Effect of overground gait training with rhythmic auditory stimulation on lower limb motor coordination and activities of daily living in stroke survivors: A cross-sectional study

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Oladunni Osundiya, Olamide Joseph, O. Olawale
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Abstract

Background: Overground walking exercise training is often employed as part of the community-based stroke rehabilitation program. The aim of this study was to investigate the effect of overground gait training (OGT) with rhythmic auditory stimulation (RAS) on lower limb motor coordination and activities of daily living in stroke survivors. Methods: Twenty-eight stroke survivors were randomly assigned into two groups. Participants in Group A had OGT, while those in Group B had OGT with RAS twice a week for 6 weeks. Lower-extremity motor coordination test was used to assess lower limb motor coordination, while activities of daily living were assessed with Nottingham Extended Activities of Daily Living (NEADL). Repeated measures analysis was used for within-group comparisons of the LEMOCOT scores, while Friedman's test was used for within-group comparisons of NEADL scores. Linear mixed effect regression model was used to compare the LEMOCOT scores between the groups, while Mann–Whitney U-test was used to compare the NEADL scores between the groups (P ≤ 0.05). Results: The mean values of LEMOCOT scores for the paretic limb and nonparetic limb (9.14; 8.43) improved significantly at the 3rd and 6th weeks (9.86, 10.21; 19.36, 20.29), respectively, among participants in Group A. There was a significant improvement in the mean rank of the NEADL in the 6th week (2.39) compared with the baseline (1.64). In Group B, the mean values of LEMOCOT scores for the paretic limb and nonparetic limb (9.43, 18.79) improved by the 3rd and 6th weeks (11.29, 20.14; 11.71, 20.29). The mean rank of the NEADL at baseline (1.61) improved significantly in the 6th week (2.39). Conclusion: OGT with or without RAS is effective in improving lower limb motor coordination and activities of daily living among stroke survivors.
通过有节奏的听觉刺激进行地面步态训练对脑卒中幸存者下肢运动协调性和日常生活活动的影响:横断面研究
背景:地面步行运动训练通常是社区脑卒中康复计划的一部分。本研究的目的是调查带有节奏性听觉刺激(RAS)的地面步态训练(OGT)对脑卒中幸存者下肢运动协调性和日常生活活动的影响。研究方法将 28 名中风幸存者随机分为两组。A 组接受 OGT,B 组接受 OGT 和 RAS,每周两次,持续 6 周。下肢运动协调测试用于评估下肢运动协调性,而日常生活活动则通过诺丁汉日常生活扩展活动(NEADL)进行评估。LEMOCOT 评分的组内比较采用重复测量分析法,NEADL 评分的组内比较采用弗里德曼检验法。线性混合效应回归模型用于比较组间的 LEMOCOT 分数,曼-惠特尼 U 检验用于比较组间的 NEADL 分数(P ≤ 0.05)。结果A组患者瘫痪肢体和非瘫痪肢体的LEMOCOT评分均值(9.14;8.43)在第3周和第6周分别显著提高(9.86,10.21;19.36,20.29)。在 B 组中,瘫痪肢体和非瘫痪肢体的 LEMOCOT 平均值(9.43,18.79)在第 3 周和第 6 周有所改善(11.29,20.14;11.71,20.29)。基线时的 NEADL 平均等级(1.61)在第 6 周显著提高(2.39)。结论无论是否采用 RAS,OGT 都能有效改善中风幸存者的下肢运动协调性和日常生活活动能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
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发文量
15
审稿时长
45 weeks
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