| Abstract [eng] |
Aerobic Training Relation to Functional Status and Gait Parameters in Stroke Patients The aim of reaserch work: Compare different types of aerobic training impact on efficiency in gait and functional status of stroke patients. Tasks of work: 1.Determine the impact of aerobic training with veloergometer to functional status and gait parameters. 2.Determine the impact of aerobic training with treadmill to functional status and gait parameters. 3.Compare the different types of aerobic training efficiency of functional status and gait parameters between groups. 4.Assess relations between functional tests and gait parameters. Materials and methods: 2014 November – 2016 April a clinical study was performed in the VUL SK 2nd department of rehabilitation. Study involved 28 stroke patients. To assess patients resting heart rate, resting blood pressure, Berg balance scale, Postural assessment scale for stroke, sit to stand test, 10-meter walk test, 6 minute walk test, weight transfer by Biodex Gait Trainer 2 treadmill, step lengths with both legs, step asymmetry, stride lengths with both legs and step width were measured. Results: Statistically significant (p<0,05) changes in subjects walking speed, walking distance, step length of the affected leg, stride lengths on both legs, step width, weight transfer, balance, postural control and functional muscle strength were observed in both groups. Resting heart rate, intact leg step length, affected leg stride length, percentage increase in walking speed and increase in walking distance were statistically significant (p<0,05) better in II group. Balance had statistically significant (p<0,05) moderate to strong correlations with gait parameters. Statistically significant (p<0,05) moderate correlations were found between balance and step lengths with both legs. Postural control had statistically significant (p<0,05) moderate to strong correlations with gait parameters. Statistically significant (p<0,05) moderate correlations between postural control and step lengths with both legs were found. Also statistically significant (p<0,05) moderate correlations between lower limb functional muscle strength, gait speed and walking distance were observed. Conclusions: 1.Statistically significant changes in walking speed, walking distance, weight transfer, affected leg step length, both legs stride length, step width, step asymmetry, balance, postural control and lower limb functional strength were observed in the veloergometer training group. 2.Statistically significant changes in resting heart rate, walking speed, walking distance, weight transfer, both legs step length, both legs stride length, step width, step asymmetry, balance, postural control and lower limb functional muscle strength were observed in the treadmill training group. 3.Changes in resting heart rate, percentage increase in walking speed, changes in walking distance, intact leg step length, affected leg stride length chenges were statistically higher in the treadmill training group. 4.Balance and postural control had statistically significant moderate to strong correlations with gait parameters and step lengths. Statistically significant moderate correlations between lower limb functional muscle strength, walking speed and walking distance were observed. |
