Korean J Rehabil Nurs.  2002 Dec;5(2):193-204.

The Effect of Home stayed Stroke Patients' Gait, Valance, Activities of Daily Living, Depression in the Aerobic Walking Exercise Program

• Roh KH

Abstract

This study was a quasi-experimental study of nonequivalent control group pretest-posttest design to investigate the effect of aerobic walking exercise program on the physical & psychological functions of home stayed stroke patients. The data were collected during the period of May 20th to August 15th. 200l. The subjects for this study were 40 hemiplegic stroke patients with the experimental group consisting of 19 patients and the control group being composed of 21 patients. The patients selected for this study were: (a)living in J city who had been diagnosed with stroke and at home after being discharged from the hospital. (b) suffering from stroke for 6 months to 5 years. (c)without recognition disorder with the MMSE-K score above 25, (d) below 2 on the modified Ashworth scale, (e)free from heart and pulmonary disease, (f)able to walk beyond 15 minutes for themselves. The aerobic walking exercise program for the experimental group was aerobic exercise and education and supportive care. The aerobic exercise was 8 weeks' period, three times a week. 35 to 50 minutes a day. And the education and supportive care was consisted of one home visiting and 2 times telephoning a week. The data were analysed by chi2test. paired t-test and unpaired t-test and ANCOVA through SAS/PC program. The results of the study were as follows: 1. There was insignificant difference in the gait length experimental and control group. There was significant difference in the gait speed between the two groups. 2. There was significant difference in the dynamic valance between the two groups. 3. There was significant difference in ADL score between the two groups. 4. There was no significant difference in the depression between the two groups. As shown above. the results of 8 weeks' the aerobic walking exercise program for home stayed stroke patients produced positive effects on gait speed. dynamic valance, ADL score. And this program was expected that it was more effective in different intervention period. verified program. Also it was needed follow study.

MeSH Terms

Activities of Daily Living*
Depression*
Education
Exercise
Gait*
Heart
House Calls
Humans
Lung Diseases
Stroke*
Walking*