Effects of Therapeutic Gait Training Using a Prosthesis and a Treadmill for Ambulatory Patients With Hemiparesis

Hase, Kimitaka; Suzuki, Etsuko; Matsumoto, Maiko; Fujiwara, Toshiyuki; Liu, Meigen

doi:10.1016/j.apmr.2011.07.005

Cited by 35 publications

(29 citation statements)

References 21 publications

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“…While propulsion symmetry is an important measure of lower limb coordination and control during walking, improvements in symmetry are not necessarily indicative of increased propulsive force generation by the paretic limb, rather may reflect changes in the function of the non-paretic limb. In contrast to prior intervention studies examining changes in propulsion symmetry, a recent study by Hase and colleagues reported that a 3-week prosthetic-based gait program had a greater effect on the propulsive force generated by the paretic limb than a 3-week fast treadmill walking program 43 . However, subjects received only 10–15 minutes of treadmill training per day for 10 days, and only achieved an average 0.05 m/s improvement in walking speed (prosthesis training subjects improved an average of 0.06 m/s).…”

Section: Discussionmentioning

confidence: 84%

Targeting Paretic Propulsion to Improve Poststroke Walking Function: A Preliminary Study

Awad¹,

Reisman²,

Kesar³

et al. 2014

Archives of Physical Medicine and Rehabilitation

100

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OBJECTIVE To determine 1) the feasibility and safety of implementing a 12-week locomotor intervention targeting paretic propulsion deficits during walking through the joining of two independent interventions: walking at maximal speed on a treadmill and functional electrical stimulation of the paretic ankle musculature (FastFES), 2) the effects of FastFES training on individual subjects, and 3) the influence of baseline impairment severity on treatment outcomes. DESIGN A single group pre-post preliminary study investigating a novel locomotor intervention. Changes following treatment were assessed using pair-wise comparisons and compared to known minimal clinically important differences (MCIDs) or minimal detectable changes (MDCs). Correlation analyses were run to determine the relationship between baseline clinical and biomechanical performance versus improvements in walking speed. SETTING University clinical research laboratory. PARTICIPANTS Thirteen individuals with locomotor deficits following a stroke. INTERVENTION FastFES training was provided for 12 weeks at a frequency of 3 sessions per week and 30 minutes per session. MAIN OUTCOME MEASURES Measures of gait mechanics, functional balance, short- and long-distance walking function, and self-perceived participation were collected at baseline, post-training, and at a 3 month follow-up. RESULTS Twelve of the 13 subjects recruited completed training. Improvements in paretic propulsion were accompanied by improvements in functional balance, walking function, and self-perceived participation (each p < 0.02) – all of which were maintained at the 3 month follow up. Eleven of the 12 subjects achieved meaningful functional improvements. Baseline impairment was predictive of absolute, but not relative functional change following training. CONCLUSIONS This report demonstrates the safety and feasibility of the FastFES intervention and supports further study of this promising locomotor intervention for persons post-stroke.

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Section: Discussionmentioning

confidence: 84%

Targeting Paretic Propulsion to Improve Poststroke Walking Function: A Preliminary Study

Awad¹,

Reisman²,

Kesar³

et al. 2014

Archives of Physical Medicine and Rehabilitation

100

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“…However, hemiparetic patients can employ compensatory motor strategies using the non-affected leg for performing a bipedal gait even in these rehabilitation settings7 ) .…”

Section: Introductionmentioning

confidence: 99%

Changes of gait parameters following constrained-weight shift training in patients with stroke

2017

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[Purpose] This study aimed to investigate the effects of training involving compelled weight shift on the paretic lower limb on gait parameters and plantar pressure distribution in patients with stroke. [Subjects and Methods] Forty-five stroke patients participated in the study and were randomly divided into: group with a 5-mm lift on the non-paretic side for constrained weight shift training (5: constrained weight shift training) (n=15); group with a 10-mm lift on the non-paretic side for constrained weight shift training (10: constrained weight shift training) (n=15); or the control group (n=15). Both, the 5 constrained weight shift training and 10 constrained weight shift training groups underwent constrained weight shift training 5 times per week for 4 weeks, whereas the control group performed ergometer exercises for lower limb muscle strengthening. [Results] The 10 constrained weight shift training group showed a significant increase in the contact surface and impulse of the hindfoot compared to the control group, and the step length and walking speed were significantly longer and faster. [Conclusion] We found that constrained weight shift training on the paretic lower limb is an effective treatment method for improving normal gait pattern in stroke patients.

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“…2 Regaining normal walking ability is an important step in the process of post-stroke rehabilitation. 2,3…”

Section: Introductionmentioning

confidence: 99%

“…2 Regaining normal walking ability is an important step in the process of poststroke rehabilitation. 2,3 Numerous studies have been conducted to improve walking ability in individuals with an impaired central nervous system. [4][5][6] These studies have suggested that treadmill training using repeated walking practice that serves as task-oriented training is an effective intervention to improve walking ability.…”

Section: Introductionmentioning

confidence: 99%

The effects of action observational training on walking ability in chronic stroke patients: a double-blind randomized controlled trial

et al. 2013

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Effects of Therapeutic Gait Training Using a Prosthesis and a Treadmill for Ambulatory Patients With Hemiparesis

Cited by 35 publications

References 21 publications

Targeting Paretic Propulsion to Improve Poststroke Walking Function: A Preliminary Study

Targeting Paretic Propulsion to Improve Poststroke Walking Function: A Preliminary Study

Changes of gait parameters following constrained-weight shift training in patients with stroke

The effects of action observational training on walking ability in chronic stroke patients: a double-blind randomized controlled trial

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