Author:
Wibisono Kukuh,Rahmi Isma
Abstract
Introduction: The chronic post-stroke phase is often accompanied by various sensory, cognitive, motoric, coordination, and balance impairments. Decreased strength and motoric control contribute to walking capacity in patients with stroke. This study aims to evaluate the effect of Open Kinetic Chain (OKC) vs Closed Kinetic Chain (CKC) exercise on walking capacity in the chronic post-stroke phase. Open Kinetic Chain (OKC) and Closed Kinetic Chain (CKC) were reported to improve functional mobility and balance in the chronic post-stroke phase. However, there is a lack of studies emphasizing the effect of OKC and CKC on walking capacity.
Methods: This study is a quasi-experimental pre- and post-controlled trial group design. Twenty subjects were randomized into two groups of equal size: the CKC group (n=10) and the OKC group (n=10). There was one subject from each group who dropped out at the end of the study. CKC and OKC groups were trained for 6 weeks. The walking capacity was measured with 2 Minutes Walking Test (2WMT).
Results: 2WMT results showed improvement in both groups after 6 weeks of intervention, 56,17 ± 10,95 ± to 57,43 ± 11,29 in CKC group (p<0.001) and 57,04 ± 8,58 to 58,19 ± 8,77 in OKC group (p<0.002).
Conclusion: CKC and OKC exercise significantly improve the 2WMT results after 6 weeks of intervention.
Keywords: Chronic post-stroke phase, walking capacity, open kinetic chain exercise, closed kinetic chain exercise
Publisher
Indonesian Physical Medicine and Rehabilitation Association
Subject
Microbiology (medical),Immunology,Immunology and Allergy
Reference19 articles.
1. Manjila S, Masri T, Shams T, Chowdhry SA, Sila C, Selman WR. Evidence-based review of primary and secondary ischemic stroke prevention in adults: A neurosurgical perspective. Neurosurg
2. Focus 2011; 30(6): 1.
3. Perhimpunan Dokter Spesialis Saraf Indonesia. Guideline stroke PERDOSSI. Jakarta: PERDOSSI; 2011.
4. Kyung N, Won J, Min S, Woo K, Kim K. The effects of closed and open kinetic chain exercises on lower limb muscle activity and balance in stroke survivors. NeuroRehabilitation 2013; 33: 177-183.
5. Singh SM. Closed vs. open kinematic chain exercises on gait performance in subacute stroke. Physiotherapy and Occupational