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KMID : 1036120110030010038
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Korean Society of Medicine & Therapy Science
2011 Volume.3 No. 1 p.38 ~ p.49
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Balancing and Walking Ability of Chronic Stroke Patients according to Various Dual Task Ambulation Training Methods
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Kim Jae-Ic
Ko Joo-Yeon
Woo Ji-Hea
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Abstract
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Objective: This study examined the effects of various dual task ambulation training methods [Motor Dual task Ambulation Training (MDAT), Cognitive Dual task Ambulation Training (CDAT), and Motor & Cognitive Dual task Ambulation Training (MCDAT)] on balancing and walking ability in chronic stroke patients.
Method: Thirty-three outpatients who were undergoing physical therapy for chronic stroke in J Hospital in Gyunggi Province were divided into three groups of 11. Each group underwent dual task ambulation training for 30 minutes per day, three times a week, for eight weeks from June to August, 2011. Balancing ability was measured by pre and post Stability Test Index (STI), Weight Distribution Index (WDI), Functional Reach Test (FRT), Timed Up and Go test (TUG), and Four Square Step Test (FSST). Walking ability was measured by a 10 m Walk Test (10 m WT) and a 6 min Walk Test (6 min WT) before and after the training. Paired t-tests were used to compare measurements before and after training within each group and ANCOVA was used to compare measurements before and after training among the groups.
Results: Comparison within each group indicated a significant difference before and after the training for all three groups (p<.05). Comparison between the groups showed that greater improvement was seen in all tests, except for the timed up and go test, following MCDAT compared to the other two training types (p<.05).
Conclusion: In a real walking environment, the MCDAT was more effective at improving balancing and walking ability of chronic stroke patients than were the MDAT or CDAT alone.
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KEYWORD
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Stroke, Dual task, Balancing, Walking
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