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. 2019 Feb 25;15(1):20-25.
doi: 10.12965/jer.1836502.251. eCollection 2019 Feb.

The effects of a community-based walking program on walking ability and fall-related self-efficacy of chronic stroke patients

Jun-Min Lee  1 , Hyung-Hoon Moon  2 , Sung-Ki Lee  2 , Hae-Lim Lee  3 , Yun-Jin Park  3
Affiliations

The effects of a community-based walking program on walking ability and fall-related self-efficacy of chronic stroke patients

Jun-Min Lee et al. J Exerc Rehabil. .

Abstract

The objectives of this study were to evaluate the effects of community-based walking training (CWT) on the walking ability and fall-related self-efficacy of chronic stroke patients and compare the effects of CWT to the conventional walking programs in stroke patients. Previous studies focused on walking speed, walking endurance, and balance. However, no studies have examined the changes in fall-related self-efficacy after CWT. In order to achieve purpose of this study, 45 chronic stroke patients, who were hospitalized at National Rehabilitation Center, were randomly divided into the CWT group (CWTG, n=15), the treadmill walking training group (TWTG, n=15), and the control group (CG, n=15). The treatment was conducted 3 times per week (30 min each) for 4 weeks. CWT was carried out by gradually increasing the difficulty level in various environments outside the hospital room. The results revealed that the CWTG was more effective in enhancing the walking ability and fall-related self-efficacy than the TWTG and the CG. These findings demonstrated that the CWTG increased the walking ability and fall-related self-efficacy of chronic stroke patients. Therefore, we suggest that adding CWT to standard rehabilitation might be an effective method for improving walking ability and fall-related self-efficacy in chronic stroke patients.

Keywords: Dynamic balance; Fall-related self-efficacy; Walking ability; Walking endurance; Walking speed.

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Conflict of interest statement

CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported.

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References

    1. Andersson AG, Kamwendo K, Appelros P. Fear of falling in stroke patients: relationship with previous falls and functional characteristics. Int J Rehabil Res. 2008;31:261–264. - PubMed
    1. Bijleveld-Uitman M, van de Port I, Kwakkel G. Is gait speed or walking distance a better predictor for community walking after stroke? J Rehabil Med. 2013;45:535–540. - PubMed
    1. Braun SM, Beurskens AJ, Borm PJ, Schack T, Wade DT. The effects of mental practice in stroke rehabilitation: a systematic review. Arch Phys Med Rehabil. 2006;87:842–852. - PubMed
    1. Chisari C, Venturi M, Bertolucci F, Fanciullacci C, Rossi B. Benefits of an intensive task-oriented circuit training in Multiple Sclerosis patients with mild disability. Neuro Rehabilitation. 2014;35:509–518. - PubMed
    1. Courtine G, Schieppati M. Human walking along a curved path. I. Body trajectory, segment orientation and the effect of vision. Eur J Neurosci. 2003;18:177–190. - PubMed