Effects of Backward Gait on Sand on Improving the Gait Parameters of Patients With Chronic Stroke.

Effects of Backward Gait on Sand on Improving the Gait Parameters of Patients With Chronic Stroke: a Randomized Controlled Trial

Gait training in stroke is a complex process of motor learning although restoring patients ability to walk would not prepare the individual with the challenges faced in the real environment. The aim is not simply walking in controlled environment, but to achieve dynamic walking. Dynamic walking is the ability of an individual to adjust to the changing surfaces and terrains. thereby returning to achieve active participation in the community. Hence, recovery of walking ability is the primary goal when planning treatment for patients with stroke.

Inclusion criteria:

• Had experienced stroke for the first time.
• Unilateral involvement.
• Demonstrate motor stage 3 or 4 on Brunnstrom motor recovery.
• Able to walk 12 m with or without assistive devices.
• Medically stable.
• Able to follow simple commands.

Exclusion criteria:

• Patient exhibits comorbid disease other than stroke that may affect gait.
• Any conditions contra indicated to exercises
• Any other cardio-pulmonary or orthopedic disorders that affects walking ability of the participant.