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KMID : 1211620170120010121
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Journal of the Korean Society of Physical Medicine
2017 Volume.12 No. 1 p.121 ~ p.129
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The Effect of Dual Task Training based on the International Classification of Functioning, Disability, and Health on Walking Ability and Self-Efficacy in Chronic Stroke
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Lee Joeng-A
Lee Hyun-Min
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Abstract
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PURPOSE: This study was conducted to determine the effect of dual-task training (based on the International
Classification of Functioning, Disability, and Health; ICF) on walking ability and self-efficacy in individuals with chronic
stroke.
METHODS: 22 chronic stroke patients participated in this study. Participants were randomly allocated into either the
single-task group (n=11) or the dual-task group (n=11). Both groups had physical training three a week for 4 weeks, and at
a three-week follow-up. Outcome measures included the 10m walking test (10MWT), figure of 8 walk test (F8WT), dynamic
gait index (DGI), and Self-efficacy scale. All data were analyzed using SPSS 18.0 for Windows. Between-group and with-in-group comparison were analyzed by using the MannWhitney U test and Wilcoxon singed-rank test respectively.
RESULTS: In the dual-task group, the 10MWT, time and steps of F8WT, DGI, and self-efficacy showed significant
differences between pre- and post-test (p<.05). The Changes between the pre- and post-test values of 10MWT (p<.05), DGI (p<.05), and self-efficacy scale (p<.05) showed significant differences between the dual-task group and single-task
group.
CONCLUSION: Participants reported improved walking ability and self-efficacy, suggesting that dual-task training
holds promise in the rehabilitation of walking in chronic stroke patients. This study showed that ICF-based on a
dual-task protocol contiributes to motor learning after chronic stroke.
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KEYWORD
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Activities of daily living, Dual-task, ICF, Self-efficacy, Stroke
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