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The effect of a task-oriented walking intervention on improving balance self-efficacy poststroke: a randomized,
Nancy M Salbach1, Nancy E Mayo, Sylvie Robichaud-Ekstrand
1Department of Epidemiology and Biostatistics and Occupational Health, McGill University Montreal, Quebec, Canada. nancy.salbach@utoronto.ca
Journal of the American Geriatrics Society
|April 9, 2005
Summary
Task-oriented walking retraining significantly improved balance self-efficacy in stroke survivors, especially those with lower baseline confidence. Improvements were linked to better walking capacity and task specificity.
Area of Science:
- Neurorehabilitation
- Motor Recovery
- Clinical Trials
Background:
- Stroke frequently results in impaired walking and reduced balance self-efficacy.
- Task-oriented interventions are a promising approach for functional recovery post-stroke.
Purpose of the Study:
- To assess the effectiveness of a task-oriented walking intervention on balance self-efficacy in stroke patients.
- To investigate if intervention effects are task-specific and influenced by baseline self-efficacy levels.
Main Methods:
- Secondary analysis of a randomized controlled trial involving 91 individuals with stroke.
- Interventions focused on either walking or upper extremity function, delivered over 6 weeks.
- Balance self-efficacy, walking capacity, and balance were measured pre- and post-intervention.
Main Results:
- The walking intervention yielded greater improvements in balance self-efficacy compared to the upper extremity intervention.
- Effects were most pronounced in individuals with low baseline self-efficacy and for practiced tasks.
- Improved balance self-efficacy correlated with enhanced functional walking capacity.
Conclusions:
- Task-oriented walking retraining effectively boosts balance self-efficacy in individuals with chronic stroke.
- Improvements in walking capacity likely contribute to enhanced balance self-efficacy.
- Baseline self-efficacy, depressive symptoms, and prognostic factors influence treatment outcomes.