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.