الفهرس 
Title: Comparison Between the Effect of Underwater and Overground Treadmill Training on Gait Kinematics and Balance of Stroke Patients
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Abstract
Background: Gait and balance disturbance are common clinical problem for stroke survivors contributing to stroke-related disability that impacts performance of activities of daily living. Objective:This study was conducted to compare between the underwater treadmill training program and over-ground treadmill training program in improving gait kinematics and balance in stroke patients. Study design: randomized control trial. Methods: Forty male patients suffering from post-stroke gait and balance disturbance were assigned randomly into two equal groups: study group (A): Receivedunderwater treadmill training program. Control group (B) Receivedover-ground treadmill training program. Patients of both groups were assessed for gait kinematic deviations using a) slow motion video and goniometer iPad application for the gait analysis, b) gait speedassessmentusing ten-meter speed test. Balance assessment using Posturomed device and functional assessment using the lower extremity functional scale. Assessment was done before and after four weeks of treatment for both groups.Results: Compared with the over-ground treadmill training group, the underwater treadmill training group showed a significant improvement in balance, lower extremity function, trunk symmetry, knee kinematics, hip flexion at pre swing, hip extension and ankle planter flexion range of motion during the pre-swing phase in the gait cycle