Virtual walking training program using a real-world video recording for patients with chronic stroke: a pilot study

Am J Phys Med Rehabil. 2013 May;92(5):371-80; quiz 380-2, 458. doi: 10.1097/PHM.0b013e31828cd5d3.

Abstract

Objective: The purpose of this study was to investigate the effectiveness of the virtual walking training program using a real-world video recording on walking balance and spatiotemporal gait parameters in patients with chronic stroke.

Design: Fourteen patients with chronic stroke were randomly assigned to either the experimental group (n = 7) or the control group (n = 7). The subjects in both groups underwent a standard rehabilitation program; in addition, the experimental group participated in the virtual walking training program using a real-world video recording for 30 mins a day, three times a week, for 6 wks, and the control group participated in treadmill gait training for 30 mins a day, three times a week, for 6 wks. Walking balance was measured using the Berg Balance Scale (BBS) and the Timed Up and Go test. Gait performance was measured using an electrical walkway system.

Results: In walking balance, greater improvement on the Berg Balance Scale (experimental group: 4.14 vs. control group: 1.85) and the Timed Up and Go test (-2.25 vs. -0.94) was observed in the experimental group compared with the control group (P <; 0.05). In the spatiotemporal gait parameters, greater improvement on velocity (25.40 vs. 9.74) and cadence (26.71 vs. 11.11) was observed in the experimental group compared with the control group (P <; 0.05).

Conclusions: This study demonstrated the positive effects of the virtual walking training program using a real-world video recording on gait performance. These findings suggest that the virtual walking training program using a real-world video recording may be a valid approach to enhance gait performance in patients with chronic stroke.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Chi-Square Distribution
  • Chronic Disease
  • Female
  • Follow-Up Studies
  • Gait Disorders, Neurologic / etiology
  • Gait Disorders, Neurologic / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Physical Therapy Modalities
  • Pilot Projects
  • Postural Balance / physiology*
  • Reference Values
  • Statistics, Nonparametric
  • Stroke / complications
  • Stroke Rehabilitation*
  • Treatment Outcome
  • Video Recording*
  • Virtual Reality Exposure Therapy / methods*
  • Walking / physiology*