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Community walking training program improves walking function and social participation in chronic stroke patients.

The Tohoku journal of experimental medicine
December 1, 2014
MinKyu Kim et al. (3 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate the effect of a community walking training program (CWTP) on walking function and social participation in chronic stroke patients.

Results Summary

The CWTP group showed greater improvement in walking function (measured by 10-m walk test, 6-min walk assessment, and community gait assessment) and social participation compared to the control group, with statistically significant results (P < 0.05).

Population

Chronic stroke patients (22 participants, 13 male, average age 50.45 years, average post-stroke duration 231.64 days).

Effective Dosage

CWTP for 30 min per day, five times a week, in addition to standard rehabilitation (60 min per day, five times a week).

Duration

Four weeks.

Interactions

None mentioned.

Extracted Claims (2)
InterventionDirectionEndpointPopulationDosageImpactClaim #
community walking training program (CWTP) within the real environment
increase
walking function
chronic stroke patients
-
greater improvement was observed
#1
community walking training program (CWTP) within the real environment
increase
social participation
chronic stroke patients
-
improved more
#2
Abstract

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.

Medical Subject Headings (MeSH)
Chronic DiseaseFemaleGaitHumansMaleMiddle AgedPostural BalanceResidence CharacteristicsSocial ParticipationStrokeWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations31
Citations/Year2.8
Relative Citation Ratio1.77
NIH Percentile70.7%
Research Impact Scores
APT Score0.75
Weight Score1.62
Normalized Score0.69
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