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The Effect of Body Weight Support Treadmill Training on Gait Recovery, Proximal Lower Limb Motor Pattern, and Balance in Patients with Subacute Stroke.

Mao YR, Lo WL, Lin Q, Li L, Xiao X, Raghavan P, Huang DF - Biomed Res Int (2015)

Bottom Line: Parameters were compared between the two groups.However, kinematic data were significantly improved (P < 0.05) after BWSTT but not after CT.Maximum hip extension and flexion angles were significantly improved (P < 0.05) for the BWSTT group during the stance and swing phases compared to baseline.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, Guangdong Provincial Research Center for Rehabilitation Medicine and Translational Technology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.

ABSTRACT

Objective: Gait performance is an indicator of mobility impairment after stroke. This study evaluated changes in balance, lower extremity motor function, and spatiotemporal gait parameters after receiving body weight supported treadmill training (BWSTT) and conventional overground walking training (CT) in patients with subacute stroke using 3D motion analysis.

Setting: Inpatient department of rehabilitation medicine at a university-affiliated hospital.

Participants: 24 subjects with unilateral hemiplegia in the subacute stage were randomized to the BWSTT (n = 12) and CT (n = 12) groups. Parameters were compared between the two groups. Data from twelve age matched healthy subjects were recorded as reference.

Interventions: Patients received gait training with BWSTT or CT for an average of 30 minutes/day, 5 days/week, for 3 weeks.

Main outcome measures: Balance was measured by the Brunel balance assessment. Lower extremity motor function was evaluated by the Fugl-Meyer assessment scale. Kinematic data were collected and analyzed using a gait capture system before and after the interventions.

Results: Both groups improved on balance and lower extremity motor function measures (P < 0.05), with no significant difference between the two groups after intervention. However, kinematic data were significantly improved (P < 0.05) after BWSTT but not after CT. Maximum hip extension and flexion angles were significantly improved (P < 0.05) for the BWSTT group during the stance and swing phases compared to baseline.

Conclusion: In subacute patients with stroke, BWSTT can lead to improved gait quality when compared with conventional gait training. Both methods can improve balance and motor function.

No MeSH data available.


Related in: MedlinePlus

Flowchart for subjects selection process.
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fig1: Flowchart for subjects selection process.

Mentions: Subjects with subacute stroke (18 to 76 days after stroke) were recruited for this study and were randomly assigned to the BWSTT and CT groups (Figure 1). The inclusion criteria for the hemiparetic subjects were (1) stroke confirmed by computed tomography or MRI; (2) unilateral hemiparesis for no more than 3 months resulting from first stroke; (3) residual gait impairment, defined by an abnormal 10 m walk time according to age (age < 60 = 10 seconds or longer or 1 m/s; age 60 to 69: 12.5 seconds or longer or 0.8 m/s; age ≥ 70: 16.6 seconds or longer, <0.6 m/s) [24]; and adequate mental and physical capacity to attempt the tasks as instructed (Mini Mental State Examination score ≥ 27, average modified Ashworth scale score at hip, knee, and ankle ≤ 2).


The Effect of Body Weight Support Treadmill Training on Gait Recovery, Proximal Lower Limb Motor Pattern, and Balance in Patients with Subacute Stroke.

Mao YR, Lo WL, Lin Q, Li L, Xiao X, Raghavan P, Huang DF - Biomed Res Int (2015)

Flowchart for subjects selection process.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663281&req=5

fig1: Flowchart for subjects selection process.
Mentions: Subjects with subacute stroke (18 to 76 days after stroke) were recruited for this study and were randomly assigned to the BWSTT and CT groups (Figure 1). The inclusion criteria for the hemiparetic subjects were (1) stroke confirmed by computed tomography or MRI; (2) unilateral hemiparesis for no more than 3 months resulting from first stroke; (3) residual gait impairment, defined by an abnormal 10 m walk time according to age (age < 60 = 10 seconds or longer or 1 m/s; age 60 to 69: 12.5 seconds or longer or 0.8 m/s; age ≥ 70: 16.6 seconds or longer, <0.6 m/s) [24]; and adequate mental and physical capacity to attempt the tasks as instructed (Mini Mental State Examination score ≥ 27, average modified Ashworth scale score at hip, knee, and ankle ≤ 2).

Bottom Line: Parameters were compared between the two groups.However, kinematic data were significantly improved (P < 0.05) after BWSTT but not after CT.Maximum hip extension and flexion angles were significantly improved (P < 0.05) for the BWSTT group during the stance and swing phases compared to baseline.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation Medicine, Guangdong Provincial Research Center for Rehabilitation Medicine and Translational Technology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.

ABSTRACT

Objective: Gait performance is an indicator of mobility impairment after stroke. This study evaluated changes in balance, lower extremity motor function, and spatiotemporal gait parameters after receiving body weight supported treadmill training (BWSTT) and conventional overground walking training (CT) in patients with subacute stroke using 3D motion analysis.

Setting: Inpatient department of rehabilitation medicine at a university-affiliated hospital.

Participants: 24 subjects with unilateral hemiplegia in the subacute stage were randomized to the BWSTT (n = 12) and CT (n = 12) groups. Parameters were compared between the two groups. Data from twelve age matched healthy subjects were recorded as reference.

Interventions: Patients received gait training with BWSTT or CT for an average of 30 minutes/day, 5 days/week, for 3 weeks.

Main outcome measures: Balance was measured by the Brunel balance assessment. Lower extremity motor function was evaluated by the Fugl-Meyer assessment scale. Kinematic data were collected and analyzed using a gait capture system before and after the interventions.

Results: Both groups improved on balance and lower extremity motor function measures (P < 0.05), with no significant difference between the two groups after intervention. However, kinematic data were significantly improved (P < 0.05) after BWSTT but not after CT. Maximum hip extension and flexion angles were significantly improved (P < 0.05) for the BWSTT group during the stance and swing phases compared to baseline.

Conclusion: In subacute patients with stroke, BWSTT can lead to improved gait quality when compared with conventional gait training. Both methods can improve balance and motor function.

No MeSH data available.


Related in: MedlinePlus