The Effect of Backward Walking Treadmill Training on Balance in Patient With Chronic Stroke

Study Overview
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Brief Summary
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The purpose of this research was to discuss the effect of backward walking treadmill training on balance ability, speed of walking and cardiopulmonary fitness in patients with chronic stroke.

Detailed Description
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Walking training is a good method and strategy to improve postural stability, balance, gait symmetry, and increase walking ability. Generally, there are many walking training theories and methods for patients with chronic stroke and treadmill walking training is applied in recent years. Previous studies showed that patients with stroke improve the walking abilities and speed after the walking treadmill training. However, most studies have demonstrated that forward walking treadmill training improved balance and walking ability in patients with stroke, but fewer studies have investigated the effects on backward walking treadmill training. However, no studies to date have investigated the effects of backward walking treadmill training for patients with chronic stroke.

Official Title
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The Purpose of This Study Was to Discuss on the Effects of Backward Walking Treadmill Training on Balance Ability, Speed of Walking and Cardiopulmonary Fitness for Patient With Chronic Stroke

Conditions
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Stroke

Intervention / Treatment
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* Other: backward walking treadmill training
* Other: conventional physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: This experiment recruited subjects with chronic stroke more than six months, whose level of Brunnstrom stage was beyond IV and who were able to walk more than eleven meters with or without assistive devices Exclusion Criteria:

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: backward walking treadmill training<br>The intervention group not only received four weeks of conventional physical therapy but also accepted additional four weeks of backward walking treadmill training at the same time | Other: backward walking treadmill training<br>* subjects accepted 30 minutes backward walking treadmill training. a week for four weeks.<br>Other: conventional physical therapy<br>* subjects accepted 30 minutes traditional physical therapy three times a week for four weeks<br>|
| Other: conventional physical therapy<br>The conventional physical therapy training focused on strengthening, postural control, functional mobility and forward gait training program but excluded backward walking training | Other: conventional physical therapy<br>* subjects accepted 30 minutes traditional physical therapy three times a week for four weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The change of Berg Balance Scale (BBS) |  | Baseline, week 4. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The change of pulmonary function test (PFT): forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1) |  | Baseline, week 4. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic Stroke, cardiopulmonary, Berg Balance Scale (BBS)