The aim of this study was to systematically review randomized, controlled trials of task-oriented circuit class training on gait and gait-related activities in patients with stroke. Six of the 445 studies screened, comprising 307 participants, were included. Physiotherapy Evidence Database scores ranged from 4 to 8 points with a median of 7.5 points. The meta-analysis demonstrated significant homogeneous summary effect sizes in favor of task-oriented circuit class training for walking distance, gait speed , and a timed up-and-go test. Nonsignificant summary effect sizes in favor of task-oriented circuit class training were found for the step test and balance control.
This meta-analysis supports the use of task-oriented circuit class training to improve gait and gait-related activities in patients with chronic stroke. Further research is needed to investigate the cost-effectiveness and its effects in the subacute phase after stroke, taking comorbidity into account, and to investigate how to help people maintain and improve their physical abilities after their rehabilitation program ends.
Stroke. 2009 Jul;40(7):2450-9