Immediate Effects of Loading on the Affected Leg on Functional Abilities in Ambulatory Patients with Stroke
Keywords:
Hemiparesis; Neurology; Walking; Rehabilitation; Physical TherapyAbstract
Background and Objective: Patients with stroke likely have unilateral impairments that affect ability of lower limb loading (LLL) of the affected limb, safety and quality of walking. This study investigated the immediate effects of LLL on the affected limb during stepping training on walking and balance ability in ambulatory patients with stroke.
Methods: This study was a quasi-experimental research. Eighteen participants were repetitively trained for body-weight shifting onto the affected leg during stepping the non-affected leg for 30 minutes, followed by overground walking training for 10 minutes. Participants were assessed for their functional abilities using the 10-meter walk test and timed up and go test immediately before and after training. The dependent samples t-test was used to compare the findings. The level of statistical significance was set at p<0.05.
Results: Most participants were male with an average age of 51±10.9 years old at a chronic stage (89% with an average post-stroke time approximately 3 years). The findings indicated that the participants had significant improvement of walking ability as assessed using the 10-meter walk test and balance ability using the timed up and go test immediately after training (p<0.01).
Conclusion: The LLL training during stepping might promote functional ability of the affected limb. Thus the participants showed better walking and mobility even they were in a chronic stage. The training program can be easily executed in many clinical and community settings. Thus the findings are important, particularly in a current era that the rehabilitation length is dramatically limited.
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