Functional ambulation training based on the activities of daily living in a realistic environment for treating hemiplegic stroke survivors

Objective To observe the effects of functional ambulation training in a realistic environment based on the activities of daily living among stroke patients with hemiplegia. Methods Thirty-two stroke survivors with hemiplegia were randomly divided into an experimental group and a control group, each of 16. Both groups were given routine rehabilitation training, while the experimental group was additionally given functional ambulation training based on the activities of daily living in a realistic environment for 60 min per day, five days a week for six weeks.Both groups were evaluated using the mini-mental state examination (MMSE), the Holden walking functional class assessment (HWFCA), the Berg balance scale (BBS), functional gait assessment (FGA), the 5 times sit to stand test (FTSST), the timed up and go test (TUGT), and rated using the specific activity balance confidence scale (ABC) and the modified Barthel index (MBI). Results Before the training, no significant differences between the two groups were found in terms of any of the measurements. After the six weeks of training, significant improvement was observed in all of the outcome measures except the MMSE and the HWFCA, with the experimental group scoring significantly better, on average, than the control group. Conclusion When combined with routine rehabilitation training, functional ambulation training based on the activities of daily living in a realistic environment can significantly enhance the functional gait, balance and postural control of stroke survivors. This should facilitate their activities in daily life and improve their confidence in maintaining their balance. Key words: Stroke; Environment; Functional ambulation training; Balance; Activities of daily living