Objective: The purpose of this study is to investigate the effect of treadmill gait training with patellar taping on gait abilities in chronic stroke patients. Design: Randomized controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recr...
Objective: The purpose of this study is to investigate the effect of treadmill gait training with patellar taping on gait abilities in chronic stroke patients. Design: Randomized controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recruited in Gyeongin Rehabilitation Center Hospital, located in Incheon. Patients who were enrolled in this study were randomized to experimental group (n=15) or control group (n=15). Treadmill with patella taping training group patients were applied with patellar taping when they were being trained on a treadmill. Control group patients were being trained on a treadmill without any kind of taping. Gait parameters were measured with a GAITRite$^{(R)}$ system which evaluated gait performances. Gait trainings were done for 30 min/day, 5 days/week, for 4 weeks. Results: After treadmill training, treadmill with patella taping training group showed a significant improvement in gait abilities, including velocity, cadence, paretic and non-paretic step length, and double support period (p<0.05). However, in general treadmill group, there were no significant differences in gait parameters except velocity and cadence. There was a significant difference in gait performance in the experimental group compared with the control group, except for the gait symmetry ratio (p<0.05). Conclusions: According to this result of this study, it seems that application of patellar taping in treadmill gait training for chronic stroke patients significantly improved gait abilities of these patients. Also, we can conclude that patella taping is thought to be useful in real clinical settings where there are many chronic patients who are in need of improvement in their gait abilities.
Objective: The purpose of this study is to investigate the effect of treadmill gait training with patellar taping on gait abilities in chronic stroke patients. Design: Randomized controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recruited in Gyeongin Rehabilitation Center Hospital, located in Incheon. Patients who were enrolled in this study were randomized to experimental group (n=15) or control group (n=15). Treadmill with patella taping training group patients were applied with patellar taping when they were being trained on a treadmill. Control group patients were being trained on a treadmill without any kind of taping. Gait parameters were measured with a GAITRite$^{(R)}$ system which evaluated gait performances. Gait trainings were done for 30 min/day, 5 days/week, for 4 weeks. Results: After treadmill training, treadmill with patella taping training group showed a significant improvement in gait abilities, including velocity, cadence, paretic and non-paretic step length, and double support period (p<0.05). However, in general treadmill group, there were no significant differences in gait parameters except velocity and cadence. There was a significant difference in gait performance in the experimental group compared with the control group, except for the gait symmetry ratio (p<0.05). Conclusions: According to this result of this study, it seems that application of patellar taping in treadmill gait training for chronic stroke patients significantly improved gait abilities of these patients. Also, we can conclude that patella taping is thought to be useful in real clinical settings where there are many chronic patients who are in need of improvement in their gait abilities.
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문제 정의
In this study, the effects of treadmill gait training using patellar taping on gait of chronic stroke patient was investigated.
Therefore, a larger sample size of patients and longer duration of the study period are needed to make a generalization over all types of stroke patients and follow-up tests should be made in further studies. This study focused on spatiotemporal gait parameters resulted from gait training with patellar taping. In that sense, further studies which investigates kinematic data of lower extremities in gait training with patellar taping are needed.
We hypothesized that spatiotemporal gait parameters and gait symmetry would be much more enhanced in treadmill gait training with patellar taping than that in general treadmill gait training. This study further attempted to provide more improved clinical therapeutic techniques for chronic stroke patients.
가설 설정
Therefore, in this study, the effect of patellar taping on gait ability in chronic stroke patients undergoing treadmill gait training was investigated. We hypothesized that spatiotemporal gait parameters and gait symmetry would be much more enhanced in treadmill gait training with patellar taping than that in general treadmill gait training. This study further attempted to provide more improved clinical therapeutic techniques for chronic stroke patients.
제안 방법
The mode of pre-test and post-test of the general treadmill group was identical to that of the patellar taping treadmill group. Before treadmill gait training, a comfortable speed of each subject was evaluated using GAITRiteⓇ (CIR System Inc., Sparta, NJ, USA), and was re-tested every week. Gait training was performed using a comfortable speed.
To prevent the skin from sliding, Endura-sport tape was attached on the region where the Endura-fix tape was attached. In the general treadmill group, the subjects performed gait training for 30 minutes/day each, 5 days/week, for 4 weeks without taping. The mode of pre-test and post-test of the general treadmill group was identical to that of the patellar taping treadmill group.
[41] reported a case study based on two chronic stroke patients. In this study, after conducting a proprioceptive feedback program, both patients improved in gait speed and spatiotemporal symmetry. Patellar taping used in this study was a method applied for stability of the knee joint.
As a pre-test, gait parameters such as velocity, cadence, paretic/non-paretic step length, double support period, and gait symmetry ratio of patients were measured. Patellar taping treadmill group gait training was performed for 30 min/day each, 5 days/week, for 4 weeks. After the end of the gait training, a post-test was done as in same manner of the pre-test.
The patients were divided randomly into two groups (patellar taping treadmill group, general treadmill group) by an independent person through random selection of sealed envelopes before the start of the intervention. The patellar taping treadmill group applied patellar taping on their knee joints and then performed gait training on a treadmill. The general treadmill group performed conventional gait training on a treadmill.
Thirty chronic stroke patients who were matched with the inclusion criteria were randomized into the patellar taping treadmill group (15 patients) or general treadmill group (15 patients). The patients were divided randomly into two groups (patellar taping treadmill group, general treadmill group) by an independent person through random selection of sealed envelopes before the start of the intervention. The patellar taping treadmill group applied patellar taping on their knee joints and then performed gait training on a treadmill.
Thirty stroke patients who were hospitalized in Gyeongin Rehabilitation Center Hospital in Incheon were recruited. These patients were divided randomly into two groups (patellar taping treadmill group, general treadmill group). Study duration was from July 2015 to August 2015 and the inclusion criteria of the patients was followes; hemiplegia patients who were diagnosed with stroke 6 months ago or longer, patients who can walk independently on a treadmill gait with hand support; patients who had neither hemianopia nor dysopsia and patients who had a Mini-Mental State Examination-Korean (MMSE-K) score of more than 21; Informed consent was voluntarily obtained from all patients before participation in the study.
This study utilized GAITRiteⓇ to measure the gait element of subject patients. For gait factor, temporal and spatial factors (velocity, cadence, paretic & non-paretic step length, double support period, gait symmetry ratio) of the patellar taping treadmill group were analyzed and compared to the that of the general treadmill group.
This study was conducted as a pre- and post-test (Figure 1). Thirty chronic stroke patients who were matched with the inclusion criteria were randomized into the patellar taping treadmill group (15 patients) or general treadmill group (15 patients).
대상 데이터
After the end of the gait training, a post-test was done as in same manner of the pre-test. Baseline and outcome data of this study were measured by two physical therapists. To control for bias of the subjects, a single blind method was used.
Thirty stroke patients who were hospitalized in Gyeongin Rehabilitation Center Hospital in Incheon were recruited. These patients were divided randomly into two groups (patellar taping treadmill group, general treadmill group).
데이터처리
Normality test of variables was conducted by the Shapiro-Wilk test and χ2 test was carried out for homogeneity test between groups. Betweengroup comparisons of the changes between the pre-test and post-test were performed using the paired t-test, Withingroup comparisons were performed using the independent t-test. Statistical significance was established as p<0.
성능/효과
In conclusion, patellar taping treadmill gait training significantly increased gait ability of stroke patients. Therefore, if patellar taping is applied to stroke patients during treadmill gait training, we can expect improvement in gait ability in those patients.
In this study, the effect of lower limb re-alignment on gait was investigated. The results showed that the walking velocity, overall average step length and cadence were significantly increased from 0.22 to 0.36 m/s, 0.28 to 0.37 m, 45 to 56 steps/min respectively.
후속연구
This study focused on spatiotemporal gait parameters resulted from gait training with patellar taping. In that sense, further studies which investigates kinematic data of lower extremities in gait training with patellar taping are needed.
Small sample size of patients and a short duration of 4 weeks occurred as a limitation prevents generalization of the results across all stroke patients. Therefore, a larger sample size of patients and longer duration of the study period are needed to make a generalization over all types of stroke patients and follow-up tests should be made in further studies. This study focused on spatiotemporal gait parameters resulted from gait training with patellar taping.
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