Action observation training of community ambulation for improving walking ability of patients with post-stroke hemiparesis: a randomized controlled pilot trial
| Autor: | Su-Jin Jeon, Duck-Won Oh, Jong-Man Kim, Yong-Jun Cha, Jong-Duk Choi, Suhn-Yeop Kim, Hyun-Ju Park |
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| Rok vydání: | 2016 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Video Recording Pilot Projects Physical Therapy Sports Therapy and Rehabilitation Walking Risk Assessment Ambulation training 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Reference Values Intervention (counseling) Republic of Korea Task Performance and Analysis medicine Humans CLIPS Stroke Gait Disorders Neurologic Aged computer.programming_language Balance (ability) Inpatients Rehabilitation Stroke Rehabilitation Middle Aged medicine.disease Gait Exercise Therapy Paresis Treatment Outcome Hemiparesis Action observation Physical therapy Female medicine.symptom 0305 other medical science Psychology computer 030217 neurology & neurosurgery |
| Zdroj: | Clinical Rehabilitation. 31:1078-1086 |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215516671982 |
| Popis: | Purpose: To investigate the effects of action observation training involving community-based ambulation for improving walking ability after stroke. Design: Randomized, controlled pilot study. Setting: Inpatient rehabilitation hospital. Subjects: A total of 25 inpatients with post-stroke hemiparesis were randomly assigned to either the experimental group ( n = 12) or control group ( n = 13). Intervention: Subjects of the experimental group watched video clips demonstrating four-staged ambulation training with a more complex environment factor for 30 minutes, three times a week for four weeks. Meanwhile, subjects of the control group watched video clips, which showed different landscape pictures. Main measures: Walking function was evaluated before and after the four-week intervention using a 10-m walk test, community walk test, activities-specific balance confidence scale, and spatiotemporal gait measures. Results: Changes in the values for the 10-m walk test (0.17 ±0.19 m/s vs. 0.05 ±0.08 m/s), community walk test (–151.42 ±123.82 seconds vs. 67.08 ±176.77 seconds), and activities-specific balance confidence (6.25 ±5.61 scores vs. 0.72 ±2.24 scores) and the spatiotemporal parameters (i.e. stride length (19.00 ±11.34 cm vs. 3.16 ±11.20 cm), single support (5.87 ±5.13% vs. 0.25 ±5.95%), and velocity (15.66 ±12.34 cm/s vs. 2.96 ±10.54 cm/s)) indicated a significant improvement in the experimental group compared with the control group. In the experimental group, walking function and ambulation confidence was significantly different between the pre- and post-intervention, whereas the control group showed a significant difference only in the 10-m walk test. Conclusions: Action observation training of community ambulation may be favorably used for improving walking function of patients with post-stroke hemiparesis. |
| Databáze: | OpenAIRE |
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