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Title:	Outcomes of circuit class therapy on functional mobility, gait parameters, balance, community reintegration and quality of life of community dwelling stroke patients
Authors:	Sharmila a/p Gopala Krishna Pillai (P75050)
Supervisor:	Nor Azlin Mohd. Nordin, Dr.
Keywords:	Circuit class therapy (CCT) Stroke Dissertations, Academic -- Malaysia
Issue Date:	8-Aug-2016
Description:	Circuit class therapy (CCT) is commonly performed as one of the physiotherapy methods in the management of stroke survivors. However its benefit in enhancing poststroke functional status remains unclear. The objective of this study was to examine the outcomes of CCT, and to compare the CCT outcomes with usual therapy on functional mobility, gait parameters, balance, community reintegration and health related quality of life (HRQoL) among community dwelling stroke patients. This was an assessor blinded randomised controlled trial. Stroke patients (N=40) were allocated into CCT (n=19) or usual therapy (n=21) using stratified (age, disability level) block randomization method. Both types of therapy were conducted at Universiti Kebangsaan Malaysia Medical Centre once a week for 12 weeks. Measurements were taken at pre and post-trial using Instrumented Timed Up and Go (ITUG) test, Berg Balance Scale (BBS), Reintegration to Normal Living Index (RNLI) and EuroQOL-5-Dimensions (EQ-5D). Data were analysed using intention-to-treat analysis approach using mixed model ANOVA. The mean age of the participants was 58.68±10.12 years. Both groups were comparable (p>0.05) prior to therapy commencement. Results showed that there was significant main effect of time for ITUG test score (s) (p=0.01), BBS score (p<0.001), RNLI score (p=0.01) and EQ-5D-5L health utility value (p<0.01). Greater changes (% of improvements) were demonstrated in ITUG test score (s), RNLI score and EQ-5D-5L health utility value following CCT compared to usual therapy; recorded as - 4.17±0.8s (11.05%) versus -1.36±0.75s (3.25%), 9.67±2.03units (14.03%) versus 2.59±1.79units (3.72%) and 0.13±0.02units (20.97%) versus 0.03±0.03units (4.92%) respectively. The usual therapy group had greater improvements in BBS score (3.52±3.10units, 7.61%) compared to CCT group (2.06±1.40units, 4.18%). No significant main effect of group or interaction effect (p>0.05) were found for all outcome measurements except for gait parameters; double support, swing and stance phase (p=0.01). The results suggest that in general, CCT is as effective as usual therapy in improving functional mobility, balance, community reintegration and HRQoL (health utility value) of stroke patients but more effective in improving gait parameters; double support, swing and stance phase. CCT is in a group format which requires low number of therapists, therefore, CCT may be a better option for cost effective therapy.,Sarjana Sains Kesihatan
Pages:	159
Call Number:	WA20.5.S531o 2016 9
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Health Sciences / Fakulti Sains Kesihatan

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