EFFECT OF VISUAL CUE TRAINING ON SPATIOTEMPORAL PARAMETERS OF GAIT IN PATIENTS WITH STROKE

Abdo, Gehad Saeed; ELWISHY, ABEER ABO BAKR; Ahmed, Sandra Mohamed; Tawfik, Rania Mohamad

doi:10.21608/dijms.2025.400178.1027

EFFECT OF VISUAL CUE TRAINING ON SPATIOTEMPORAL PARAMETERS OF GAIT IN PATIENTS WITH STROKE

Document Type : Original Article

Authors

¹ Neurology department,faculty of physical therapy ,cairo,egypt

² Professor of physical Therapy for Neurology and Neurosurgery Faculty of Physical Therapy Cairo University, egypt

³ Professor of neurology Faculty of medicine Cairo university, egypt

⁴ Lecturer of Physical Therapy for Neurology and Neurosurgery Faculty of Physical Therapy Cairo University, egypt

10.21608/dijms.2025.400178.1027

Abstract

Background: Patients who have suffered a stroke encounter gait disturbances for multiple reasons; therefore, the principal objective of rehabilitation is to restore independent walking. Visual cues would be more efficacious in triggering gait recovery post-stroke.
Purpose: The aim of this study was to find out the impact of visual cue training on spatiotemporal gait parameters in patients with stroke.
Methods: A randomized controlled trial was carried out on thirty stroke patients from both sexes aged 40‑65 years. The participants were randomly assigned to the study and control groups, comprising 15 patients in each group. Patients in the control group underwent a designed physiotherapy program, while participants in the study group underwent the identical physiotherapy program plus visual cue training. The measured variables comprised 10MWT for evaluating gait velocity, kinovea software for measuring the spatiotemporal gait parameters. Evaluation of all variables took place before and following intervention
Results: All evaluated variables exhibited a statistically substantial improvement in both groups post treatment. There was a substantial decline in stepwidth score (p = 0.03) in addition a substantial improvement in walking speed, step length of the affected and non‑affected sides (p=0.001) as well as cadence (p=0.002) in study group in comparison with that of control group post‑treatment.
Conclusion: The findings of this study indicate that incorporating visual cue training together with a physiotherapy program is beneficial for improving spatiotemporal gait parameters as step length, step width, velocity and cadence among stroke patients.

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