Effect of Task-Oriented Gait Training on Functional Mobility in a Post-Stroke Patient: A Case Report

Abstract

Background: Stroke is a leading cause of long-term disability worldwide, frequently resulting in impaired balance, hemiparesis, and gait abnormalities. Rehabilitation strategies focusing on functional recovery are critical, and task-oriented training (TOT) has emerged as an effective approach to enhance mobility and independence in post-stroke patients. Objective: To evaluate the effect of a structured task-oriented gait training program on functional mobility and balance in a patient 12 weeks post-stroke. Methods: A 58-year-old male with right hemiparesis following a left middle cerebral artery infarct underwent a 12-week physical therapy program, comprising task-oriented gait training, strengthening, balance exercises, and range of motion activities. The intervention was delivered five days per week, 45 minutes per session. Functional outcomes were assessed at baseline and post-intervention using the 10-Meter Walk Test (10MWT), Berg Balance Scale (BBS), and Functional Ambulation Category (FAC). Results: Following the intervention, walking speed improved from 0.32 m/s to 0.68 m/s on the 10MWT. The BBS score increased from 21/56 to 38/56, while the FAC improved from 2 (requiring assistance) to 4 (independent with supervision). The patient reported enhanced confidence in ambulation and no adverse events occurred during therapy. Conclusion: Task-oriented gait training demonstrated clinically meaningful improvements in mobility, balance, and independence in this post-stroke patient. These findings support the role of TOT as a feasible, low-cost, and effective rehabilitation strategy, particularly in resource-limited healthcare settings.