Effect of Rhythmic Auditory Stimulation and TaskOriented Circuit Training on Improving Walking Ability in Subjects with Hemiparetic Stroke


Authors : N RAGHUNADH; M Nandini; CH ASHOK CHAKRAVARTHI; G SWATHI; T SUNIL KUMAR

Volume/Issue : Volume 6 - 2021, Issue 10 - October

Google Scholar : http://bitly.ws/gu88

Scribd : https://bit.ly/3w19HDb

Stroke is among the commonest causes of adult-onset disability. Six months after the stroke, only 50% of the patients achieve functional independence in ADLs and walk short distances. In research studies over the past ten years, exercise and rehabilitation strategies to improve walking ability have become more intensive and progressive, like rhythmic auditory stimulation, task-oriented circuit training, dual-task exercises, etc. Gains in the walking ability attained by the interventions as mentioned above within three months of stroke. Some evidence-based studies proved that RAS and TOCT effectively improve gait parameters like Stride length, Cadence, and Velocity in subjects with hemiparetic stroke. However, there is no comparative study of these two protocols. Hence, the purpose of this study is to compare the effects of RAS and TOCT on improving walking ability in subjects with hemiparetic stroke. METHODS: Quasi experimental design. A total of 68 subjects, 64 of them met selection criteria for the study, and 4 of them dropped from the study. Therefore, 60 subjects divided into two groups, 30 members in group A (RAS), 30 members in group B (TOCT). Both groups performed intervention for 1 hour a day, five days a week for six weeks. The outcomes of the study were Stride length, Cadence, and Velocity. They were measured using the ink foot method with 10 meters walk test. RESULTS: Paired T-test used to access the statistical significance between pre and post-test scores within the group, Independent T-test was used to access the statistical significance between pre and post-test scores between the groups, Statistical analysis of the data revealed that the RAS group has more difference when compared to TOCT group. CONCLUSION: In this study, six weeks of treatment duration for RAS and TOCT showed significant effective changes in Stride length, Cadence, and Velocity. However, RAS has shown more effective when compared to TOCT in improving walking ability in subjects with hemiparetic stroke

Keywords : Rhythmic Auditory Stimulation, Task-Oriented Circuit Training, Functional Ambulatory Category, Stride Length, Cadence, Velocity, Ink Foot Method, 10 Meters Walk Test.

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