[Effects of a tilting training program on lower extremities function, depression, and self-efficacy among stroke inpatients].
OBJECTIVE
The purpose of this study was to identify effects of a tilting training program on lower extremities function, depression, and self-efficacy among stroke inpatients.


METHODS
The subjects were 60 stroke patients hospitalized in an oriental medical hospital; 31 in the experimental group and 29 in the control group. A nonequivalent control group pretest-posttest design was used. The tilting training program consisted of 3 sessions and was implemented for 30 minutes daily during 3 weeks. Data was collected from Feb to July 2003, and analyzed by percentage, Fisher's exact probability, chi2-test, and t-test using the SPSS/Win 10.0 computerized program.


RESULTS
After treatment with the tilting training program, the experimental group was significantly increased in the mean score for function of lower extremities (t=2.72, p=.009) compared to the control group, especially for keeping standing balance (t=2.78, p=.007) and standing by oneself (t=3.32, p=.002). However, in the mean scores of depression and self-efficacy, there were no significant differences between the two groups.


CONCLUSIONS
The tilting training program was effective for increasing the function of lower extremities and to improve walking ability earlier among stroke inpatients. Therefore, the tilting training program is applicable to increase the balance level in standing and walking ability at the early rehabilitation stage for stroke patients.
Seo
Nam Sook
NS
Department of Nursing, Dongshin University, 252, Daeho-dong, Naju, Chonnam, Korea. nsseo@dsu.ac.kr
Han
Mi Sook
MS
Lee
Jeong Soon
JS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003863:Depression; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D020377:Self Efficacy; D012657:Self-Help Groups; D020521:Stroke / Q000451:nursing; D000071939:Stroke Rehabilitation; D016138:Walking