Effectiveness of Circuit Class Training for Gait Parameters in Subactute Stroke Patients

Abstract

Introduction: Mostly the CVA patient’s exhibit hemi paretic gait distinguished by unhurried and uneven gait pattern accompanied by faulty selective muscles power, retarded as well as changed balance reaction along with decreased weight bearing on the hemiplegic limb. Many studies have shown that use of walking aids, muscle strengthening, over ground walking, treadmill training and FES, are some of the available physiotherapy treatments to ameliorate gait in patients with stroke. Objective of our research program is to find out the difference between the efficacies of circuit class training versus conventional exercise program on gait parameters in sub- acute stroke subjects. Methodology: In this study using pre-post-test experimental design, 30 subjects with sub- acute stroke were assigned to 2 (groups A and group B) based on inclusion and exclusion criteria. Each group shall contain 15 subjects. Group A receives circuit class training 1 hour per session on alternative days for 4 weeks and Group B received conventional training program for 30 minutes a day, for all days in a week, for 4 weeks, total sessions were 22-24. The outcomes are 6 MWT, DGI and SSQOL. The pre- and post- test values are taken on the first day and then after 4 weeks of treatment. Results: After the treatment there was an improvement within both groups. In the circuit class training group, there was an improvement after the intervention (P<0.04) and conventional exercise therapy group (P<0.03). There was no remarkable differentiation between these both protocols. The significance level between both the group was kept as P>0.5. Conclusion: After the 4 weeks of the study the results reveals that the two groups (group A and group B) show marked changes in the gait parameters as well as the quality of life. However, when comparing circuit class interventions and conventional interventions there was no difference in the level of significance. So, our study concluding that both exercise protocols are effective and there is no significant difference between these both protocols on gait parameters and quality of life in subjects with sub- acute stroke.