Ronaldo Rodrigues Borges, André Pontes-Silva, Sara Andrade Rodrigues, Túlio Luiz Banja Fernandes, Claudio de Oliveira Assumpção, Almir Vieira Dibai-Filho, Cristiano Teixeira Mostarda, Augusto Ribeiro de Oliveira, Christian Emmanuel Torres Cabido
{"title":"Effects of unsupervised walking on walk performance and functional mobility in individuals with chronic stroke: a blind randomized clinical trial.","authors":"Ronaldo Rodrigues Borges, André Pontes-Silva, Sara Andrade Rodrigues, Túlio Luiz Banja Fernandes, Claudio de Oliveira Assumpção, Almir Vieira Dibai-Filho, Cristiano Teixeira Mostarda, Augusto Ribeiro de Oliveira, Christian Emmanuel Torres Cabido","doi":"10.1590/1516-3180.2024.0190.R2.26022025","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>What are the effects of walking training on the ground in an unsupervised manner and with different weekly durations after chronic stroke?</p><p><strong>Objective: </strong>To compare the effects of unsupervised walking for 150 and 300 minutes per week on walking performance, speed, and functional mobility in individuals with chronic stroke.</p><p><strong>Design and setting: </strong>Randomized clinical trial was conducted at Rede Sarah Rehabilitation Hospital (São Luís, Brazil).</p><p><strong>Methods: </strong>Individuals included (n = 40) were assessed using the 6-minute walk test (6MWT), functional mobility using the Timed Up and Go (TUG) test, and the Five Times Sit to Stand Test (FTSST). They were assigned to the two experimental groups and instructed to walk 150 (G150) or 300 minutes per week (G300) and to perform unsupervised gait training for the next eight weeks.</p><p><strong>Results: </strong>No significant differences were observed between the group factors and no significant interaction was found for the group × time interaction, indicating that G150 and G300 changed similarly. The comfortable walking speed increased for both G150 and G300, resulting in a large effect size. Performance on the TUG and 6MWT also improved, but the effect size was small. For maximum walking speed, despite the improvement in performance in G150 and the G300, effect size was medium for both groups. The same was true for the FTSST.</p><p><strong>Conclusion: </strong>Unsupervised walking was effective in improving gait performance and functional mobility in individuals with chronic stroke regardless of the recommended weekly duration (150 or 300 minutes).</p><p><strong>Clinical trial registration: </strong>RBR-5g4g9bq (https://ensaiosclinicos.gov.br/rg/RBR-5g4g9bq).</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"143 5","pages":"e2024190"},"PeriodicalIF":1.6000,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401163/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sao Paulo Medical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1516-3180.2024.0190.R2.26022025","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: What are the effects of walking training on the ground in an unsupervised manner and with different weekly durations after chronic stroke?
Objective: To compare the effects of unsupervised walking for 150 and 300 minutes per week on walking performance, speed, and functional mobility in individuals with chronic stroke.
Design and setting: Randomized clinical trial was conducted at Rede Sarah Rehabilitation Hospital (São Luís, Brazil).
Methods: Individuals included (n = 40) were assessed using the 6-minute walk test (6MWT), functional mobility using the Timed Up and Go (TUG) test, and the Five Times Sit to Stand Test (FTSST). They were assigned to the two experimental groups and instructed to walk 150 (G150) or 300 minutes per week (G300) and to perform unsupervised gait training for the next eight weeks.
Results: No significant differences were observed between the group factors and no significant interaction was found for the group × time interaction, indicating that G150 and G300 changed similarly. The comfortable walking speed increased for both G150 and G300, resulting in a large effect size. Performance on the TUG and 6MWT also improved, but the effect size was small. For maximum walking speed, despite the improvement in performance in G150 and the G300, effect size was medium for both groups. The same was true for the FTSST.
Conclusion: Unsupervised walking was effective in improving gait performance and functional mobility in individuals with chronic stroke regardless of the recommended weekly duration (150 or 300 minutes).
期刊介绍：
Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
