking training can improve the gait, function and balance of stroke patients and obstacle walking training is effective for improving gait, function and balance compared to non-obstacle walking training.
KEYWORD
balance, fixed obstacle walking training, gait, unexpected obstacle walking training
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