Article

Motor relearning protocols should involve task-oriented movement,
focused attention, and repetition of desired movements.
OBJECTIVES: To
investigate the effect of intensive gait training with rhythmic auditory
stimulation on postural control and gait performance in individuals with chronic
hemiparetic stroke. METHODS: Twenty patients with chronic hemiparetic stroke
participated in this study. Subjects in the Rhythmic auditory stimulation
training group (10 subjects) underwent intensive gait training with rhythmic
auditory stimulation for a period of 6 weeks (30 min/day, five days/week), while
those in the control group (10 subjects) underwent intensive gait training for
the same duration. Two clinical measures, Berg balance scale and stroke specific
quality of life scale, and a 2-demensional gait analysis system, were used as
outcome measure. To provide rhythmic auditory stimulation during gait training,
the MIDI Cuebase musical instrument digital interface program and a KM Player
version 3.3 was utilized for this study. RESULTS: Intensive gait training with
rhythmic auditory stimulation resulted in significant improvement in scores on
the Berg balance scale, gait velocity, cadence, stride length and double support
period in affected side, and stroke specific quality of life scale compared with
the control group after training. CONCLUSIONS: Findings of this study suggest
that intensive gait training with rhythmic auditory stimulation improves balance
and gait performance as well as quality of life, in individuals with chronic hemiparetic stroke.

Langue : ANGLAIS