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The Effects of Community Ambulation Training on Gait, Depression and Self-efficacy in Chronic Stroke Patients
J Korean Soc Phys Med 2018;13(1):137-146
Published online February 28, 2018;
© 2018 Korean Society of Physical Medicine.

Ju-hyung Kim, PT⋅Jae-Hun Shim, PT, PhD1⋅Duck-Won Oh, PT, PhD2⋅Kyung-Hoon Yu, PT, PhD1

Dept. of Physical Therapy, Lisan Central Hospital
1Dept. of Physical Therapy, Division of Health Science Baekseok University
2Dept. of Physical Therapy, College of Health Science Cheongju University
Received January 16, 2018; Revised January 29, 2018; Accepted February 8, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
PURPOSE: This study examine the effect of community ambulation training on gait, depression and self - efficacy of stroke patients in order to develop more effective training methods of community rehabilitation.
METHODS: In the experimental group, community ambulation training combined with indoor and outdoor walking was performed for 30 minutes three times a week for six weeks. In the control group, general indoor walking training was performed. The physical factors were assessed by a 10-meter walking test, six-minute walking test and community gait test. Psychological factors were assessed by the Korean version of the Epidemiology Center Depression Scale and Activity-Specific Balance Confidence Scale.
RESULTS: In the 10-meter walking test, the normal walking speed was significantly improved after the intervention in both the experimental group and the control group (p<.05). However, the fast walking speed was significantly improved only in the experimental group (p <.05). ln the community gait test, the experimental group showed significant improvement (p<.05), but the control group did not. Depression and self-efficacy were significantly improved in the experimental group (p<.05) but not in the control group.
CONCLUSION: Community ambulation training may improve the gait ability of stroke patients and reduce their depression and improve self-efficacy.
Keywords : Depression, Gait, Self-efficacy, Stroke

February 2018, 13 (1)
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