Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Step-up Training on Walking Ability of Stroke Patients by Different Support Surface Characteristics

  • Oh, Geun-Sik (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Choi, Yu-Ran (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Bang, Dae-Hyouk (Dept. of Physical Therapy, Oriental Hospital, Wonkwang University) ;
  • Cha, Yong-Jun (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • Received : 2017.07.19
  • Accepted : 2017.07.25
  • Published : 2017.08.31
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Abstract

PURPOSE: Gait disturbances in patients with hemiplegic stroke involve asymmetry of stance time. Step box training is used to supplement the limitations of stair walking training and increasing the torque value of the paralyzed lower leg's strength. This study aimed to investigate whether step-up training on unstable support could change walking ability in patients with chronic stroke. METHODS: Thirty stroke patients were randomly assigned to the step-up training group (experimental group), that performed training on an unstable surface, and the control group, that performed training on a stable surface. Walking speed, step length, and cadence were measured before and after training. Paired t-tests were used to compare pre- and post-intervention data, while the independent samples t-test was used to determine intergroup differences. Values of p < .05 were considered statistically significant. RESULTS: There was a significant difference in walking ability before versus after the intervention in both groups, although the experimental group showed greater differences than the control group (walking velocity by 8.1%; step length of the non-paralyzed side by 6.9%, respectively; p<.05). CONCLUSION: Step-up training might be more effective on an unstable surface than on a stable surface for increasing walking speed and step length of the non-paralyzed side.

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References

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