Earticle

본 연구는 간호대학생의 뇌졸중 지식과 뇌졸중 관련 건강증진 생활양식의 관계를 파악하기 위한 서술적 조사연구이다. 자료는 간호대학생 182명을 대상으로 2020년 9월 21일부터 26일까지 구조화된 질문지를 이용하여 수집하였다. 자료분석방법은 independent t-test, one-way ANOVA, Kruskal-Wallis test를 사용하였다. 대상자 의 뇌졸중 지식은 평균 14.97±3.13점, 뇌졸중 위험인자에 대한 지식은 평균 8.69±1.98점, 뇌졸중 경고증상에 대 한 지식은 평균 5.43±1.31점이었다. 건강증진 생활양식은 평균 2.93±0.47점이었다. 대상자의 일반적 특성 및 건 강관련 특성에 따른 뇌졸중 위험인자에 대한 지식은 연령(F=7.50, p <.05)과 용돈(F=2.69, p <.05), 뇌졸중 경고증상 에 대한 지식은 뇌졸중 가족력(F=2.26, p <.05)에서 통계적으로 유의한 차이를 나타냈다. 대상자의 일반적 특성 및 건강관련 특성에 따른 건강증진 생활양식의 차이는 종교(t=4.22, p <.001), 전공 만족도(F=5.18, p <.05), 주관적 건 강상태(F=29.41, p <.05), BMI(F=2.69, p <.05)에서 통계적으로 유의한 차이를 나타냈다. 결론적으로 간호대학생의 뇌졸중 지식은 높았으나 뇌졸중 관련 건강증진 생활양식은 높지 않았다.

This descriptive study was conducted to identify the relationship between knowledge of stroke and stroke-related health promoting lifestyle among nursing students. Data were collected from September 21 to 26, 2020, from 182 nursing students. Data were self-reported using a structured questionnaire. Data were analyzed using independent t-test, one-way ANOVA, and Kruskal-Wallis test. The mean stroke knowledge score of the participants was 14.97±3.13. The mean score on knowledge of stroke risk factors was 8.69±1.98, and that for knowledge of stroke warning signs was 5.43±1.31. The mean health promoting lifestyle score was 2.93±0.47. Knowledge of risk factors according to general and health-related characteristics showed significant differences in age and money on hand. Knowledge of warning signs according to general and health-related characteristics showed significant differences in the family history of stroke. Health promoting lifestyle to general and health-related characteristics showed significant differences in religion, satisfaction with major, subjective health status, and body mass index. In conclusion, nursing students had high knowledge of stroke, but stroke-related health promoting were not.

Objective To investigate how much formal caregivers know about caring for stroke patients, and whether they adequately provide it.Methods Formal caregivers, who worked for stroke patients at 8 hospitals (including 4 university hospitals, 2 rehabilitation hospitals, and 2 convalescent hospitals) participated in this study. The survey was based on a self-report questionnaire, with 6 categories containing a total of 48 questions about the specific care of stroke patients: the demographic characteristics of the caregivers, bed positioning, the provision of meals, position changes and transfers, the range of motion exercises, and caregiver training.Results A total of 217 caregivers were surveyed, and they were distributed as follows: 41% came from the university hospitals, 35% came from the rehabilitation hospitals, and 24% came from the convalescent hospitals. The percentages of correct answers were distributed as follows: 64.3% for bed positioning, 74.3% for providing meals, and 62.4% for position change and transfer. The total and subscale scores of the caregivers working at convalescent hospitals were significantly lower than those of the caregivers working at the other types of hospitals (p<0.05). Only 7.8% of the total participants received training on a regular basis. The caregivers obtained most of the information from caregiver associations (58.1%), and the majority of the caregivers (65.4%) were willing to receive training. Conclusion About one third (33.8%) of caregivers did not have adequate knowledge of how to properly care for stroke patients; in fact, a significant number of caregivers demonstrated inappropriate and insufficient knowledge in several areas. It is assumed that the provision of regular training, by rehabilitation experts, will improve the professionalism and knowledge of the caregivers, and positively affect patient outcomes.

Purpose: This study compared the walking ability of chronic stroke patients following either treadmill training with knowledge of the result (KR group) or treadmill training with knowledge of the performance (KP group). Methods: Nineteen patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a KR group (10 patients) and a KP group (9 patients). They received 30 minutes of neuro-developmental therapy and treadmill training 30 minutes, five times a week for three weeks. The gait parameters were measured before and after training using the Optogait system. Results: After the training periods, the KR group showed significant improvement in gait speed, cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait assessment compared to the KP group (p<0.05). Conclusion: The results showed that treadmill training with KR was more effective in improving the gait speed and cadence, step length of the unaffected limb, stance time of the affected limb, and functional gait ability than the treadmill training with KP. Therefore, to improve the walking ability of stroke patients, it is necessary to consider treadmill training with KR. If it can be combined with conventional neurological physiotherapy, it would be an effective rehabilitation for stroke patients.

We evaluated whether group locomotor imagery training-combined knowledge of performance (KP) lead to improvements in gait function in community dwelling individuals with chronic stroke. Ten adults who had suffered a hemiparetic stroke at least 6 months earlier participated in group locomotor imagery training-combined KP for 5 weeks, twice per week, with 2 h intensive training. Dynamic gait index scores increased significantly after the group locomotor imagery training-combined KP. However, times for the timed up-and-go test did not improve significantly after the training. Group locomotor imagery training-combined KP may be a useful option for the relearning of gait performance for community dwelling individuals with chronic hemiparetic stroke.

Purpose: The goal of this study is to investigate the actor and partner effects of perceived social supportand depression in older adults with disabilities and their family caregivers and to investigate themediating role of resilience in the actor and cross-partner effects of perceived social support ondepression. Methods: We selected 425 pairs of older adults with disabilities and their family caregiver. We used theResilience Scale, Perceived Social Support Scale, and Patient Health Questionnaire-9 to evaluate them. Dyadic data were analyzed by actorepartner interdependence mediation model, we analyzed howperceived social support and depression affected the relationship between older adults with disabilitiesand their family caregivers at individual and dyadic levels. The mediation function of resilience betweenperceived social support and depression was also further examined. Several sensitivity analyses wereconducted to validate the stability of the results. Results: The perceived social support of the caregivers had an actor effect on their depression, while theactoreactor indirect effect of resilience between the perceived social support and depressive symptomsin older adults with disabilities and their caregivers was significant. The indirect effect of resilience onperceived social support and depression in disabled elders and caregivers had significant cross-partnereffects. Conclusion: Healthcare personnel should regard older adults with disabilities and family caregivers as acommunity, focusing on enhancing social support for both parties in a timely manner. They shoulddevelop family-oriented intervention programs to enhance psychological resilience among familymembers and emphasize dyadic nursing care services and plans to alleviate depression and effectivelyenhance the quality of life for both parties.

Purpose: The purpose of this study was to identify the following: knowledge of stroke, fear of recurrence and health behaviors among patients with ischemic stroke. Further, factors influencing health behavior will be described. Methods: Data were collected from 180 patients with ischemic stroke at a general hospital. The study instruments included items about general and health related characteristics, a Stroke Knowledge Scale, a Stroke Fear of Recurrence Scale, and a Health Behavior Scale. Hierarchical regression method was conducted to examine predictors of health behavior. Results: The mean age of the participants was 63.62±11.10 years, and 57.8% of the sample was men. The mean score for stroke knowledge (possible range=0~17) was 14.99±1.76, the mean score for fear of recurrence (possible range=0~32) was 23.16±3.75, and the mean score for health behavior (possiblerange=20~80) was 54.69±6.46. Stroke knowledge and fear of recurrence were associated with health behavior in patients with ischemic stroke (F=9.98, p<.001, Adjusted R2=.43). Conclusion: The results demonstrated that stroke knowledge and fear of recurrence impacts the health behavior among patients with ischemic stroke. Thus, nursing interventions which focused on fear of recurrence as well as enhancing stroke knowledge could help health behavior in patients with ischemic stroke.

연구목적: 본 연구는 일과성 허혈 발작(TIA) 환자의 뇌졸중 지식, 재발염려, 가족지지가 건강증진 행위에 어떠한 영향을 미치는지 확인하고자 하였다. 연구방법: 본 연구는 서술적 상관관계 연구로 TIA로 진단받은 151명의 환자를 대상으로 선정하였다. 대상자들은 B광역시 대학병원의 신경과 외래에서 모집되었다. 자료수집은 2024년 2월 7일부터 3월 29일까지 수행되었다. 구조화된 설문지를 사용하여 자료를 수집하고, IBM SPSS/WIN 27.0 프로그램을 사용하여 분석하였다. 연구결과: 주요 변수의 평균 점수는 뇌졸중 지식의 경우 13.60±3.15점, 재발염려의 경우 24.34±5.57점, 가족지지의 경우 44.40±6.02점, 건강증진 행위의 경우 65.81±6.77점으로 나타났다. 가족지지(β=.33, p<.001), 재발염려(β=.28, p<.001), 연령(β=.19, p=.027)은 모두 TIA 환자의 건강증진 행위에 영향을 미치는 요인으로, 그중 설명력이 가장 큰 요인은 가족지지로 확인되었다. 이러한 영향요인은 TIA 환자의 건강증진 행위에 대해 33.0%(F=11.72, p<.001)의 설명력을 가졌다. 결론: 본 연구 결과는 TIA 환자를 대상으로 연령별 특성을 고려하고, 재발에 대한 강조와 가족지지에 초점을 둔 간호 중재가 뇌졸중 예방을 위한 건강증진 행위를 효과적으로 향상시킬 수 있을 것으로 생각된다.

Purpose: This study aimed to assess stroke knowledge, fear of recurrence, family support, and health-promoting behavior in patients with transient ischemic attacks (TIA) and examine these factors have an effect on health-promoting behavior. Methods: A descriptive survey design was used and included 151 patients diagnosed with a TIA. Participants were recruited from a neurology outpatient clinic at a university hospital in metropolitan city B. Data were collected between February 7 and March 29, 2024, using structured questionnaires and analyzed with the IBM SPSS/WIN 27.0 program. Results: The average scores for the main variables were as follows: stroke knowledge (13.60±3.15), fear of recurrence (24.34±5.57), family support (44.40±6.02), and health-promoting behavior (65.81±6.77). Family support (β=.33, p<.001), fear of recurrence (β=.28, p<.001), and age (β=.19, p=.027) were significant predictors of health-promoting behavior, with family support showing the greatest influence. Together, these factors explained 33.0% of the variance in health-promoting behavior (F=11.72, p<.001). Conclusion: These findings highlight the importance of considering the characteristics of age, addressing fear of recurrence and enhancing family support to encourage health-promoting behaviors in patients with TIA. Strengthening these areas may contribute to effective stroke prevention strategies.

Purpose: This study was performed to explore levels of stroke knowledge and identify subgroups with lower levels of stroke knowledge among adults in Korea. Methods: A cross-sectional survey was used and data were collected in 2012. A national sample of 990 Koreans aged 20 to 74 years participated in this study. Knowledge of risk factors, warning signs, and first action for stroke were surveyed using face-to-face interviews. Descriptive statistics and decision tree analysis were performed using SPSS WIN 20.0 and Answer Tree 3.1. Results: Mean score for stroke risk factor knowledge was 7.7 out of 10. The least recognized risk factor was diabetes and four subgroups with lower levels of knowledge were identified. Score for knowledge of stroke warning signs was 3.6 out of 6. The least recognized warning sign was sudden severe headache and six subgroups with lower levels of knowledge were identified. The first action for stroke was recognized by 65.7 percent of participants and four subgroups with lower levels of knowledge were identified. Conclusion: Multi-faceted education should be designed to improve stroke knowledge among Korean adults, particularly focusing on subgroups with lower levels of knowledge and less recognition of items in this study.

Purpose: The purpose of this study is to examine effects of a self-help management program at public health centerson self-efficacy, self-esteem, knowledge of stroke and family supports in stroke patients. Methods: Basedon a quasi-experimental design, 44 persons with stroke were assigned to the experimental group (n=21) or thecontrol group (n=23). Data were analyzed through the descriptive statistics, t-test, x2-test and Mann-Whitney testwith the SPSS/WIN 18.0 program. Results: The experimental group showed significant improvement in its members’self-efficacy, self-esteem, knowledge of stroke and family supports. Conclusion: The self-help managementprogram can be an effective nursing intervention to help stroke patients improve their self-efficacy, self-esteem,knowledge of stroke and family supports. That program is also meaningful in that it can contribute to more effectiveimplementation of established programs for stroke patients in public health centers.

Purpose: This descriptive study was conducted to identify the level of knowledge of stroke symptoms and risk factors among older adults. Methods: A total of 200 older adults over 65 years of age were conveniently recruited from out patient departments of two hospitals and a health care center from October to November 2008. The level of knowledge was assessed using both open-ended questions and a structured questionnaire based on semi-structured interviews. Data were analyzed by t-tests and ANOVA using the SPSS program. Results: 52.5% of the sample had hypertension and 30% had diabetes. The mean knowledge scores for symptoms and risk factors were 8.4 ± 3.1(out of 15) and 9.5 ± 3.9 (out of 16), respectively. The older adults who had lower education, lower family income, and who lived in rural areas were more likely to have less knowledge of stroke symptom and risk factors(p < .05). There was no significant knowledge difference between the older adults who had at least one risk factor and those who had no risk factor for stroke. Conclusions: Educational intervention should be focused on informing older adults who are at risk for stroke about the early symptoms and management of risk factors, especially those who have low education and low social status.

Purpose: This study was undertaken to identify stroke risk with risk factors and knowledge of stork in women with prehypertension. Methods: A total of 46 prehypertensive women in urban area aged 44.8 (SD 11.4) yr old in average were selected by a convenient sampling. Demographic data, risk factors, and knowledge of stroke were assessed through face to face interview. Stroke risk scores were calculated based on points given to age, systolic blood pressure, smoking, DM, and heart disease in Framingham stroke risk score. Data were analyzed by SPSS WIN 12.0 using descriptive statistics, two sample t-test, and Pearson’s correlation coefficient. Results: The mean systolic blood pressure of participants was 133.11 mmHg, and HDL cholesterol was lower than the recommended level, although rest of physiologic risk factors were within normal. Of the participants, 82% did not do regular physical activity and 75% did not control fat intake persistently. Mean stroke risk points and knowledge scores were 4.48 and 29.15, respectively, which were significantly different between women with and without persistent controlling fat intake. Conclusion: Results indicate stroke prevention intervention for prehypertensive women should address comprehensively modifying lifestyle as well as physiologic factors, and information focusing on stroke risk factors and warning symptoms.

Purpose: Although the prevalence rate of chronic diseases is rapidly increasing due to an unhealthy diet in Korea, nurses may not have enough nutritional knowledge to educate their patients. This study investigated the level of nurses’ nutritional knowledge for chronic diseases as well as for strokes, and the needs for nurses’ nutritional education. Methods: This research is a descriptive research conducted from April to August of 2014, on 242 nurses who work with stroke patients, in two tertiary general hospitals in the city of Seoul, South Korea. Results: The average nutritional knowledge score of our subjects was 19.9±2.51 (range 12-24). The correct response rate was 83% which was higher than expected. However, many nurses (31-66%) answered incorrectly on items such as ‘Drinking low-fat milk is better than whole milk’, and ‘Seasoning with a large amount of soy sauce instead of salt can reduce sodium consumption’. We also found that nurses who received continuing education regarding nutrition scored higher than those who did not (p=.020). There was no correlation between nutritional knowledge and the need for nutritional education (r=.034, p=.601). Conclusion: The level of nutritional knowledge of the nurses was relatively low and irrelevant to the completion of nutrition courses during university or duration of experience. Rather, the relevance was higher when the nurse received nutrition-related training after graduating from university. Our results imply that continuous nutritional education is necessary for hospital nurses.

Purpose: This study was conducted to evaluate the effects of stroke patient care education on the knowledge and practice of caregivers of stroke patients. Method: Data was collected from December 15, 2004 to March 30, 2005. The research design was a non-equivalent control group non-synchronized design. The subjects were forty primary caregivers of stroke patients who were hospitalized in a neurology unit of a university hospital. Forty caregivers, twenty in the experimental group and twenty in the control group were assigned. The experimental group participated 2 times in an education class given by the researcher Data analysis included -test, and t-test using the SPSS program. Result: Knowledge(t=5..87, p=0.00) and practice(t=5.53, p=0.00) of the experimental group were significantly different from the control group. Conclusion: The stroke patient care education developed in this study shows a significant promotion of knowledge and practice of caregivers. Thus this program can be recommanded as an intervention model for stroke patients and caregivers.

Purpose: The purpose of the this study was to examine the dietary knowledge and educational needs of stroke patients and analyze the related factors that are associated with dietary knowledge and educational needs. Methods: Our study analyzed data from 146 stroke patients. The survey was conducted by individual interviews using questionnaires and data collected from participants’ medical records. Dietary knowledge and educational needs were measured by tools developed by the author. Results: The mean scores for the dietary knowledge and educational needs were 19.09±3.48 and 36.17±7.18, respectively. Many stroke patients had misconceptions about soy sauce, cholesterol, and fruits. The most needed items in dietary education was first identifying foods that are beneficial or harmful, and second, food interaction with medications. As for the results of multiple regressions, dietary knowledge was significantly associated with gender, educational attainment, monthly income, exercise, body mass index, and level of compliance to dietary therapy. Additionally, the educational needs were significantly related with educational attainment and employment. Conclusion: For secondary prevention of stroke patients, education strategy considering dietary knowledge and educational needs of stroke patients should be established. Special attention is needed for stroke patients with a lower level of dietary knowledge and educational needs.

Purpose: The purpose of this research was to examine the relationship between sexual knowledge, frequency, satisfaction, marital intimacy, and depression levels in stroke survivors and their spouses. Methods: This study was a convenience sample of Korean men who had experienced a stroke and their spouses. The subjects were discharged from the hospital and received physical therapy. Data such as sexual knowledge, frequency, satisfaction, marital intimacy, and depression levels were collected from November 2005 to April 2006. Results: In a comparison of stroke survivors and their spouses, the survivors showed higher mean levels of sexual knowledge and marital intimacy. The levels of knowledge, frequency, satisfaction and marital intimacy were low and depression was mild in the subjects. There were significant correlations between sexual frequency, sexual satisfaction and marital intimacy. Also, subjects with lower levels of sexual satisfaction were more depressed. The spouses who possessed greater levels of sexual knowledge reported a higher frequency of sex and greater marital intimacy. In addition, spouses who reported feeling greater levels of marital intimacy experienced fewer depressive symptoms. Conclusion: These findings demonstrate a need for the development of sexual adaptation programs which could be effective in improving sexual knowledge, frequency, satisfaction, marital intimacy, and depression reported by stroke patients and their spouses. Ideally, these corrective programs should be administered before patients are discharged from the hospital.

This study aimed to investigate the effects of stair-walking training with knowledge of performance (KP) on balance and walking function in patients with stroke. The study utilized a single-subject experimental research design (A-B-A’). A patient with subacute stroke participated in the study. Experimental process consisted of comprised three phases (totaling 20 sessions): (1) baseline phase (5 sessions), (2) intervention phase (10 sessions), and (3) withdrawal phase (5 sessions). The outcome measures included the one-leg standing test (OLST), sit-to-stand test (STS), Berg balance scale (BBS), and 10-meter walk test (10MWT). During the intervention phase, stair-walking training with KP, focusing on head and trunk postures as well as lower limb motion, was applied for 30 minutes. However, this training was not implemented during the baseline and withdrawal phases. The results showed significant improvements in OLST, STS, BBS, and 10MWT scores during the intervention phase, and these gains were maintained during the withdrawal phase. The findings suggest that stair-walking training with KP may be effectively used to enhance balance and walking function in stroke survivors. This study provides valuable information for rehabilitation professionals seeking to establish useful stroke training programs in clinical practice. However, further studies with robust designs are required to confirm the results of this study.

Purpose: This study aims to identify the effects of health literacy and stroke knowledge on adherence to self-carebehavior among the elderly with ischemic stroke. Methods: The participants were 92 outpatients aged 65 or olderwith ischemic stroke, who were visiting the neurology or neurosurgery departments of two general hospitals inChungcheongbuk-do between November 20, 2018, and April 9, 2019. The SPSS/WIN 23.0 program was usedto analyze descriptive statistics, independent t-tests, and one-way ANOVA, and multiple regression. Results: Themean age of participants was 73.25±5.72 and the proportion of men was 71.7%. The average score for healthliteracy, stroke knowledge, and adherence to self-care behavior were 9.26±2.32, 10.34±2.53, and 81.67±14.72,respectively. There were statistically significant differences in adherence to self-care behavior according to livingand time since stroke. Adherence to self-care behavior and health literacy showed a statistically significant positivecorrelation with stroke knowledge. Stroke knowledge, living alone, and time since stroke(less than one year) weresignificantly related to the adherence to self-care behavior. This regression model explained 24.0% of the variancein the adherence to self-care behavior. Conclusion: To improve the adherence to self-care behavior in the elderlywith ischemic stroke, it is necessary to develop and implement educational program for those who live alone andwho have experienced stroke less than one year previously.

목적 : 본 연구는 뇌졸중 후 연하곤란 환자의 가족을 대상으로 연하곤란관리 교육을 제공한 후 변화를 알아보고 효과적인 환자의 연하관리 및 가족지지를 위한 중재 전략을 찾고자 하였다. 연구방법 : 뇌졸중 환자의 가족 78명(실험군 39명, 대조군 39명)을 무작위 추출하여 연하곤란관리 교육 전과 후 지식과 실천 및 스트레스를 측정하였다. 결과 : 지식은 환자와의 관계, 일평균 돌봄 시간과, 실천은 연령, 월평균 수입, 질병과, 스트레스는 연령과 유의한 상관관계를 보였고(p<.05), 지식과 실천 및 스트레스 간에는 유의한 상관관계를 보이지 않았다. 교육제공 후 실험군의 지식과 실천은 유의한 차이를 보였으나, 스트레스는 유의한 차이를 보이지 않았고, 대조군은 지식, 실천, 스트레스 모두 유의한 차이를 보이지 않았다. 교육제공 후 실험군의 지식은 섭식방법, 총 돌봄 기간과, 실천은 건강상태, 질병, 섭식방법과 유의한 상관관계를 보였고, 지식과 실천 및 스트레스 간에는 유의한 상관관계를 보이지 않았다. 결론 : 결과를 종합하여 보면 연하곤란관리 교육은 가족들에게 지식과 실천을 증진시킬 수 있었으나 스트레스에는 변화를 보이지 않아 교육 외에도 다양한 정서적 지지가 함께 제공되어야 할 것으로 생각한다. 또한 지식과 실천 및 스트레스에 열악한 대상일수록 교육이 필요하며 교육 후 지속적인 실천을 위해서는 효율적인 여러 대체 및 보조방법을 제공하는 것이 좋을 것으로 생각한다.

Objective : The purpose of this study was to investigate the effect of dysphagia management education on the knowledge, practice, and stress. Methods : The subjects(education group: 39, control group: 39) were randomized selected among post stroke dysphagia patients. Before their education, their knowledge was significant relations with family type, hours of daily care; their practice was significant relations with age, monthly income, disease and stress had a sig-nificant relation with age. Results : Knowledge and practice were significantly increased based on education but stress did not. Control group showed no significant differences. After the education, their knowledge showed significant relations with feeding type, total duration of care work. Practice had significant relations with health status, disease, and feeding type. Also, there was no significant relations between the knowledge, practice and stress. Conclusion : The findings of this study suggest that the dysphagia management education for families caring for the post stroke dysphagia patients is effective for improving knowledge and practice.

Among the sources of anxiety and burden of family caregivers of stroke patients, this study investigated the role of self-efficacy and knowledge about care. Methods: Descriptive and correlational study design was used. One hundred and thirteen subjects were included. They were anticipated family caregivers of stroke patients. All patients were hospitalized at the intensive care unit (ICU) for the first time as a stroke patients. Data of family caregivers were collected during the time that patients were in the ICU with self-reported standardized questionnaire. Pearson's correlation coefficients and regression analysis were used to explore the role of self-efficacy and knowledge. Results: Self-efficacy was correlated with burden, but not with anxiety. Knowledge about care was correlated with anxiety and burden. Only knowledge about care was the significant predictor of anxiety and burden of anticipated family caregivers. Conclusion: The knowledge about care for stroke patients is important especially to the family caregivers who have to care stroke patients for the first time to reduce their anxiety and burden.

This study aimed to examine the effects of treadmill walking training combined with action observation training and knowledge of performance on balance, walking, and activities of daily living in a single patient with chronic stroke. The intervention was conducted three times per week for four weeks, in which the participant watched action observation training for ten minutes, received knowledge of performance, and then performed treadmill walking training twice, resulting in a total of forty minutes of intervention per session. Quantitative walking ability was assessed using the ten-meter walking test and the six-minute walking test, qualitative walking ability was assessed using the Wisconsin gait scale, functional walking ability was assessed using the timed up and go test and the figure of eight walk test, balance ability was assessed using the berg balance scale and the four square step test, and activities of daily living were assessed using the modified barthel index before and after the intervention. The results showed improvements in walking speed and endurance in the ten-meter walking test and the six-minute walking test, enhanced functional mobility in the timed up and go test and the figure of eight walk test, and a slight improvement in balance ability in the berg balance scale, whereas the four square step test, the wisconsin gait scale, and the modified barthel index showed no significant changes. These findings indicate that treadmill walking training combined with action observation training and knowledge of performance has positive effects on walking speed, functional mobility, and balance in patients with chronic stroke, but has limited effects on activities of daily living and qualitative aspects of walking, suggesting its potential use as a rehabilitation strategy in clinical practice.