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Obstacle training programme for individuals post stroke: feasibility study.

Clare C Bassile1, Catherine Dean, Bernadette Boden-Albala

  • 1Columbia University, Program in Physical Therapy, New York, New York, USA.

Clinical Rehabilitation
|March 11, 2003
PubMed
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This study developed an obstacle ambulation training program for individuals with chronic stroke. The program significantly improved walking ability and function, with results sustained one month post-intervention.

Area of Science:

  • Rehabilitation science
  • Neuroscience
  • Physical therapy

Background:

  • Stroke survivors often experience impaired ambulation, impacting their quality of life.
  • Developing effective, targeted interventions is crucial for improving mobility post-stroke.

Purpose of the Study:

  • To develop and assess an obstacle ambulation training program for individuals with chronic stroke.
  • To evaluate the program's effectiveness in improving walking function and reducing disability.
  • To determine the retention of training benefits one month after completion.

Main Methods:

  • An intervention study utilizing a case series design.
  • Participants (n=5) with chronic stroke underwent twice-weekly, four-week obstacle ambulation training.
  • Outcome measures included the Motor Assessment Scale (MAS), Six-minute Walk Test (6MWT), walking velocity, and SF-36.

Related Experiment Videos

Main Results:

  • Significant improvements were observed in walking velocity, 6MWT distance, MAS scores, and SF-36 physical function (p ≤ 0.025).
  • The majority of functional gains were maintained at the one-month follow-up.
  • Effect sizes for the improvements ranged from 0.33 to 1.20.

Conclusions:

  • Obstacle ambulation training offers a substantial benefit for improving walking function and reducing disability in chronic stroke survivors.
  • The training program demonstrates potential for enhancing real-world mobility and functional independence.
  • Further research is recommended to validate these findings in larger cohorts.