Effects of lower extremity strength and treadmill training on step length symmetry of post-stroke hemiparetic subjects : a preliminary study

Hemiparetic gait is a compensatory mechanism upon the walking impairment due to hemiparesis by stroke. It interferes with the functional and locomotor independence of individuals who sustain stroke. This study was conducted to determine the exercise training feasibility and practicality towards desi...

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Bibliographic Details
Main Author: Jonatan Jesus
Format: Thesis
Language:English
English
Published: 2020
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/42608/1/24%20PAGES.pdf
https://eprints.ums.edu.my/id/eprint/42608/2/FULLTEXT.pdf
https://eprints.ums.edu.my/id/eprint/42608/
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Summary:Hemiparetic gait is a compensatory mechanism upon the walking impairment due to hemiparesis by stroke. It interferes with the functional and locomotor independence of individuals who sustain stroke. This study was conducted to determine the exercise training feasibility and practicality towards designing such exercise training as an intervention that was restorative and preventive in promoting walking independence of post-stroke hemiparetic individuals. This study employed a quantitative method, quasi-experime·ntal research with a within-subjects approach and one-group pre-test and multiple post-test design. Eight stroke subjects (five males, three females; 50.50±13.082 years old) with more than three months after stroke onset performed and completed the 12-week exercise training that involved lower extremity strength training and treadmill training. Motor strength (MS), motor function (MF), and step length symmetry (SLS) were the three parameters assessed and statistically analysed using both Frequentist and Bayesian statistics approaches. Analysis from the statistical tests found that MS, MF, and SLS were all statistically significant, implying that all parameters were significantly improved by the 12-week exercise training. Thus, indicating that the 12-week exercise training had resulted in MS, MF, and SLS improvement as in which contributing to decreasing the pattern of asymmetrical hemiparetic gait and reducing the compensatory mechanism in post-stroke individuals. The statistical significances also denoted that there was an association among the three parameters. The 12-week exercise training was hence feasible and practical to be conducted as an interventive exercise training for post-stroke hemiparetic individuals and this study framework could be proposed as a foundation for a further study.