Effects of Cognitive Training on Gait Parameter while Talking During Walking among Stroke Survivors

Introduction Gait recovery is a major objective in the rehabilitation of patients who experience stroke. A wide range of walking ability is present in patients after stroke that is dependent upon the severity of impairment. After stroke, 50 of the patients initially are unable to walk, 12 can walk with assistance, and 37 can walk independently. Stroke patients have functional ambulation exhibit gait pattern that differ from the observed in the healthy persons and are associated with an increased risk of falling. The kinematic, kinetic and etc deviations from normal gait that commonly occur after stroke. Cognitive training is a newer approaches to clinical intervention based on task oriented approach, a new theories of motor control.Objective To know the changes of Balance, Cadence, Double Support Phase, Step Length, Stride Length, and Velocity of stroke survivors during walking while talking.Purpose Purposes of this study include Analyse differences between patients performance and the parameter of normal gait Determination of need for adaptive, assistive, orthotic, prosthetic, protective, or supportive devices or equipment.Design Pretest posttest experimental study design.Setting Occupational Therapy department, Swami Vivekananda National Institute of Rehabilitation Training and Research SVNIRTAR , Olatpur, Odisha 754010Participants All participants who fulfill the inclusion criteria selected for study and all the subjects granted informed consent before testing. Participants were tested routinely during their initial assessment.Intervention All participants continued to receive conventional occupational therapy intervention control group throughout the entire duration of the study. Participants received an specific intervention cognitive dual task training with conventional experimental group . Subjects of both the group were provided occupational therapy session 45 minute per session 5 days in a week for 6 months.Outcome Measure 3D Gait Analysis, Berg Balance ScaleMethods Forty 40 participants were selected Conventional Intervention group 20 and Experimental Intervention group 20 for the study with the convenient sample. Their mean age was 44.40 for control group and 49.40 for experimental group. Their age ranges from 35 65 years. Berg Balance Scale BBS was used before and after the training and Gait Parameter study was done at Gait Laboratory also before and after training respectively. Intermediate and Post test measures of balance and gait parameter Cadence, Double Support Phase, Step Length, Stride Length, and Velocity were assessed in both without talk and with talk condition. Design Two group Pre and Post experimental.Result Within group comparison of pre test and post test BBS and Gait cycle measure shows a significant difference in Control and Experimental groups, in both without talk and with talk condition. Between groups comparison of control group and experimental group also shows significant difference in Cadence, Double Support Phase, Step Length, Stride Length, and Velocity. The pre test and post test measure of balance shows a statistically significant in both groups p=0.00 . The pre test and post test measure of gait parameter shows a statistically significant difference in both groups respectively.Conclusion In this study, it is concluded that there is positive effects of Cognitive training to improve gait parameter and balance which was generally impaired after stroke among stroke survivors. Janardan Patra | Mr. Subrat Kumar Halder "Effects of Cognitive Training on Gait Parameter while Talking During Walking among Stroke Survivors" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-1 , December 2020, URL: https://www.ijtsrd.com/papers/ijtsrd38265.pdf Paper URL : https://www.ijtsrd.com/medicine/other/38265/effects-of-cognitive-training-on-gait-parameter-while-talking-during-walking-among-stroke-survivors/janardan-patra