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KMID : 1211620180130010137
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Journal of the Korean Society of Physical Medicine
2018 Volume.13 No. 1 p.137 ~ p.146
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The Effects of Community Ambulation Training on Gait, Depression and Self-efficacy in Chronic Stroke Patients
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Kim Ju-Hyung
Shim Jae-Hun
Oh Duck-Won
Yu Kyung-Hoon
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Abstract
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PURPOSE: This study examine the effect of community ambulation training on gait, depression and self - efficacy of stroke patients in order to develop more effective training methods of community rehabilitation.
METHODS: In the experimental group, community ambulation training combined with indoor and outdoor walking was performed for 30 minutes three times a week for six weeks. In the control group, general indoor walking training was performed. The physical factors were assessed by a 10-meter walking test, six-minute walking test and community gait test. Psychological factors were assessed by the Korean version of the Epidemiology Center Depression Scale and Activity-Specific Balance Confidence Scale.
RESULTS: In the 10-meter walking test, the normal walking speed was significantly improved after the intervention in both the experimental group and the control group (p<.05). However, the fast walking speed was significantly improved only in the experimental group (p <.05). ln the community gait test, the experimental group showed significant improvement (p<.05), but the control group did not. Depression and self-efficacy were significantly improved in the experimental group (p<.05) but not in the control group.
CONCLUSION: Community ambulation training may improve the gait ability of stroke patients and reduce their depression and improve self-efficacy.
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KEYWORD
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Depression, Gait, Self-efficacy, Stroke
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