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Effects of backward walking on an inclined surface on lower extremity motor function and walking speed among post-stroke individuals in affiliated centers of Cebu Doctors' University.

Author

Kint Juris Roland N. Bacong,
Katrina Kaye O. Quinio,
Christopher Lino Rey D. Rama,
Brigette Marie L. Te,
Arabelle Jane B. Villacampa,
Jan Ross Therese V. Sarmago

Related Institution

College of Rehabilitative Sciences – Department of Physical Therapy - Cebu Doctors' University

Publication Information

Publication Type
Thesis/Dissertations
Thesis Degree
BS
Specialization
Physical Therapy
Publication Date
February 2019

Abstract

  Backward walking (BW) is the combination of hip extension and knee flexion. The study utilized a randomized pre-test and post-test within group experimental design and was conducted simultaneously at San Nicolas Rehabilitation Center (SNRC) and Area Vocational Rehabilitation Center (AVRC) for three (3) times per week for three (3) weeks. The study composed of 27 subjects that were divided into two (2) groups. The control group (n=12) received conventional treatment and the experimental group (n=15) received an addition of BW on an inclined surface for 30 minutes. The Fugl-Meyer Assessment - Lower Extremity (FMA-LE) tool was used to assess lower extremity motor function, and 10-meter walk test (10MWT) for walking speed.


  Before implementation of BW on an inclined surface, the mean pre-test lower extremity motor function scores of both control and experimental group was 22.50±2.07 and 22.80±1.82, respectively, resulting to marked impairment. Furthermore, the mean pre-test walking speed scores of the control group was 0.34±0.05 to be within household ambulation while for the experimental group was 0.37±0.03, resulted to be within household ambulation and few subjects within limited community ambulation. After implementation of BW on an inclined surface, the mean post-test lower extremity motor function scores of the control group was 23.92±2.02 which results to marked and moderate impairments and the experimental group score was 24.93±1.87 indicating moderate impairments only. Moreover, the mean post-test walking speed score of the control group was 0.37±0.05 indicating both household and limited community ambulation range while the experimental group was 0.52±0.06 resulting to limited community ambulation range. Wilcoxon Signed Ranks tests showed that within the control group, FMA-LE and 10MWT showed a significant difference on lower extremity motor function from pre-test (Mdn = 22.50) to post-test (Mdn = 24.00), z = -3.017, p < .05, and walking speed from pre-test (Mdn = 0.35) to post-test (Mdn = 0.39), z = -3.077, p = < .05). On the other hand, within the experimental group, FMA-LE and 10MWT showed a significant difference on lower extremity motor function from pre-test (Mdn = 23.00) to post-test (Mdn = 25.00), z = -3.497, p < .05, and walking speed from pre-test (Mdn = 0.37, SD = 0.03) to post-test (Mdn = 0.52, SD = 0.06), t(14) = 15.330, p = < .05.


  Based on the findings, the researchers concluded that BW on an inclined surface done for three (3) times per week for three (3) weeks for a total of nine (9) sessions has effect on lower extremity motor function and walking speed among post-stroke individuals. In line with the results of this study, the researchers recommend that future researchers will promote the effectivity of BW to make it part of the post-stroke management in Philippine rehabilitation centers.

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