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Effects of circular gait training with weights on the balance of chronic stroke patients in selected rehabilitation centers in Metro Cebu.

Author

Margaret  B. Alcala,
Mary Melanie  B. Amit,
Elvin T. Ang,
Claire Nolen A. Pestaño,
Maria Alma J. Suico

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
March 2019

Abstract

  This study aimed to find the effects of circular gait training with weights on the balance of chronic stroke patients in selected rehabilitation centers in Metro Cebu. The study used a randomized pre-test and post-test design. The subjects were patients at MRC and SNRC. A pre-screening was conducted and rendered eight (8) subjects with chronic stroke who were eligible for the study. The subjects were divided in two (2) groups: a control group (circular gait training without weights) and an experimental group (circular gait training with weights). Randomization of designation to experimental and control group was done each center. The study used the following instruments: Berg Balance Scale (BBS) and Dynamic Gait Index (DGI) to assess the subjects' balance, 8-figure track, jackets with sandbags which served as seven (7) percent of the subjects' weight, a weighing scale to measure subjects' weight, stopwatch, and a stethoscope, sphygmomanometer and pulse oximeter to measure the subject's vital signs.


  The pre-test and post-test results of both groups were expressed as mean ± standard deviation. The pre-test BBS score of the control group was 41.50±8.06 and classified as low risk of falls, and the pre-test DGI score was 15.75±3.30 and classified as moderate risk of falls. Whereas the pre-test BBS score of the experimental group was 40.25 ±3.59 and classified as moderate risk of falls. Lastly, the pre-test DGI score was 13.50±1.92 and classified as moderate risk of falls. After the two (2) week gait training program, the post-test BBS score of the control group increased to 49.00±9.35, which still classified as low risk of falls. The post-test DGI score of the control group was also increased to 20.75±4.50 and classified as mild risk of falls. In the experimental group, the post-test BBS score had a score of 46.75±6.95, classified as low risk of falls. Moreover, the mean post-test DGI score increased to 19.75±2.06 classified as mild risk of falls. Using paired t-test, the mean difference between the pre-test and post-test measures in BBS was 7.50 with a t-value of 4.825 and p-value of .017; while in DGI the mean difference was 5.00 with a t-value of 6.124 and p-value of .009. Results implied significant improvements in balance of the control group. In the experimental group, the mean difference between the pre-test and post test in BBS was 6.50 with a t-value of 2.502 and p-value of no significant difference at .088. While DGI scores' mean difference was 6.25 with a t-value of 5.637 and p-value of .011, which implied a significant difference. Thus, the intervention had no significant effect on static and dynamic balance but had a significant effect on walking balance in the experimental group.


  In conclusion, circular gait training with weights has an effect on the balance of chronic stroke patients in selected rehabilitation centers in Metro Cebu.

References

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