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Effects of task-oriented circuit class training on walking competency after stroke: a systematic review
Lotte Wevers1, Ingrid van de Port, Mathijs Vermue
1Center of Excellence for Rehabilitation Medicine Utrecht, Rehabilitation Center De Hoogstraat, Utrecht, The Netherlands.
Stroke
|May 23, 2009
Summary
Task-oriented circuit class training significantly improves walking distance and speed in chronic stroke survivors. This approach enhances gait and related activities, offering a promising rehabilitation strategy.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Physical Therapy
Background:
- Growing interest in circuit class training (CCT) for post-stroke recovery.
- Effectiveness of CCT for gait and related activities remains uncertain.
Purpose of the Study:
- Systematically review randomized controlled trials (RCTs) on task-oriented CCT.
- Evaluate CCT's impact on gait and gait-related activities in stroke patients.
Main Methods:
- Computer-aided literature search up to March 2008.
- Included RCTs focusing on lower limb task-oriented CCT.
- Assessed methodological quality and pooled data using meta-analysis.
Main Results:
- Six RCTs with 307 participants were included.
- Significant improvements in walking distance (SMD 0.43), gait speed (SMD 0.35), and Timed Up-and-Go (SMD 0.26).
- No significant effects on step test or balance control.
Conclusions:
- Task-oriented CCT is supported for improving gait in chronic stroke.
- Further research needed on cost-effectiveness and subacute stroke effects.
- Investigate long-term maintenance of physical abilities post-rehabilitation.
