Laswati P, Hening and Andriana, Meisy and Yuanita, Ida (2015) Effectiveness of Partial Body-Weight Supported Treadmill Training-Audio Cues and Traditional Overground Walking in Improving Gait Speed and Cardiorespiratory Fitness After Stroke. lndonesian Journal of Physical Medicine & Rehabilition, 04. pp. 9-15. ISSN 2252-8199

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Abstract

Objective: To compare the effectiveness of Partial Body-Weight Supported Treadmill Training Audio cues (PBWSTT-AC) and the traditional over ground walking in improving gait speed and cardiorespiratory fitness after stroke. Methods: pretest-posttest control group design of patients with sub-acute and chronic ischemic stroke who came to Physical Medicine and Rehabilitation (PMR) Department of Dr.Soetomo and Airlangga University Hospital Surabaya. Patients with onset 3 weeks until l0 years age between 21 until 70 years old, able to walk independently for 6 minutes, sufficient vision and hearing and can follow simple instructions were included in this study. There were 18 patients at beginning and 16 patients completed the study. Patients underwent walking exercise for 20 minute, 3 times a week for l2 sessions. PBWSTT-AC group received metronome auditory rhythmic stimulation, while control group received traditional walking exercise with customized speed according to patient's preference Gait speed were assessed by 10 meter Walk Test and cardiopulmonary endurance counted from resting heart rate. Results: There were improvements in gait speed and cardiorespiratory fitness within each subject group. Traditional group showed significantly larger increases in fast gait speed (p= 0,023) but not inself-selected gait speed(p= 0.002).PBWSTT-AC group showed significantly larger decreases (p=0.002) in resting heart rate (p=0,003) Conclusion: PBWSTT-AC was not shown to be superior to traditional walking in speed,but superior in improving cardiorespiratory fitness.Further study are needed long lasting effect of using PBWSTT-AC in improving cardiorespiratory fitness.

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