Comparison of the Effects of Early Neurological Rehabilitation in Patients After Haemorrhagic or Ischemic Stroke

Chlebuś, Ewa; Lisiński, Przemysław

doi:10.19271/irons-00057-2018-23

Cited by 1 publication

(1 citation statement)

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“…In clinical practice, gait recovery training in post-stroke patients is often distracted in two phases. The first includes muscle-strengthening exercises [ 23 , 24 , 25 ] and neuromuscular re-education (PNF, NDT-Bobath), which increases ROM (range of motion) by increasing muscle length and improves neuromuscular performance [ 26 , 27 , 28 , 29 , 30 ]. Then, in the second phase, the emphasis is on the practical use of the results achieved in the first phase.…”

Section: Introductionmentioning

confidence: 99%

Effect of Treadmill Training with Visual Biofeedback on Selected Gait Parameters in Subacute Hemiparetic Stroke Patients

Kaźmierczak

Wareńczak

Miedzyblocki

et al. 2022

IJERPH

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Background: Functional limitations after a stroke are unique to each person and often include impaired independent mobility. A reduction in existing gait deficits after a stroke is often one of the main goals of rehabilitation. Gait re-education after stroke is a complex process, which consists of the effects of many therapeutic interventions. Objective: The study aimed to analyze the effects of using a treadmill with visual feedback in gait re-education in the sub-acute stroke period and assess the impact of biofeedback treadmill training on selected gait parameters, improving static balance and reducing the need for orthopedic aids. Methods: The study included 92 patients (F: 45, M: 47) aged 63 ± 12 years, with post-ischemic sub-acute (within six months onset) stroke hemiparesis, treated at a neurological rehabilitation ward. All patients participated in a specific rehabilitation program, and in addition, patients in the study group (n = 62) have a further 10 min of treadmill training with visual feedback. Patients in the control group (n = 30) participated in additional conventional gait training under the direct supervision of a physiotherapist. The evaluation of static balance was assessed with the Romberg Test. A Biodex Gait Trainer 3 treadmill with biofeedback function was used to evaluate selected gait parameters (walking speed, step length, % limb loading, and traveled distance). The use of an orthopedic aid (walker or a crutch) was noted. Results: After four weeks of rehabilitation, step length, walking speed, traveled distance, and static balance were significantly improved for the study and control group (p < 0.05). Treadmill gait training yielded significantly better results than a conventional rehabilitation program. Only the study group observed a corrected walking base (p < 0.001). All participants showed a reduction in the use of walking aids (p = 0.006). There was no asymmetry in the % of limb loading for either group prior to or following rehabilitation. Conclusions: The treadmill with visual biofeedback as conventional gait training has resulted in a significant improvement in parameters such as step length, walking speed, static balance, and a reduction in the use of locomotion aids. However, the achieved improvement in gait parameters is still not in line with the physiological norm.

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