Borges Ronaldo Rodrigues, Pontes-Silva André, Rodrigues Sara Andrade, Fernandes Túlio Luiz Banja, Assumpção Claudio de Oliveira, Dibai-Filho Almir Vieira, Mostarda Cristiano Teixeira, Oliveira Augusto Ribeiro de, Cabido Christian Emmanuel Torres
Bachelor of Physical Education, Postgraduate Program in Physical Education, Department of Physical Education, Universidade Federal do Maranhão (UFMA), São Luís (MA), Brazil; Researcher, Research Group on Physical Exercise, Health and Human Performance (ExeF:SDH), Universidade Federal do Maranhão (UFMA), São Luís (MA), Brazil.
Bachelor of Physical Education, PhD Student, Postgraduate Program in Physical Therapy, Department of Physical Therapy, Universidade Federal de São Carlos (UFSCAR), São Carlos (SP), Brazil.
Sao Paulo Med J. 2025 Aug 29;143(5):e2024190. doi: 10.1590/1516-3180.2024.0190.R2.26022025. eCollection 2025.
What are the effects of walking training on the ground in an unsupervised manner and with different weekly durations after chronic stroke?
To compare the effects of unsupervised walking for 150 and 300 minutes per week on walking performance, speed, and functional mobility in individuals with chronic stroke.
Randomized clinical trial was conducted at Rede Sarah Rehabilitation Hospital (São Luís, Brazil).
Individuals included (n = 40) were assessed using the 6-minute walk test (6MWT), functional mobility using the Timed Up and Go (TUG) test, and the Five Times Sit to Stand Test (FTSST). They were assigned to the two experimental groups and instructed to walk 150 (G150) or 300 minutes per week (G300) and to perform unsupervised gait training for the next eight weeks.
No significant differences were observed between the group factors and no significant interaction was found for the group × time interaction, indicating that G150 and G300 changed similarly. The comfortable walking speed increased for both G150 and G300, resulting in a large effect size. Performance on the TUG and 6MWT also improved, but the effect size was small. For maximum walking speed, despite the improvement in performance in G150 and the G300, effect size was medium for both groups. The same was true for the FTSST.
Unsupervised walking was effective in improving gait performance and functional mobility in individuals with chronic stroke regardless of the recommended weekly duration (150 or 300 minutes).
RBR-5g4g9bq (https://ensaiosclinicos.gov.br/rg/RBR-5g4g9bq).
慢性卒中后，以无监督方式且每周不同时长进行地面行走训练会产生什么效果？
比较每周无监督行走150分钟和300分钟对慢性卒中患者行走能力、速度和功能活动能力的影响。
在巴西圣路易斯的莎拉康复医院进行随机临床试验。
纳入的个体（n = 40）接受6分钟步行试验（6MWT）、计时起立行走测试（TUG）和五次坐立试验（FTSST）以评估功能活动能力。他们被分配到两个实验组，被指导每周行走150分钟（G150）或300分钟（G300），并在接下来的八周内进行无监督步态训练。
组间因素无显著差异，组×时间交互作用也无显著交互效应，表明G150和G300的变化相似。G150和G300的舒适步行速度均增加，效应量较大。TUG和6MWT的表现也有所改善，但效应量较小。对于最大步行速度，尽管G150和G300的表现均有改善，但两组的效应量均为中等。FTSST的情况也是如此。
无论推荐的每周时长是150分钟还是300分钟，无监督行走对改善慢性卒中患者的步态表现和功能活动能力均有效。
RBR-5g4g9bq（https://ensaiosclinicos.gov.br/rg/RBR-5g4g9bq）。
