1.Comparison of two circuit class therapy programs on walking capacity, gait velocity and stair ambulation among patients with chronic stroke: a parallel pretest-posttest pilot study.
Kristofferson G. Mendoza ; Maria Eliza R. Aguila ; Fil Charles S. Alfonso ; Marianne Grace T. Alfonso ; Karen D. Elmi ; Edward James R. Gorgon
Acta Medica Philippina 2021;55(4):379-386
		                        		
		                        			OBJECTIVE:
		                        			Circuit  class  therapy  is  a  cost-efficient  model  of  treatment  that  can  be  beneficial  in  a  setting with limited resources. Current literature has conflicting results regarding which is a more effective approach to stroke rehabilitation: focusing on functional training or on improving impairments. This pilot study provides preliminary information  comparing  the  effects  of  a  task-oriented  versus  an impairment-focused  circuit  class  therapy  on walking ability among patients with chronic stroke.
		                        		
		                        			METHOD:
		                        			Eighteen participants with a single episode of chronic stroke and limited mobility were randomized into task-oriented  circuit  class (task  group)  (n=9)  and  impairment-focused  circuit  class (impairment group)  (n=9).  Both groups  underwent  intervention  thrice  a week  for  four weeks.  Blind  examination was  done  using  the Ten  Meter Walk Test for comfortable gait velocity (CGV) and fast gait velocit(FGV), Time Up and Down Stairs (TUDS), and Six Minute Walk Test (6MWT).
		                        		
		                        			RESULTS:
		                        			All participants completed the treatment sessions without adverse effects. After four weeks of treatment, the task group showed statistically significant within-group change in CGV (0.12±0.08, p=0.003) and FGV (0.25±0.22, p=0.007). The impairment group only showed statistically significant improvement in 6MWT (25.80±31.2, p=0.038). There were no statistically significant changes between the groups in all outcome measures.
		                        		
		                        			CONCLUSIONS
		                        			The  preliminary  data  from  this  pilot  study  suggest  either  program  can  improve  walking-related outcomes and may not be different, although this needs to be confirmed using an appropriately-powered trial.
		                        		
		                        		
		                        		
		                        	
            

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