What question did this study set out to answer?

To evaluate the efficacy of a task-oriented walking intervention in enhancing balance self-efficacy poststroke and assess whether improvements are task-specific, influenced by baseline confidence, or linked to functional mobility changes.

March 30, 2005Journal of the American Geriatrics Society

The Effect of a Task‐Oriented Walking Intervention on Improving Balance Self‐Efficacy Poststroke: A Randomized, Controlled Trial

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Authors

NSNancy M. SalbachUniversity Health Network NMNancy E. MayoHealth Canada SRSylvie Robichaud‐EkstrandUniversité de Moncton

Discussion

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Implication

Randomized trial reveals that task-oriented walking retraining improves balance self-efficacy after stroke, indicating that functional walking recovery builds movement confidence.

Key Points

To evaluate the efficacy of a task-oriented walking intervention in enhancing balance self-efficacy poststroke and assess whether improvements are task-specific, influenced by baseline confidence, or linked to functional mobility changes.
Secondary analysis of a two-center, observer-blinded randomized controlled trial enrolling 91 community-dwelling individuals within one year of a stroke who had residual walking deficits.
Participants were assigned to 6 weeks of task-oriented interventions focused either on walking or on upper extremity function, administered three times weekly.
Assessments included the Activities-specific Balance Confidence Scale, Six-Minute Walk Test, 5-m walk, Berg Balance Scale, and Timed Up and Go test evaluated before and after the 6-week intervention.
The walking intervention led to a significantly greater average proportional increase in balance self-efficacy than the upper extremity intervention, with maximal benefits observed in participants with low baseline self-efficacy.
In the walking group, improvements in balance self-efficacy significantly correlated with gains in functional walking capacity (correlation coefficient = 0.45, 95% CI: 0.16–0.68).
Multivariable modeling identified effect modification by baseline depressive symptoms alongside prognostic influences of age, sex, comorbidity, time poststroke, and baseline functional mobility.

Cite This Study

Salbach et al. (2005) studied this question.

synapsesocial.com/papers/6a6f55a1ac440176ef28065e https://doi.org/10.1111/j.1532-5415.2005.53203.x

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March 30, 2005Journal of the American Geriatrics Society

The Effect of a Task‐Oriented Walking Intervention on Improving Balance Self‐Efficacy Poststroke: A Randomized, Controlled Trial

View Full Paper

Ask AI

Bookmark

Authors

NSNancy M. SalbachUniversity Health Network NMNancy E. MayoHealth Canada SRSylvie Robichaud‐EkstrandUniversité de Moncton

Discussion

Member takes

Implication

Randomized trial reveals that task-oriented walking retraining improves balance self-efficacy after stroke, indicating that functional walking recovery builds movement confidence.

Key Points

To evaluate the efficacy of a task-oriented walking intervention in enhancing balance self-efficacy poststroke and assess whether improvements are task-specific, influenced by baseline confidence, or linked to functional mobility changes.
Secondary analysis of a two-center, observer-blinded randomized controlled trial enrolling 91 community-dwelling individuals within one year of a stroke who had residual walking deficits.
Participants were assigned to 6 weeks of task-oriented interventions focused either on walking or on upper extremity function, administered three times weekly.
Assessments included the Activities-specific Balance Confidence Scale, Six-Minute Walk Test, 5-m walk, Berg Balance Scale, and Timed Up and Go test evaluated before and after the 6-week intervention.
The walking intervention led to a significantly greater average proportional increase in balance self-efficacy than the upper extremity intervention, with maximal benefits observed in participants with low baseline self-efficacy.
In the walking group, improvements in balance self-efficacy significantly correlated with gains in functional walking capacity (correlation coefficient = 0.45, 95% CI: 0.16–0.68).
Multivariable modeling identified effect modification by baseline depressive symptoms alongside prognostic influences of age, sex, comorbidity, time poststroke, and baseline functional mobility.

Cite This Study

Salbach et al. (2005) studied this question.

synapsesocial.com/papers/6a6f55a1ac440176ef28065e https://doi.org/10.1111/j.1532-5415.2005.53203.x

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