Community Walking Training Program Improves Walking Function and Social Participation in Chronic Stroke Patients

Kim, Minkyu; Cho, Ki Hun; Lee, WanHee

doi:10.1620/tjem.234.281

Cited by 42 publications

(21 citation statements)

References 20 publications

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“…walking function of stroke patients (Park et al 2011;Kim et al 2014); we think that the comparative studies on community ambulation training and virtual reality training for improvement of walking function of stroke patients are require.…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality Training with Cognitive Load Improves Walking Function in Chronic Stroke Patients

Cho

Kim

Lee

et al. 2015

Tohoku J. Exp. Med.

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Virtual reality training is considered as an effective intervention method of stroke patients, and the virtual reality system for therapeutic rehabilitation has emphasized the cognitive factors to improve walking function. The purpose of current study was to investigate the effect of virtual reality training with cognitive load (VRTCL) on walking function of chronic stroke. Chronic stroke patients were randomly assigned to the VRTCL group (11 patients, including 5 men; mean age, 60.0 years; post-stroke duration, 273.9 days) or control group (11 patients, including 2 men; mean age, 58.6 years; post-stroke duration, 263.9 days). All subjects participated in the standard rehabilitation program that consisted of physical and occupational therapies. In addition, VRTCL group participated in the VRTCL for 4 weeks (30 min per day and five times a week), while those in the control group participated in virtual reality treadmill training. Walking function under single (walking alone) and dual task (walking with cognitive tasks) conditions was assessed using an electrical walkway system. After the 4-week intervention, under both single and dual task conditions, significant improvement on walking function was observed in VRTCL and control groups (P < 0.05). In addition, in the dual task condition, greater improvement on walking function was observed in the VRTCL group, compared with the control group (P < 0.05). These findings demonstrated the efficacy of VRTCL on the walking function under the dual task condition. Therefore, we suggest that VRTCL may be an effective method for the achievement of independent walking in chronic stroke patients.

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Section: Discussionmentioning

confidence: 99%

Virtual Reality Training with Cognitive Load Improves Walking Function in Chronic Stroke Patients

Cho

Kim

Lee

et al. 2015

Tohoku J. Exp. Med.

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“…D350 Conversation D710 Basic interpersonal interactions D760 family relationships important in stroke rehabilitation and it should be included as a routine part of the rehabilitation. Corroborating with this statement, Kim et al (13) had reported on the assessment and care with the social participation, however the results were not displayed properly.…”

Section: Instruments Of Studies For the Evaluation Of Social Participmentioning

confidence: 89%

“…The same level of participation or better than the pre-stroke was found in 35% of participants and in 65% the level was lower. (13) It is a randomized, blind study with a sample of 26 subjects.…”

Section: Singam Et Al (2015)mentioning

confidence: 99%

Social Participation as a goal of the post-stroke rehabilitation program: a literature review

Souza¹,

Silva-Filho²,

Cezarino³

et al. 2020

mtprehabjournal

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Introduction: Stroke is considered one of the leading causes of long-term disability worldwide. Physical, cognitive and psychological disabilities resulting from stroke can lead to a wide variety of activity limitations and participations restrictions. Objective: To verify the incidence of articles in the literature that used physiotherapy programs aimed at social participation and to analyze if these programs are based on domains of the International Classification of Functioning Disability and Health (ICF) in post-stroke people. Method: It was selected any type of study that presented post-stroke human sample over 18 years of age with no gender restriction, to be written in any language and year of publication, to have used physical rehabilitation as a form of treatment and social participation assessed by ICF as outcome. The descriptors and Boolean operators: stroke, rehabilitation, International Classification of Functioning Disability and Health, social participation, were used in the sample search strategy in database PEDro, PubMed, Web of Science and Scielo. Results: After applying the inclusion/exclusion criteria, five articles remaining. Assessment tools for participation in daily and social activities were not consensual in the range of areas that needed to be addressed in stroke rehabilitation. A single study used the ICF-based design model in its program. Conclusion: There are few studies that have measured the various characteristics of social participation using the ICF as a tool. More studies are needed to create an ideal standardization and strategy that direct interventions to improve specific aspects of social participation, including the involvement in activities that provide post-stroke individuals interaction with society.

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“…Thus, there is a great need for future research studies to evaluate the effectiveness of exercise training on social participation in PLWHA. This is because several studies [50][51][52][53] have identi ed a link between physical activity pro le and social participation probably due to the effects of physical activity on mental health, especially mood [54][55][56]. However, a causal relationship between these variables have not been established in PLWHA and needs to be investigated.…”

Section: Social Participationmentioning

confidence: 99%

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Ibeneme¹,

Uwakwe²,

Myezwa³

et al. 2020

Preprint

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Background: Exercise training may increase physical activity(PA) level, improve social participation and mental health in people living with HIV/AIDS(PLWHA). Thus, a systematic review was conducted to answer the review question: what is the effectiveness of physical exercise training on mental health, physical activity level and social participation in PLWHA? Method: Eight databases namely: PubMed, Emcare, Cochrane Library, Embase, CINAHL, AMED, PsycoINFO and MEDLINE – were systematically searched from 1990 till August 2019. This review includes only studies published in English language, on adults (>18years) and are either on HAART/HAART-naïve; only RCTs that gave exercise intervention and assessed mental health, physical activity level and social participation on HIV/AIDS patients. The primary outcomes were mental health, PA level and social participation, while the secondary outcomes included psychological disorders. Results: Meta-analysis of the five (out of seven) included studies for depression that met the inclusion criteria (n=346 participants) comprising males/females aged≥18 years, show a significant overall effect (SMD=-0.89,[95%CI:-1.77,-0.01],Z=1.97,p=0.05) of exercise compared to the control group at post-intervention. However, statistical heterogeneity was high (I2=91%,X2=53.14,df=5,p<0.00001). The removal of two papers during sensitivity analysis for missing data/baseline differences showed a large significant effect (SMD=-1.01,[95%CI:-1.45,-0.57],Z=4.48,p=<0.00001). The statistical heterogeneity was low (I2=39%,X2=4.94,df=3,p=0.18). The results demonstrate a significant trend towards a decrease in depressive symptoms for participants in the exercise compared to no exercise group; aerobic exercise compared to normal routine activity group; aerobic and resistance exercise compared to other control groups. Narrative synthesis demonstrates the beneficial effects of exercise training on outcome measures: anxiety and cognitive function, apart from other psychological benefits. There was limited and no RCTs on the effects of exercise on physical activity level and social participation, respectively.Conclusion: Combined exercise (Aerobic exercise+Strength training; 80mins/session; 3X/week for 12weeks.) + routine counselling OR Aerobic exercise training+counselling 40mins per session; 3X/week for 6weeks OR Combined exercise: Aerobic and Resistance exercise training 50mins/session; 2X/week for 6weeks OR Combined exercise: Aerobic and Resistance exercise training 60mins/session; 3X/week for 24weeks OR Aerobic exercise training 60mins per session; 3X per week for 12weeks may improve mood disorders while therapeutic exercise(2X per week for 6weeks) may improve psychological wellbeing.

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Community Walking Training Program Improves Walking Function and Social Participation in Chronic Stroke Patients

Cited by 42 publications

References 20 publications

Virtual Reality Training with Cognitive Load Improves Walking Function in Chronic Stroke Patients

Virtual Reality Training with Cognitive Load Improves Walking Function in Chronic Stroke Patients

Social Participation as a goal of the post-stroke rehabilitation program: a literature review

Effectiveness of Exercise Training on Mental Health, Physical Activity Level and Social Participation in People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

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