- 著者
- MinKyu Kim KiHun Cho WanHee Lee
- 出版者
- Tohoku University Medical Press
- 雑誌
- The Tohoku Journal of Experimental Medicine (ISSN:00408727)
- 巻号頁・発行日
- vol.234, no.4, pp.281-286, 2014 (Released:2014-12-05)
- 参考文献数
- 26
- 被引用文献数
- 26 34
Stroke patients live with balance and walking dysfunction. Walking is the most important factor for independent community activities. The purpose of this study was to investigate the effect of a community walking training program (CWTP) within the real environment on walking function and social participation in chronic stroke patients. Twenty-two stroke patients (13 male, 50.45 years old, post stroke duration 231.64 days) were randomly assigned to either the CWTP group or the control group. All subjects participated in the same standard rehabilitation program consisting of physical and occupational therapy for 60 min per day, five times a week, for four weeks. In addition, the CWTP group participated in CWTP for 30 min per day, five times a week, for four weeks. Walking function was assessed using the 10-m walk test (measurement for 10-meter walking speed), 6-min walk assessment (measurement of gait length for 6-minutes), and community gait assessment. Social participation was assessed using a social participation domain of stroke impact scale. In walking function, greater improvement was observed in the CWTP group compared with the control group (P < 0.05). In addition, social participation improved more in the CWTP group compared with the control group (P < 0.05). These findings demonstrate the efficacy of CWTP on walking function and social participation in chronic stroke patients. Therefore, we suggest that CWTP within the real environment may be an effective method for improving walking function and social participation of chronic stroke patients when added to standard rehabilitation.
- 著者
- Jaeho Yu Jinhwa Jung Kihun Cho
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.24, no.11, pp.1183-1186, 2012 (Released:2013-01-11)
- 参考文献数
- 23
- 被引用文献数
- 5 13
[Purpose] The purpose of this study was to investigate the changes in postural sway according to surface stability in post-stroke patients. [Subjects] Fifty-eight subjects were recruited on a voluntary basis from the local rehabilitation unit (stroke patients) and community (age-matched older adults). Twenty-nine stroke patients and twenty-nine age-matched older adults who were healthy participated in the study. Participants were classified as the stroke group (28 stroke patients) and control group (28 age-matched older adults). [Methods] This study applied a cross-sectional design. The Good Balance force platform system (Metitur Ltd., Finland) was used to measure the postural sway velocity, area, and distance of subjects under the unstable surface (foam) condition and stable surface condition in the standing posture. [Results] The postural way velocity, area, and distance were significantly higher in under the unstable surface conditions compared with under the stable surface conditions in both groups. In particular, the changes in postural sway velocity (anteroposterior), area, and distance (anteroposterior) under the foam and stable surface conditions were significantly different between the stroke group and control group. [Conclusion] We believe that these results provide basic information on the improvements in balance ability and may be useful in balance training to prevent future falls after stroke.