The effects of a task-oriented walking intervention on improving balance self-efficacy in post-stroke patients
The objective of study was to find out the effects of a task-oriented walking intervention on improving balance self-efficacy in post-stroke patients. In the present study, 30 patients with stroke who volunteered to participate were selected after informed consent was obtained. Subjects were divided into two groups by lottery random method. Berg Balance Scale (BBS) and Activity-specific Balance Confidence (ABC) Scale were applied as the outcome measurement tools. The interventions lasted for 6 months. The experimental group received task-oriented walking intervention. The control group received conventional interventions in the form of range of motion exercises, strength, and other conventional treatments. The baseline mean scores were 27.2 ± 7.13 and 31.26 ± 10.43 on ABC scale and BBS, respectively, in control group, whereas the scores were 29.13 ± 8.00 and 21.80 ± 8.98, respectively, in experimental group. The post-interventional mean scores were 31.40 ± 6.56 and 33.46 ± 9.818 on ABC scale and BBS, respectively, in control group, whereas the scores were 38.34 ± 8.42 and 37.06 ± 10.13, respectively, in experimental group. This study concluded that patients who were receiving task-oriented walking had considerable improvement in balance self-efficacy. Patients who were in control group and did activities while sitting showed lesser improvement compared to those receiving task-oriented walking. Therefore, the findings showed that task-oriented walking therapy is potential in improving balance self-efficacy and daily living activities of patients with stroke.
- Sumathipala K, Radcliffe E, Sadler E, et al., 2012, Identifying the long-term needs of stroke survivors using the International Classification of Functioning, Disability and Health. Chronic Illn, 8: 31–44. https://doi.org/10.1177/1742395311423848
- Ozkul C, Eldemir K, Apaydin Y, et al., 2023, Effects of multi-task training on motor and cognitive performances in multiple sclerosis patients without clinical disability: A single-blinded randomized controlled trial. Acta Neurol Belg, 2023: 1–12. https://doi.org/10.1007/s13760-023-02172-7
- Kesidou M, Besios T, Paras G, et al., 2023, Τhe effect of task oriented approach on gait of hemiplegic patients: A case series study. Int J Clin Trials, 10: 1. https://doi.org/10.18203/2349-3259.ijct20222960
- Rodrigues PSM, Shimano MM, de Oliveira E, et al., 2023, Adaptation and clinical application of assistive device chair for bedside sitting in acute stroke phase: Two case reports. Disabil Rehabil Assist Technol, 2023: 1–7. https://doi.org/10.1080/17483107.2023.2166600
- Chu A, 2023, Effects of occupational therapy for persons with stroke on restoration of roles, tasks, and activities and on remediation of impairments. In: 50 Studies Every Occupational Therapist Should Know. Vol. 56. United Kingdom: Oxford University Press, p277. https://doi.org/10.1093/med/9780197630402.003.0040
- Putaala J, Metso AJ, Metso TM, et al., 2009, Analysis of 1008 consecutive patients aged 15 to 49 with first-ever ischemic stroke: The Helsinki young stroke registry. Stroke, 40: 1195–1203. https://doi.org/10.1161/strokeaha.108.529883
- Groppo E, De Gennaro R, Granieri G, et al., 2012, Incidence and prognosis of stroke in young adults: A population-based study in Ferrara, Italy. Neurol Sci, 33: 53–58. https://doi.org/10.1007/s10072-011-0654-9
- Jacobs BS, Boden-Albala B, Lin IF, et al., 2002, Stroke in the young in the northern Manhattan stroke study. Stroke, 33: 2789–2793. https://doi.org/10.1161/01.str.0000038988.64376.3a
- Pathak EB, Sloan MA, 2009, Recent racial/ethnic disparities in stroke hospitalizations and outcomes for young adults in Florida, 2001-2006. Neuroepidemiology, 32: 302–311. https://doi.org/10.1159/000208795
- Morikawa Y, Nakagawa H, Naruse Y, et al., 2000, Trends in stroke incidence and acute case fatality in a Japanese rural area: The Oyabe study. Stroke, 31: 1583–1587. https://doi.org/10.1161/01.str.31.7.1583
- Kissela B, Schneider A, Kleindorfer D, et al., 2004, Stroke in a biracial population: The excess burden of stroke among blacks. Stroke, 35: 426–431. https://doi.org/10.1161/01.str.0000110982.74967.39
- Rasura M, Spalloni A, Ferrari M, et al., 2006, A case series of young stroke in Rome. Eur J Neurol, 13: 146–152. https://doi.org/10.1111/j.1468-1331.2006.01159.x
- Vibo R, Kõrv J, Roose M, 2005, The Third Stroke Registry in Tartu, Estonia: Decline of stroke incidence and 28-day case-fatality rate since 1991. Stroke, 36: 2544–2548. https://doi.org/10.1161/01.str.0000189633.33623.69
- Smajlović D, Salihović D, Ibrahimagić OĆ, et al., 2013, Characteristics of stroke in young adults in Tuzla Canton, Bosnia and Herzegovina. Coll Antropol, 37: 515–519. https://doi.org/10.1155/2014/313976
- Putaala J, Yesilot N, Waje-Andreassen U, et al., 2012, Demographic and geographic vascular risk factor differences in European young adults with ischemic stroke: The 15 cities young stroke study. Stroke, 43: 2624–2630. https://doi.org/10.1161/strokeaha.112.662866
- Putaala J, Haapaniemi E, Kaste M, et al., 2011, How does number of risk factors affect prognosis in young patients with ischemic stroke? Stroke, 43: 356–361. https://doi.org/10.1161/strokeaha.111.635276
- Tyson SF, Hanley M, Chillala J, et al., 2006, Balance disability after stroke. Phys Ther, 86: 30–38. https://doi.org/10.1093/ptj/86.1.30
- Corriveau H, Hébert R, Raı̂che M, et al., 2004, Evaluation of postural stability in the elderly with stroke. Arch Phys Med Rehabil, 85: 1095–1101. https://doi.org/10.1016/j.apmr.2003.09.023
- Geurts AC, de Haart M, van Nes IJ, et al., 2005, A review of standing balance recovery from stroke. Gait Posture, 22: 267–281. https://doi.org/10.1016/j.gaitpost.2004.10.002
- Lamontagne A, Paquet N, Fung J, 2003, Postural adjustments to voluntary head motions during standing are modified following stroke. Clin Biomech (Bristol, Avon), 18: 832–842. https://doi.org/10.1016/s0268-0033(03)00141-4
- Au-Yeung SS, Ng JT, Lo SK, 2003, Does balance or motor impairment of limbs discriminate the ambulatory status of stroke survivors? Am J Phys Med Rehabil, 82: 279–283. https://doi.org/10.1097/01.phm.0000056988.24854.8d
- Garland SJ, Willems DA, Ivanova TD, et al., 2003, Recovery of standing balance and functional mobility after stroke. Arch Phys Med Rehabil, 84: 1753–1759. https://doi.org/10.1016/j.apmr.2003.03.002
- Sullivan JE, Crowner BE, Kluding PM, et al., 2013, Outcome measures for individuals with stroke: Process and recommendations from the American Physical Therapy Association neurology section task force. Phys Ther, 93: 1383–1396. https://doi.org/10.2522/ptj.20120492
- Weerdesteyn V, de Niet M, van Duijnhoven JR, et al., 2008, Falls in individuals with stroke. J Rehabil Res Dev, 45: 1195–1213. https://doi.org/10.1682/jrrd.2007.09.0145
- Forster A, Young J, 1995, Incidence and consequences of falls due to stroke: A systematic inquiry. BMJ, 311: 83–86. https://doi.org/10.1136/bmj.311.6997.83
- Yiu J, Miller WC, Eng JJ, et al., 2012, Longitudinal analysis of balance confidence in individuals with stroke using a multilevel model for change. Neurorehabil Neural Repair, 26: 999–1006. https://doi.org/10.1177/1545968312437941
- Tilson JK, Wu SS, Cen SY, et al., 2012, Characterizing and identifying risk for falls in the LEAPS study: A randomized clinical trial of interventions to improve walking poststroke. Stroke, 43: 446–452. https://doi.org/10.1161/strokeaha.111.636258
- Winstein CJ, Stein J, Arena R, et al., 2016, Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American heart association/American stroke association. Stroke, 47: e98–e169.https://doi.org/10.1161/str.0000000000000098
- Kim IC, Lee BH, 2012, Effects of augmented reality with functional electric stimulation on muscle strength, balance and gait of stroke patients. J Phys Ther Sci, 24: 755–762. https://doi.org/10.1589/jpts.24.755
- Rensink M, Schuurmans M, Lindeman E, et al., 2009, Task‐oriented training in rehabilitation after stroke: Systematic review. J Adv Nurs, 65: 737–754. https://doi.org/10.1111/j.1365-2648.2008.04925.x
- Choi W, 2022, The effect of task-oriented training on upper-limb function, visual perception, and activities of daily living in acute stroke patients: A pilot study. Int J Environ Res Public Health, 19: 3186. https://doi.org/10.3390/ijerph19063186
- Wevers L, van de Port I, Vermue M, et al., 2009, Effects of task-oriented circuit class training on walking competency after stroke: A systematic review. Stroke, 40: 2450–2459. https://doi.org/10.1161/strokeaha.108.541946
- Kim B, Park Y, Seo Y, et al., 2016, Effects of individualized versus group task-oriented circuit training on balance ability and gait endurance in chronic stroke inpatients. J Phys Ther Sci, 28: 1872–1875. https://doi.org/10.1589/jpts.28.1872
- Gobbi LT, Oliveira-Ferreira MD, Caetano MJD, et al., 2009, Exercise programs improve mobility and balance in people with Parkinson’s disease. Parkinsonism Relat Disord, 15: S49–S52. https://doi.org/10.1016/S1353-8020(09)70780-1
- Moisello C, Blanco D, Lin J, et al., 2015, Practice changes beta power at rest and its modulation during movement in healthy subjects but not in patients with Parkinson’s disease. Brain Behav, 5: e00374. https://doi.org/10.1002/brb3.374
- Muir SW, Berg K, Chesworth B, et al., 2008, Use of the Berg Balance Scale for predicting multiple falls in community-dwelling elderly people: A prospective study. Phys Ther, 88: 449–459. https://doi.org/10.2522/ptj.20070251
- Brauer SG, Woollacott M, Shumway-Cook A, 2001, The interacting effects of cognitive demand and recovery of postural stability in balance-impaired elderly persons. J Gerontol A Biol Sci Med Sci, 56: M489–M496. https://doi.org/10.1093/gerona/56.8.m489
- Guerra ZF, Lucchetti AL, Lucchetti G, 2017, Motor imagery training after stroke: A systematic review and meta-analysis of randomized controlled trials. J Neurol Phys Ther, 41: 205–214. https://doi.org/10.1097/npt.0000000000000200
- Baroni A, Magro G, Martinuzzi C, et al., 2022, Combined effects of cerebellar tDCS and task-oriented circuit training in people with multiple sclerosis: A pilot randomized control trial. Restor Neurol Neurosci, 40: 85–95. https://doi.org/10.3233/rnn-211245