Effects of Step-up Training on Walking Ability of Stroke Patients by Different Support Surface Characteristics

오근식; Yu-Ran Choi (최유란); Dae-Hyouk Bang (방대혁); Yong-Jun Cha (차용준)

Effects of Step-up Training on Walking Ability of Stroke Patients by Different Support Surface Characteristics

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2017, 12(3), pp.99-104
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

오근식 ¹, Yu-Ran Choi ¹, Dae-Hyouk Bang ², Yong-Jun Cha ¹

¹대전대학교
²원광대학교

Accredited

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.

KEYWORDS

Step-up training, Stroke, Unstable surface, Walking ability

Citation status

* References for papers published after 2023 are currently being built.

[journal] Bohannon RW / 1991 / Importance of four variables of walking to patients with stroke / Int J Rehabil Res 14(3) : 246~250

[journal] Christina KA / 2002 / Ground reaction forces and frictional demands during stair descent: effects of age and illumination / Gait Posture 15(2) : 153~158

[journal] de Rooij IJ / 2016 / Effect of virtual reality training on balance and gait ability in patients with stroke : systematic review and meta-analysis / Phys Ther 96(12) : 1905~1918

[journal] Di Fabio RP / 1990 / Extraneous movement associated with hemiplegic postural sway during dynamic goal-directed weight redistribution / Arch Phys Med Rehabil 71(6) : 365~371

[thesis] Eun SD / 2003 / Biomechanical effect of the stair heights on the lower extremity joints in stair-ascent activity of elderly persons / Doctor / Seoul National University

[journal] 전재윤 / 2015 / The effect of stair exercise with restriction blood flow on knee extensor muscle / 대한물리의학회지 / 대한물리의학회 10(4) : 9~14

[journal] Khaw KT / 1996 / Epidemiology of stroke / J Neurol Neurosurg Psychiatry 61(4) : 333~338

[thesis] Kim DW / 2014 / The effects of realignment to unilateral stepping exercise training on balance and walking in the patients with stroke / Master / Yongin University

[thesis] Kim EJ / 2009 / The effects of gait training on treadmill and unstable surface and muscular activity in stroke patients / Master / Daegu University

[thesis] Kim HS / 2015 / The effect of type of treads for step training on trunk and lower extremity muscle activity and balance of chronic stroke patients / Doctor / Daegu University

[journal] Laver KE / 2015 / Virtual reality for stroke rehabilitation / Cochrane Database Syst Rev (2) : Cd008349.~

[journal] Lee JY / 2010 / The effects of balance in stroke patients after exercise on the unstable surface / J Rehabil Sci 28(1) : 27~38

[thesis] Lee SC / 2009 / The influence of unstability of supporting surface on trunk and lower extremity muscle activities during bridging exercise combined with core-stabilization exercise / Master / Hanseo University

[thesis] 이선희 / 2007 / Aero-step 운동과 Weight training 운동이 남성 노인의 넘어짐 관련 자세, 체력, 지질, 호르몬에 미치는 영향 / 석사 / 이화여자대학교 대학원

[journal] Mansfield A / 2011 / Training rapid stepping responses in an individual with stroke / Phys Ther 91(6) : 958~969

[journal] O'Brien CF / 1996 / Spasticity after stroke : epidemiology and optimal treatment / Drugs Aging 9(5) : 332~340

[thesis] Park KD / 2016 / The effect of stair square step exercise on gait and balance ability in stroke patients / Master / Korea National University of Transportation

[book] Ryerson S / 1997 / Functional movement reeducation: a contemporary model for stroke rehabilitation / Churchill Livingstone

[journal] 서교철 / 2013 / The Effects of Gait Ability in the Stroke Patients after Stair Gait Exercise and Lamp Gait Exercise / 대한물리의학회지 / 대한물리의학회 8(3) : 397~406

[journal] Sousa CO / 2011 / Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study / J Neuroeng Rehabil 8 : 48~54

[journal] Tyson SF / 2006 / Balance disability after stroke / Phys Ther 86(1) : 30~38

[thesis] Wi GS / 2011 / The effects of stair and ramp gait training on a static balance and gait in patients with stroke / Master / Daegu University

[journal] Zane AC / 2017 / Muscle strength mediates the relationship between mitochondrial energetics and walking performance / Aging Cell 16(3) : 461~468

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45