Abstract
Stroke is the major cause of disability and handicap in adults and it usually results in some degree of muscle weakness. Daily living requires balance and walking ability while performing tasks. Several factors affect the functional independence in post stroke period in which gait plays a significant role. 30 subjects of age group 45-60 years were selected by purposive sampling and informed consent was taken. The subjects were divided into 2 groups A and B of 15 each. Both the groups received conventional physiotherapy as muscle strengthening of affected lower limb and balance training. Group A received dual task training and Group B received task oriented training for 8 weeks. Pre test and post test data for gait parameters (gait speed, cadence, step length, stride length) were obtained by using 10meter walk test respectively. Unpaired‘t’ test was applied at the p<0.05 for the comparison within and between the groups for the variable Gait Parameters(i.e gait speed, cadence, step length, stride length). The values of gait parameters between the groups were significant which showed that task oriented training is more effective than dual task training to improve gait in chronic stroke.
Highlights
Stroke is an acute onset of neurological dysfunction due to an abnormality in cerebral circulation with resultant signs and symptoms that corresponds to involvement of focal areas of the brain
[6] Trunk rehabilitation exercises, balance training, muscle strengthening is essential for post stroke patients for International Journal of Neurologic Physical Therapy 2019; 5(2): 42-50 recovery of balance and improvement in gait and is an important component
It has been suggested that dual task training might have greater efficacy for improving dual task performance compared to single task training. [8, 9] Gait related dual task deficits persist in community dwelling stroke survivors many months after discharge from rehabilitation
Summary
Stroke is an acute onset of neurological dysfunction due to an abnormality in cerebral circulation with resultant signs and symptoms that corresponds to involvement of focal areas of the brain. [5] A variety of physiotherapy interventions improve functional outcomes, even when applied late after stroke These findings challenge the concept of a plateau in functional recovery of patients who had experienced stroke and should be valued in planning community rehabilitation services. [6] Trunk rehabilitation exercises, balance training, muscle strengthening is essential for post stroke patients for International Journal of Neurologic Physical Therapy 2019; 5(2): 42-50 recovery of balance and improvement in gait and is an important component. [8, 9] Gait related dual task deficits persist in community dwelling stroke survivors many months after discharge from rehabilitation. [10] Task oriented training involves a variety of practices to help patients derive optimal control strategies for solving motor problems. [12] Task oriented training induce greater improvement in walking competency in people with stroke. Many types of movement are practiced, to limit compensatory movements and increase adaptive movements. [11] It is a method which focuses on specific functional tasks associated with the musculoskeletal and neuromuscular systems and gait related tasks are practiced using a functional approach. [12] Task oriented training induce greater improvement in walking competency in people with stroke. [13]
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