Effect of Motor Relearning Program with Obstacle Walking on Dynamic Gait Performance and Functional Mobility in Subacute Stroke Subjects

Abstract

Background: Gait difficulties are common post-stroke due to muscle weakness and postural imbalance. Motor
relearning program is known to improve motor skills through task oriented practice, appropriate feedback and
active participation of subjects. Obstacle walking helps in improving gait parameters, stepping over objects,
walking endurance and reduces fall risk.
Objectives: To determine effect of Motor Relearning Program with obstacle walking on dynamic gait performance
and functional mobility in sub-acute stroke subjects.
Materials and Methods: 30 sub-acute stroke subjects were assigned to one of the two groups. Group-A received
Motor Relearning Program and Group-B received Motor Relearning Program with obstacle walking for 30 minutes,
5 days a week for 4 weeks. Both groups received 15 minutes of conventional exercises for upper limb. Dynamic
gait performance and functional mobility were assessed pre- and post-intervention at 4 weeks using Dynamic Gait
Index and Motor Assessment Scale.
Results: Pre-test scores of DGI and MAS were 11.53±3.53 and 3.83±0.48 in Group-A, 12.43±4.12 and 3.67±0.81
in Group-B which improved to 15.80±3.82 and 4.07±0.59 in Group-A, 18.67±4.86 and 4.73±0.96 in Group-B, postintervention.
Within group comparison of pre to post-test scores of DGI and MAS was found to be statistically
significant in both groups. When post-test scores of DGI and MAS were compared in between groups, Group-B
was found to be statistically significant than Group-A (p<0.05).
Conclusion: Both interventions were individually effective but Motor Relearning Program with obstacle walking
was better than Motor Relearning Program alone to improve dynamic gait performance and functional mobility
in sub-acute stroke subjects.