Task-oriented Circuit Training Research Articles

The Effects of Task- Oriented Group Circuit Training on EEG for Chronic Stroke Patients

Background/Objectives: The purpose of this study was to invest the effect of task-oriented circuit training on EEG of α-wave and β wave for chronic stroke patients. Methods/Statistical Analysis: 30 chronic stroke patients were randomly divided into 2 Groups; Group Task-oriented Circuit training Group(GCG) and Individual task-oriented Circuit training Group(IGC). α and β wave were evaluated before and after the training, which consists of warm up, exercise and cool down 3 times/week for 6weeks. One-way ANOVA and paired t-testing were conducted to analysis and confirm the differences of the pre and post factors within each group. Findings: In the present result, the followings showed a statistically significant difference; α values for Fp1, Fp2, F3, F4, T3(p<.001)and β values for Fp1, F3(p<.05)between the groups, the Fp1, Fp2, F3, F4 of the GCG(p<.001)andF3, F4of the ICG(p<.001)at α values, Fp1, Fp2, F3, F4, T3, T4, P3,P4 of the GCC(p<.05) and Fp1, Fp2, F4, T3, T4, P3,P4of the IGC(p<.05) at β values. Improvement/Application: These findings indicate that group taskoriented circuit training can be effective in α-wave and β wave for chronic stroke patients

Efeito do treinamento em circuito orientado para tarefa sobre o desempenho motor e a qualidade de vida de pacientes com doença de Parkinson: um estudo de casos.

Este estudo trata da descrição de dois casos de pacientes com doença de Parkinson (DP) submetidos a um programa de reabilitação diferencial, composto de treinamento em circuito orientado para tarefa. O objetivo foi analisar os possíveis benefícios do tratamento sobre o desempenho motor e a qualidade de vida em indivíduos com DP. O circuito foi constituído por cinco estações direcionadas à funcionalidade, equilíbrio e destreza manual. Foi desenvolvido durante seis semanas. Para a avaliação foram utilizados os testes de Romberg sensibilizado, velocidade da marcha e Timed Up &amp; Go; o questionário PDQ-39 para avaliar a qualidade de vida e a escala unificada para a avaliação da doença de Parkinson (UPDRS). O tempo gasto em cada estação e o tempo total para completar o circuito foi cronometrado nas doze sessões para análise do desempenho dos pacientes. Os dois pacientes apresentaram melhora em todos os testes avaliados, na pontuação do PDQ-39 e na escala UPDRS, além disso, houve melhora no desempenho motor em todas as estações propostas, observada através da qualidade da execução da atividade e da diminuição do tempo para executá-la. O tratamento utilizando circuito pode ser benéfico para pacientes com DP.

Comparison of the Effects of Task-Oriented Circuit Training and Treadmill Training on Walking Function and Quality of Life in Patients With Post-Stroke Hemiparesis: Randomized Controlled Pilot Trial

Background: Many studies regarding task-oriented training have recently demonstrated functional improvement in patients with post-stroke hemiparesis. The task-oriented approach is very diverse, and chronic stroke patients must have access to a sustained systematic treatment program to enhance their walking ability. Objectives: This study aimed to compare the effects of the task-oriented circuit training and treadmill training on walking function and quality of life in patients with chronic stroke. Methods: Fourteen patients with chronic stroke volunteered for this study. The subjects were randomly divided into a task-oriented circuit training group and a treadmill training group with 7 patients in each. Each training regimen was performed for 30 min a day and 3 days a week for 4 weeks. Assessment tools included the Timed Up-and-Go Test (TUGT), 10-m Walk Test, 6-min Walk Test (6MWT), and the Stroke Impact Scale (SIS). Results: The change in results of the TUGT, 6MWT, and SIS measured prior to and following the training regimens appeared to be significantly different between the two groups (p

Monitoring Step Activity During Task-Oriented Circuit Training in High-Functioning Chronic Stroke Survivors: A Proof-of-Concept Feasibility Study.

ObjectiveTo explore the amount of practice and progression during task-oriented circuit training (TOCT) in chronic stroke survivors; to test the use of pedometers and observation-based measures in detecting step activity; to verify the possible correlation between step activity and locomotor function improvements.MethodsSix community-dwelling chronic stroke survivors underwent 10 TOCT sessions (2 hours/each) over 2 weeks in which they were trained both on a treadmill and on six task-oriented workstations (W1–W6). During the sessions, they wore a piezoelectric pedometer and step activities were recorded. Outcome measures were as follows: % of activities during which pedometers worked properly; pedometer-based measures (total step counts, treadmill steps, workstation steps—total and W2,W3,W5,W6); observation-based measures (number of repetitions in task W1 and W4); walking speed changes measured by the 10-m walking test (10MWT) and walking endurance changes (6-minute walking test) after TOCT.ResultsDuring TOCT sessions (n=57), activities were recorded through pedometer-based measures in 4 out of the 6 patients. The total amount of step activity was 5,980.05±1,968.39 steps (54.29% in task-oriented workstations, 37.67% on treadmill, and 8.03% during breaks). Exercise progression was highlighted significantly by observational measures (W1, W4). A positive correlation was observed between increased gait speed and observational stair step repetitions progression (W1) (r=0.91, p=0.01) or pedometer-based tandem exercise step progression (W3) (r=0.98, p=0.01).ConclusionTOCT can be considered a high-intensity, progressive intervention to restore locomotor function in chronic stroke survivors. Pedometer-based measures might help in quantifying TOCT's volume of practice; however, further investigations are required.

Effects of individualized versus group task-oriented circuit training on balance ability and gait endurance in chronic stroke inpatients.

[Purpose] The purpose of this study was to analyze the effects of task-oriented circuit training on the balance ability and gait endurance of chronic stroke inpatients. [Subjects and Methods] The participants were 30 patients who had stroke >6 months previously, resulting in a disability such as hemiparesis. The participants were randomly divided into the group task-oriented circuit training group and the individual task-oriented circuit-training group. They performed eight types of modified task-oriented training. Balance ability and gait endurance were measured by using the Berg balance scale questionnaire and the 6-min walk test, respectively, before and after the experiment. [Results] Significant differences were observed between before and after the intervention in all variables. There was a significant difference between groups in Berg balance scale scores; however, no significant differences were seen in the timed up and go test and the 6-min walk test. [Conclusion] The results of this study indicated that group exercise can better improve the balance ability of chronic stroke inpatients after stroke than can individualized exercise intervention.

Clinical application of circuit training for subacute stroke patients: a preliminary study.

[Purpose] To investigate how task-oriented circuit training for the recovery motor control of the lower-extremity, balance and walking endurance could be clinically applied to subacute stroke inpatient group therapy. [Subjects and Methods] Twenty subacute stroke patients were randomly assigned to the intervention group (n=10) or the control group (n=10). The intervention consisted of a structured, progressive, inpatient circuit training program focused on mobility and gait training as well as physical fitness training that was performed for 90 minutes, 5 days a week for 4 weeks. The control group received individual physiotherapy of neurodevelopmental treatment for 60 minutes, 5 days a week for 4 weeks. Outcome measures were lower-extremity motor control, balance, gait endurance and activities of daily living before and after 4 weeks. [Results] There were no significant differences at baseline between the two groups. After 4 weeks, both groups showed significant improvements in all outcome measures, but there were no significant differences between the two groups during the invention period. [Conclusion] In spite of the small sample size, these findings suggest that task-oriented circuit training might be used as a cost-effective and alternative method of individual physiotherapy for the motor recovery of lower-extremity, balance and walking endurance of subacute stroke patients.

Effects of Communal Task-Oriented Circuit Training on Depression and Self-Efficacy for Chronic Stroke Patients

The purpose of this study was to invest the effect of communal task-oriented circuit training on depression and self-efficacy for chronic stroke patients. Thirty subjects were randomly divided into the Communal Task-oriented Circuit training Group (CTCG, n = 15) and Individual Task-oriented Circuit training Group (ITCG, n = 15). All subjects were evaluated by depression scale (CES-D) and Self-Efficacy Scales (SES) before and after the task-oriented circuit training. All patients performed 60 minutes training a day, thrice a week for 6 weeks. After 6 weeks intervention, CTCG showed the significant decreased in CES-D (p<.01) and SES (p<.05). Especially, CES-D showed significant difference between two groups. However, ITCG showed no significant difference in CES-D and SES. These findings indicate that communal task-oriented circuit training can be effective on depression and self-efficacy for chronic stroke patients.

Effects of task-oriented and impairment-focused circuit training on community mobility-related measures in chronic stroke: a randomized controlled pilot trial

eligible. The recruitmentwasmade in thefirst pregnancy control, after the informed consent process was developed. They answered a questionnaire which included questions about presence of LPP and UI and quality of life, who was measured with EQ-5D questionnaire. Three measures was made to each subject, one in each trimester. Results: From a total of 112 women with 3 performed measures, a 90,1% begin the pregnancy with LPP. The movement or transfer were the most affected dimensions. During the second and third trimester, the prevalences of LPP were 89% and 91% respectively. In the first trimester of pregnancy, they reported a 27,9% of UI, this percentage was increased until a 51,4% of prevalence in the second trimester, and presented a value of 48,2% in third trimester. Related to quality of life, according to EQ-5D measures, the prevalences in the first, second and third trimesterwere 60%, 80%y70%respectively, and there was not statistically significant difference between thefirst and third trimester. The dimension of quality of life that reported more problem was pain. Conclusion(s): In this population, lumbopelvic pain prevalence is higher than those values reported in literature since the first stage of pregnancy, and it keeps high. The urinary incontinence prevalence also experimented a raise through pregnancy. Despite of these prevalences, quality of life in pregnants of this group is similar to the corresponding population, being higher in the second trimester, which is consisting with the biggest prevalence of UI and with a 88,9% of prevalence of LPP. It confirms the need to develop a program to educate and give treatment to musculoskeletal dysfunctions of pregnant women. Implications: Despite that lumbopelvic pain prevalences are higher than usually reported in pregnancy, specifically at the beginning of this one, it does not seem to lead to a poorer quality of life in these women. Adult Chilean women also have high prevalence of musculoskeletal symptoms, according to theNationalHealth Survey 2009–2010, and they do not recognize this as a problem that affects their quality of life. Because of this, education for knowledge about the effectiveness of treatments for musculoskeletal problems, such as physical therapy interventions, should be the subject of future research and interventions.

Effect of the class and individual applications of task-oriented circuit training on gait ability in patients with chronic stroke.

[Purpose] This study aimed to determine differences in gait abilities by comparing class-based task-oriented circuit training (CTCT) and individual-based task-oriented circuit training (ITCT). [Subjects and Methods] The subjects were 30 patients who were diagnosed with hemiplegia due to stroke more than six months previously. They were divided into Group I (n=10), which received conventional physiotherapy, Group II (n=10), which received conventional physiotherapy and ITCT, and Group III (n=10), which received conventional physiotherapy and CTCT. To determine the qualitative aspect of gait ability, a GAITRite (CIR Systems Inc., Sparta NJ, USA) was employed, while a two-minute walking test (2MWT) was conducted to determine the quantitative aspect. [Results] The gait ability showed significant differences in velocity, cadence, and 2MWT between groups in the significance test. As a result, the Bonferroni post test showed that gait velocity was significantly different between Groups I and II and between Groups I and III, while cadence showed a significant difference between Groups I and III. In the 2MWT, Groups I and II and Groups I and III also showed significant differences. [Conclusion] Both the individual and class applications task-oriented circuit training were effective for improving gait ability. This result indicates that CTCT can improve the physical ability of stroke patients as much as ITCT.

The effect of class-based task-oriented circuit training on the self-satisfaction of patients with chronic stroke

[Purpose] This study aimed to determine the difference in self-satisfaction in patients by comparing class-based task-oriented circuit training (CTCT) and individual-based task-oriented circuit training (ITCT). [Subjects and Methods] The subjects were 30 patients who had been diagnosed with hemiplegia due to stroke more than six month previously. They were divided into Group I (n=9) for conventional therapy, Group II (n=10) for conventional therapy and ITCT, and Group III (n=11) for conventional therapy and CTCT. In order to determine self-satisfaction as a psychological factor in patients, we used a self-esteem scale (SES), motivation of rehabilitation scale (MR), and relationship change (RCS) scale. [Results] SES, MR, and RCS, which were measured to determine self satisfaction as a psychological factor were significantly different between groups. The Bonferroni post hoc test revealed a significant difference between Group I and Group III in SES, a significant difference between Group I and Group III and Group II and Group III in MR, and a significant difference between Group I and Group III were found. [Conclusion] Based on the above results, task-oriented circuit training was more effective when performed in a class than when performed individually in terms of self-satisfaction. Based on this result, we determined that CTCT has as positive an effect on the mental aspects of stroke patients compared with ITCT.

Benefits of an intensive task-oriented circuit training in Multiple Sclerosis patients with mild disability.

Exercise is well tolerated and induces relevant improvements in physical and mental functioning of persons with Multiple Sclerosis (MS). Unfortunately, due to the wide variety of symptoms and the broad range of exercise interventions, it is not possible to make unified exercise recommendation as to what type of exercise is safe and effective for persons with MS. The aim was to test the impact of an intensive task-oriented training on motor function and quality of life in 17 MS patients with an Expanded Disability Status Scale (EDSS) between 4 and 5.5. Patients underwent a two-week intensive, task-oriented rehabilitation program. Outcome measures were: Berg Balance Scale, Gait Dynamic Index, 6 Minute Walking Test, Physiological Cost Index, Fatigue Severity Scale, 10 metres Walking Test, Timed Up and Go test, Short form 36, Multiple Sclerosis Impact Scale, Patient Health Questionnaire. All outcome measures showed a significant improvement after the treatment except for the 6 Minute Walking test and the Short form 36 that showed a trend of improvement although not statistically significant. An intensive task-oriented rehabilitation protocol is effective in improving motor function and has a positive impact on quality of life in MS patients with moderate disability.

A task-oriented circuit training in multiple sclerosis: a feasibility study.

BackgroundThe aim of this study was to evaluate the safety, feasibility and preliminary effects of a high-intensity rehabilitative task-oriented circuit training (TOCT) in a sample of multiple sclerosis (MS) subjects on walking competency, mobility, fatigue and health-related quality of life (HRQoL).Methods24 MS subjects (EDSS 4.89 ± 0.54, 17 female and 7 male, 52.58 ± 11.21 years, MS duration 15.21 ± 8.68 years) have been enrolled and randomly assigned to 2 treatment groups: (i) experimental group received 10 TOCT sessions over 2 weeks (2 hours/each session) followed by a 3 months home exercise program, whereas control group did not receive any specific rehabilitation intervention. A feasibility patient-reported questionnaire was administered after TOCT. Functional outcome measures were: walking endurance (Six Minute Walk Test), gait speed (10 Meter Walk Test), mobility (Timed Up and Go test) and balance (Dynamic Gait Index). Furthermore, self-reported questionnaire of motor fatigue (Fatigue Severity Scale), walking ability (Multiple Sclerosis Walking Scale – 12) and health-related quality of life (Multiple Sclerosis Impact Scale – 29) were included. Subjects’ assessments were delivered at baseline (T0), after TOCT (T1) and 3 months of home-based exercise program (T2).ResultsAfter TOCT subjects reported a positive global rating on the received treatment. At 3 months, we found a 58.33% of adherence to the home-exercise program. After TOCT, walking ability and health-related quality of life were improved (p < 0.05) with minor retention after 3 months. The control group showed no significant changes in any variables.ConclusionsThis two weeks high-intensity task-oriented circuit class training followed by a three months home-based exercise program seems feasible and safe in MS people with moderate mobility impairments; moreover it might improve walking abilities.Trial registrationNCT01464749

Effectiveness of Task Oriented Circuit Training on Functional Mobility and Balance in Cerebral Palsy

Purpose: The goal of this study is to determine the efficacy of task related circuit training on functional mobility and balance in children with spastic diplegic type of cerebral palsy. Methodology: This was an experimental study of 30 children with spastic diplegic cerebral palsy having a GMFM level of I or II. All the subjects were enrolled in an identical subgroup and divided into two equal groups (15 patient in each group) one experimental and another control group. Experimental group did task oriented circuit training while control group performed conventional exercise program. We assessed the Functional mobility of lower extremity and balance of all patients by Timed Up and Go test and Pediatric balance scale respectively. Results: Result shows that both the groups improved significantly but task oriented circuit training group improved more than the conventional training group. Conclusions: This study suggests that task oriented circuit training is more effective as compared to the conventional training for the functional mobility and balance in spastic diplegic cerebral palsy children.

Group task-specific circuit training for patients discharged home after stroke may be as effective as individualised physiotherapy in improving mobility

Does task oriented circuit training improve mobility in patients with stroke compared with individualised physiotherapy? Randomised, controlled trial with concealed allocation and blinded outcome assessment. Nine outpatient rehabilitation centres in the Netherlands. Patients with a stroke who had been discharged home and who could walk 10 m without assistance were included. Cognitive deficits and inability to communicate were key exclusion criteria. Randomisation of 250 participants allocated 126 to task oriented circuit training and 124 to individualised physiotherapy. The task oriented circuit training group trained for 90 min twice-weekly for 12 weeks supervised by physiotherapists and sports trainers as they completed 8 mobility-related stations in groups of 2 to 8 participants. Individualised outpatient physiotherapy was designed to improve balance, physical conditioning, and walking. The primary outcome was the mobility domain of the stroke impact scale measured at 12 weeks and 24 weeks. The domain includes 9 questions about a patient's perceived mobility competence and is scored from 0 to 100 with higher scores indicating better mobility. Secondary outcome measures included other domains of the stroke impact scale, the Nottingham extended ADL scale, the falls efficacy scale, the hospital anxiety and depression scale, comfortable walking speed, 6-minute walk distance, and a stairs test. 242 participants completed the study. There were no differences in the mobility domain of the stroke impact scale between the groups at 12 weeks (mean difference (MD) -0.05 units, 95% CI -1.4 to 1.3 units) or 24 weeks (MD -0.6, 95% CI -1.8 to 0.5). Comfortable walking speed (MD 0.09 m/s, 95% CI 0.04 to 0.13), 6-minute walk distance (MD 20 m, 95% CI 35.3 to 34.7), and stairs test (MD -1.6s, 95% CI -2.9 to -0.3) improved a little more in the circuit training group than the control group at 12 weeks. The memory and thinking domain of the stroke impact scale (MD -1.6 units, 95% CI -3.0 to -0.2), and the leisure domain of the Nottingham extended ADL scale (MD -0.74, 95% CI -1.47 to -0.01) improved a little more in the control group than the circuit training group at 12 weeks. The groups did not differ significantly on the remaining secondary outcomes at 12 weeks or 24 weeks. In patients with mild to moderate stroke who have been discharged home, task oriented circuit training completed in small groups was as effective as individual physiotherapy in improving mobility and may be a more efficient way of delivering therapy.

Effects of circuit training as alternative to usual physiotherapy after stroke: randomised controlled trial

Objective To analyse the effect of task oriented circuit training compared with usual physiotherapy in terms of self reported walking competency for patients with stroke discharged from a rehabilitation centre...