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Impact of PNF-based walking exercise on a ramp on gait performance of stroke patients |
Seo KC, Lee JH, Lee SY |
Journal of Physical Therapy Science 2012 Dec;24(11):1243-1246 |
clinical trial |
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
PURPOSE: The present study examines how PNF-based walking exercise on a ramp affects gait performance of stroke patients. METHODS: Forty stroke patients were randomly divided into an experiment group and a control group. For the former group, patients went through a half-hour of training therapy and a half-hour of PNF-based walking exercise on a ramp. For the latter group, patients went through 30 minutes of training therapy and a half-hour of walking exercise on a ramp. All participants had five training sessions each week for four weeks. For measurement, a GAITRite system was used to examine temporal parameters, spatial parameters, and functional ambulation performance before and after the training. RESULTS: Regarding temporal parameters, step time, double support, and stance phase decreased more significantly in the experiment group than in the control group after the walking exercise on a ramp, while mean velocity increased significantly. In terms of spatial parameters, step length, and heel-to-heel base of support increased significantly in the experiment group after the walking exercise, and step-to-extremity ratio decreased significantly in the same group. Lastly, FAP rose more significantly in the experiment group than in the control group following the walking exercise on a ramp. CONCLUSION: The experiment results showed that PNF-based walking exercise on a ramp is effective in enhancing gait performance. his expected that the same exercise can be applied to patients of other types of neurological disorders to improve their gait performances.
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