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Backward walking observational training improves gait ability in patients with chronic stroke: randomised controlled pilot study.

International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation
September 1, 2019
Yiyeop Moon et al. (2 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the feasibility of backward walking observational training on gait ability in chronic stroke patients.

Results Summary

Both groups showed significant improvements in gait ability, but the experimental group (backward walking observation) demonstrated more significant improvements in dynamic gait index, 10-m walking test, and timed up and go test time compared to the control group. The findings suggest that backward walking observational training combined with conventional therapy enhances gait ability in chronic stroke patients.

Population

Chronic stroke patients (n=14).

Effective Dosage

Observational training 3 days/week + conventional therapy 5 days/week.

Duration

4 weeks.

Interactions

None mentioned.

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
backward walking
increase
gait ability
-
-
has a positive effect
#1
action observational training
increase
stroke neurological disorders
-
-
is an effective treatment method
#2
backward walking observational training
increase
dynamic gait index
chronic stroke participants
-
showed significant increases
#3
backward walking observational training
increase
10-m walking test
chronic stroke participants
-
showed significant increases
#4
backward walking observational training
increase
timed up and go test time
chronic stroke participants
-
showed significant increases
#5
landscape observation + backward walking training
increase
dynamic gait index
chronic stroke participants
-
showed significant increases
#6
landscape observation + backward walking training
increase
10-m walking test
chronic stroke participants
-
showed significant increases
#7
landscape observation + backward walking training
increase
timed up and go test time
chronic stroke participants
-
showed significant increases
#8
backward walking observational training
increase
dynamic gait index
chronic stroke participants
P = 0.04, η = 0.336
showed more significant improvements
#9
backward walking observational training
increase
10-m walking test
chronic stroke participants
P = 0.04, η = 0.306
showed more significant improvements
#10
backward walking observational training
increase
timed up and go test time
chronic stroke participants
P = 0.03, η = 0.334
showed more significant improvements
#11
conventional therapy with backward walking observational training
increase
gait ability
-
-
improves
#12
observing an action
increase
-
chronic stroke patients
-
may have a positive effect
#13
Abstract

Backward walking has a positive effect on gait ability. Action observational training is an effective treatment method for stroke neurological disorders. This randomised comparator-controlled pilot study aimed to evaluate the feasibility of backward walking observational training on the gait ability of chronic stroke patients. Fourteen chronic stroke participants were randomly allocated to the experimental group (backward walking observation; n = 7) and control group (landscape observation; n = 7). Both groups performed conventional therapy 5 days/week; then the backward walking observation and landscape observation + backward walking training groups performed the observational training 3 days/week for 4 weeks. The primary outcome was measured dynamic gait index, 10-m walking test, and timed up and go test time. Both groups showed significant increases in dynamic gait index, 10-m walking test, and timed up and go test time. The experimental group showed more significant improvements in dynamic gait index (P = 0.04, η = 0.336), 10-m walking test (P = 0.04, η = 0.306), and timed up and go test time (P = 0.03, η = 0.334) than the control group. This pilot study demonstrated that conventional therapy with backward walking observational training improves gait ability. Our findings suggest that observing an action may have a positive effect on chronic stroke patients.Trial Registration Clinical Trials: KCT0003098.

Medical Subject Headings (MeSH)
Exercise TestFemaleGait Disorders, NeurologicHumansMaleMiddle AgedPilot ProjectsStroke RehabilitationWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations11
Citations/Year1.8
Relative Citation Ratio0.96
NIH Percentile48.7%
Research Impact Scores
APT Score0.75
Weight Score2.09
Normalized Score0.69
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