Article: Effect of the a circuit training program using obstacles on the walking and balance abilities of stroke patients

[Purpose] The aim of this study was to investigate the impact of a circuit training program on the walking and balance abilities of stroke patients using an up-to-date walking analysis device. [Subjects and Methods] The subjects of this study were 12 adults who were diagnosed with stroke. Evaluation was conducted using the Smart Step test for walking ability; (BBS) for balance ability; and the Timed Up and Go test (TUG) for functional mobility and movement ability. The 12 stroke patients were randomly recruited and divided into two groups; an experimental group which performed circuit training with obstacles, and a control group which performed flat gait training). [Results] Between-group comparison of the change in the 10-m walking speed found a statistically significant difference between the two groups. Between-group comparison of the changes in BBS and TUG found statistically significant differences between the two groups. [Conclusion] The circuit training program using obstacles had a positive effect on the gait and balance abilities of the stroke patients.

Citing Articles

Functional Training for Lower Extremities in Stroke Survivors: A Scoping Review.

Jharbade M, Ramachandran S, V S, Solomon M J Cureus. 2024; 16(4):e58087.

PMID: 38738032 PMC: 11088721. DOI: 10.7759/cureus.58087.

Physical fitness training for stroke patients.

Saunders D, Sanderson M, Hayes S, Johnson L, Kramer S, Carter D Cochrane Database Syst Rev. 2020; 3:CD003316.

PMID: 32196635 PMC: 7083515. DOI: 10.1002/14651858.CD003316.pub7.

Circuit class therapy for improving mobility after stroke.

English C, Hillier S, Lynch E Cochrane Database Syst Rev. 2017; 6:CD007513.

PMID: 28573757 PMC: 6481475. DOI: 10.1002/14651858.CD007513.pub3.

Effects of proprioceptive sense-based Kinesio taping on walking imbalance.

Park Y, Lee J J Phys Ther Sci. 2016; 28(11):3060-3062.

PMID: 27942119 PMC: 5140799. DOI: 10.1589/jpts.28.3060.

References

1.

Bayouk J, Boucher J, Leroux A . Balance training following stroke: effects of task-oriented exercises with and without altered sensory input. Int J Rehabil Res. 2006; 29(1):51-9. DOI: 10.1097/01.mrr.0000192100.67425.84. View

2.

Harburn K, Hill K, Kramer J, Noh S, Vandervoort A, Teasell R . Clinical applicability and test-retest reliability of an external perturbation test of balance in stroke subjects. Arch Phys Med Rehabil. 1995; 76(4):317-23. DOI: 10.1016/s0003-9993(95)80656-3. View

3.

Taube W, Gruber M, Gollhofer A . Spinal and supraspinal adaptations associated with balance training and their functional relevance. Acta Physiol (Oxf). 2008; 193(2):101-16. DOI: 10.1111/j.1748-1716.2008.01850.x. View

4.

Dickstein R, Nissan M, Pillar T, Scheer D . Foot-ground pressure pattern of standing hemiplegic patients. Major characteristics and patterns of improvement. Phys Ther. 1984; 64(1):19-23. DOI: 10.1093/ptj/64.1.19. View

5.

Said C, Goldie P, Patla A, Sparrow W . Effect of stroke on step characteristics of obstacle crossing. Arch Phys Med Rehabil. 2001; 82(12):1712-9. DOI: 10.1053/apmr.2001.26247. View

6.

Ko Y, Ha H, Bae Y, Lee W . Effect of space balance 3D training using visual feedback on balance and mobility in acute stroke patients. J Phys Ther Sci. 2015; 27(5):1593-6. PMC: 4483448. DOI: 10.1589/jpts.27.1593. View

7.

Sackley C, Lincoln N . Single blind randomized controlled trial of visual feedback after stroke: effects on stance symmetry and function. Disabil Rehabil. 1998; 19(12):536-46. DOI: 10.3109/09638289709166047. View

8.

Lu T, Yen H, Chen H . Comparisons of the inter-joint coordination between leading and trailing limbs when crossing obstacles of different heights. Gait Posture. 2007; 27(2):309-15. DOI: 10.1016/j.gaitpost.2007.04.007. View

9.

Kizony R, Levin M, Hughey L, Perez C, Fung J . Cognitive load and dual-task performance during locomotion poststroke: a feasibility study using a functional virtual environment. Phys Ther. 2009; 90(2):252-60. DOI: 10.2522/ptj.20090061. View

10.

Means K . The obstacle course: a tool for the assessment of functional balance and mobility in the elderly. J Rehabil Res Dev. 1996; 33(4):413-29. View

11.

Tyson S, Hanley M, Chillala J, Selley A, Tallis R . Balance disability after stroke. Phys Ther. 2006; 86(1):30-8. DOI: 10.1093/ptj/86.1.30. View

Effect of the a Circuit Training Program Using Obstacles on the Walking and Balance Abilities of Stroke Patients