Task-related circuit training improves performance of locomotor tasks in chronic stroke: A randomized, controlled pilot trial

Catherine M. Dean*, Carol L. Richards, Francine Malouin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

472 Citations (Scopus)


Objective: To evaluate the immediate and retention effects of a 4-week training program on the performance of locomotor-related tasks in chronic stroke. Design: Randomized, controlled pilot study with 2-month follow-up. Setting: Rehabilitation center. Subjects: A convenience sample consisting of 12 chronic stroke subjects was used. Subjects were randomly assigned to the experimental or the control group. Three subjects withdrew from the study. Intervention: Both experimental and control groups participated in exercise classes three times a week for 4 weeks. The exercise class for the experimental group focused on strengthening the affected lower limb and practicing functional tasks involving the lower limbs, while the control group practiced upper-limb tasks. Main Outcome Measures: Lower-limb function was evaluated by measuring walking speed and endurance, peak vertical ground reaction force through the affected foot during sit-to-stand, and the step test. Results: The experimental group demonstrated significant immediate and retained (2-month follow-up) improvement (p ≤ .05) compared with the control group in walking speed and endurance, force production through the affected leg during sit-to-stand, and the number of repetitions of the step test. Conclusion: The pilot study provides evidence for the efficacy of a task- related circuit class at improving locomotor function in chronic stroke. (C) 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.

Original languageEnglish
Pages (from-to)409-417
Number of pages9
JournalArchives of Physical Medicine and Rehabilitation
Issue number4
Publication statusPublished - 2000
Externally publishedYes


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