| Abstract [eng] |
The Influence of Speed – Dependent Treadmill Training on Balance and Gait in Stroke Patients Balance and gait disorders are some of the most frequently factors after stroke which restricts patients daily activities [5]. Speed – dependent treadmill training is effective method to improve balance and gait parameters after stroke [9, 10]. There are many clinical researches assessing balance and gait of persons with stroke, however there are only a few clinical researches about the effect of different gait speed training methods on balance and gait in stroke patients. The aim of research work: is to evaluate effectiveness of different gait speed training methods on balance and gait in stroke patients. Tasks of work: 1. To evaluate changes in balance in stroke patients after application of different gait speed training methods. 2. To evaluate changes in gait in stroke patients after application of different gait speed training methods. Materials and methods. This research was carried out in VU Hospital Santariskiu Klinikos, Rehabilitation, Physical and Sports Medicine Centre, 2nd in-patient department from July 2015 to March 2016. Research included 30 patients after stroke, who were randomly divided into two groups: control group (15 patients) and treatment group (15 patients). Control subjects received gait training on the treadmill at a steady speed. Subjects in the experimental group were treated with speed – dependent treadmill training. Balance and gait of the subjects was evaluated upon when patients were able to walk not less than 50 meters distance and after 3 weeks. Berg Test and Tinetti Test were used to assess balance; 10 Meter Walking Test was used to assess gait speed; 2 Minute Walk Test was used to assess walking distance; step length to assess step length; weight distribution – to assess weight distribution on lower limbs. Data analysis was performed using the statistical analysis “Microsoft Excel 2010” program. Results. Having analysed the results of the Berg Test and the Tinetti Test before and after research, it was stated that results of both the control and treatment groups statistically significantly improved after research (p<0,05). Having analysed the results of the 10 Meter Walking Test and the 2 Minute Walk Test before and after research, it was stated that results of both the control and treatment groups statistically significantly improved after research (p<0,05). Having compared the results between groups the statistically significant difference was found in the group, to which speed – dependent treadmill training was applied (p<0,05). Having analysed the results of the speed length and the weight distribution before and after research, it was stated that results of both the control and treatment groups statistically significantly improved (p<0,05). Conclusions: 1. After application of different gait training, balance of patients after stroke has statistically significantly improved after research in both groups (p<0,05). 2. After application of different gait training, gait parameters of patients after stroke have statistically significantly improved after research in both groups (p<0,05). Having compared the results between groups the statistically significant difference in gait speed and walking distance was found in the group to which speed – dependent treadmill training was applied (p<0,05). |
