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Background: This study aimed to examine the im mediate effects of rhythmic auditory stimulation and functional electrical stimulation, applied in dividually and in combination, on spatiotemporal gait parameters in patients with subacute stroke.

Design: A single group repeated measures design.

Methods: Five patients diagnosed with subacute stroke participated in this study. Each participant performed three walking conditions in randomized order: walking with functional electrical stim ulation, walking with rhythmic auditory stimulation, and walking with both interventions combined. Gait parameters, including gait velocity, ambulation time, number of steps, difference in step length be tween limbs, and gait cycle time difference, were measured using an electronic walkway analysis system. Repeated measures analysis of variance and the Friedman test were used to analyze the data.

Results: Statistically significant differences were observed in gait velocity (F=4.487, p=.030) and am bulation time (χ²=8.143, p=.040), with the combined i ntervention condition showing the greatest im provement in both variables. Although post-hoc analysis did not reveal statistically significant differ ences, the average increase in gait velocity of 10.2 centimeters per second in the combined inter vention condition approached the minimal detect able change threshold for individuals with moderate walking ability. Other variables, such as number of steps, step length differential, and cycle time differ ential, did not show statistically significant changes.

Conclusion: The findings of this pilot study suggest that the combined application of rhythmic auditory stimulation and functional electrical stimulation may lead to immediate improvements in gait per formance in patients with subacute stroke. This combined approach appears to be effective in en hancing gait velocity and efficiency.

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