Effect of Motor Relearning Program with Obstacle Walking on Dynamic Gait Performance and Functional Mobility in Subacute Stroke Subjects.

Background: Gait difficulties are common post-stroke due to muscle weakness and postural imbalance. Motor relearning program is known to improve motor skills through task oriented practice, appropriate feedback and active participation of subjects. Obstacle walking helps in improving gait parameters...

Descripción completa

Detalles Bibliográficos
Publicado en:Indian Journal of Physiotherapy & Occupational Therapy Vol. 17; no. 4; pp. 55 - 61
Autores principales: Patra, Mainak, Kunduru, Sudheera
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Institute of Medico-legal publications Pvt Ltd Oct-Dec2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173478864&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 173478864
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09735674
        6BWZ
      jtl: Indian Journal of Physiotherapy & Occupational Therapy
      issn: 09735674
      maglogo: N
    pubinfo:
      dt: Oct-Dec2023
      vid: 17
      iid: 4
      pid: 50801
      pub: Institute of Medico-legal publications Pvt Ltd
    artinfo:
      ui:
        173478864
        173478864
        173478864
        10.37506/ijpot.v17i4.20006
        173478864
      ppf: 55
      ppct: 6
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Effect of Motor Relearning Program with Obstacle Walking on Dynamic Gait Performance and Functional Mobility in Subacute Stroke Subjects.
      aug:
        au:
          Patra, Mainak
          Kunduru, Sudheera
        affil: Assistant Professor, Nopany Institute of Healthcare Studies, Kolkata, West Bengal, India
      sug:
        subj:
          Stroke Therapy
          Stroke Complications
          Gait Physiology
          Motor Skills Education
          Program Evaluation
          Gait Analysis
          Functional Status
          Scales
          Human
          Pretest-Posttest Design
          Randomized Controlled Trials
          Descriptive Statistics
          Data Analysis Software
          Neuropsychological Tests
          Male
          Female
          Adult
          Middle Age
          Aged
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Gait difficulties are common post-stroke due to muscle weakness and postural imbalance. Motor relearning program is known to improve motor skills through task oriented practice, appropriate feedback and active participation of subjects. Obstacle walking helps in improving gait parameters, stepping over objects, walking endurance and reduces fall risk. Objectives: To determine effect of Motor Relearning Program with obstacle walking on dynamic gait performance and functional mobility in sub-acute stroke subjects. Materials and Methods: 30 sub-acute stroke subjects were assigned to one of the two groups. Group-A received Motor Relearning Program and Group-B received Motor Relearning Program with obstacle walking for 30 minutes, 5 days a week for 4 weeks. Both groups received 15 minutes of conventional exercises for upper limb. Dynamic gait performance and functional mobility were assessed pre- and post-intervention at 4 weeks using Dynamic Gait Index and Motor Assessment Scale. Results: Pre-test scores of DGI and MAS were 11.53±3.53 and 3.83±0.48 in Group-A, 12.43±4.12 and 3.67±0.81 in Group-B which improved to 15.80±3.82 and 4.07±0.59 in Group-A, 18.67±4.86 and 4.73±0.96 in Group-B, post-intervention. Within group comparison of pre to post-test scores of DGI and MAS was found to be statistically significant in both groups. When post-test scores of DGI and MAS were compared in between groups, Group-B was found to be statistically significant than Group-A (p<0.05). Conclusion: Both interventions were individually effective but Motor Relearning Program with obstacle walking was better than Motor Relearning Program alone to improve dynamic gait performance and functional mobility in sub-acute stroke subjects.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N