Walking on the Moon: A randomized clinical trial on the role of lower body positive pressure treadmill training in post-stroke gait impairment

Calabrò, Rocco Salvatore; Billeri, Luana; Andronaco, Veronica; Accorinti, Maria; Milardi, Demetrio; Cannavó, Antonino; Aliberti, Enrico; Militi, Angela; Bramantı, Placido; Naro, Antonino

doi:10.1016/j.jare.2019.09.005

Cited by 9 publications

(7 citation statements)

References 57 publications

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“…Current data regarding its therapeutic use and effectiveness in the stroke population with locomotor deficits is insufficient. We are only aware of seven studies that examine the effect of LBPP on the stroke population (9,(18)(19)(20)(21); two of them are case studies (22,23). Further studies are warranted to confirm the findings of previous studies.…”

Section: Introductionmentioning

confidence: 99%

“…A treadmill with lower-body positive pressure (LBPP) in a waist-high-pressure chamber is a new modality that may be better for body unloading (9). It has a treadmill for gait training within the chamber.…”

Section: Introductionmentioning

confidence: 99%

“…LBPP has been evaluated for safety in healthy individuals before its use as a rehabilitation tool for patients (10)(11)(12)(13). Thus, LBPP has been used successfully as an intervention tool after knee and ankle surgery (14,15), in individ-uals with osteoarthritis ( 16), children with cerebral palsy (17), and in individuals with stroke (9). According to these preliminary research findings, LBPP is a secure and reliable rehabilitation tool for gait training.…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of Lower-Body Positive Pressure Treadmill Gait Training on Mobility Function and Quality of Life in Individuals with Chronic Stroke: Prospective Cohort Study

Almutairi

2023

Middle East J Rehabil Health Stud

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Background: Lower body positive pressure (LBPP) emerges for rehabilitation practice tool for athletic and orthopedic conditions. However, LBPP may provide an opportunity therapeutic intervention for gait training in neurological conditions. Objectives: To assess the effectiveness of LBPP gait training on ambulation ability, gait speed, walking endurance, dynamic and static balance, and quality of life in individuals with chronic stroke. Methods: Participants performed LBPP gait training three days a week for six weeks. The main outcome measures were functional ambulation categories (FAC), 10-meter walk test (10-MWT), 6 minutes walking test (6MWT), timed up and go (TUG), functional reach test (FRT), and short-form (SF-36) health survey. Results: Nine chronic stroke (one female, eight males) aged 57 ± 15.4 years with stroke since 4.8 ± 3.9 years participated in LBPP gait training. participants showed significant improvement in FAC (pre, 4 ± 2; post, 5 ± 1; P = 0.034); 10-MWT (pre, 16.35 ± 9.34 s; post, 13.25 ± 7.57 s; P = 0.021) and 6 MWT (pre, 166.22 ± 94.15; post, 206.66 ± 103.64; P = 0.048). No significant differences were observed in the other outcomes. Conclusions: Six weeks of LBPP gait training may potentially improve ambulation ability, gait speed, and walking endurance in individuals with chronic stroke.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of Lower-Body Positive Pressure Treadmill Gait Training on Mobility Function and Quality of Life in Individuals with Chronic Stroke: Prospective Cohort Study

Almutairi

2023

Middle East J Rehabil Health Stud

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“…However, no conclusive consensus has been reached on reducing impact force because the mechanism for these improvements is still not well understood, and systematic studies of tibiofemoral forces (TFFs) during CPM cycles are lacking. The postoperative rehabilitation of fractures and KA are sensitive to knee joint stress [16]; thus, it is necessary to quantify and decrease this stress during early rehabilitation [17,18]. In addition, the estimated TFFs can be used to plan rehabilitation treatments and monitor abnormal forces during the rehabilitation process.…”

Section: Introductionmentioning

confidence: 99%

Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions

Yang

Huang

Guo

et al. 2022

Sensors

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Continuous passive motion (CPM) machines are commonly used after various knee surgeries, but information on tibiofemoral forces (TFFs) during CPM cycles is limited. This study aimed to explore the changing trend of TFFs during CPM cycles under various ranges of motion (ROM) and body weights (BW) by establishing a two-dimensional mathematical model. TFFs were estimated by using joint angles, foot load, and leg–foot weight. Eleven healthy male participants were tested with ROM ranging from 0° to 120°. The values of the peak TFFs during knee flexion were higher than those during knee extension, varying nonlinearly with ROM. BW had a significant main effect on the peak TFFs and tibiofemoral shear forces, while ROM had a limited effect on the peak TFFs. No significant interaction effects were observed between BW and ROM for each peak TFF, whereas a strong linear correlation existed between the peak tibiofemoral compressive forces (TFCFs) and the peak resultant TFFs (R2 = 0.971, p < 0.01). The proposed method showed promise in serving as an input for optimizing rehabilitation devices.

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“…Gait analysis is commonly used to describe and identify normal gait but also to discover abnormal gait patterns [11], [12].The motion capture (MOCAP) system is one of the most used methods for gait analysis. It digitally records the body movements generating an accurate 3D measurement of joint kinematics.…”

Section: Introductionmentioning

confidence: 99%

Knee Joint Angle Measuring Portable Embedded System based on Inertial Measurement Units for Gait Analysis

Mayorca-Torres¹,

Caicedo-Eraso²,

Peluffo-Ordóñez³

2020

Int. J. Adv. Sci. Eng. Inf. Technol.

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Inside clinical research, gait analysis is a fundamental part of the functional evaluation of the human body's movement. Its evaluation has been carried out through different methods and tools, which allow early diagnosis of diseases, and monitoring and assessing the effectiveness of therapeutic plans applied to patients for rehabilitation. The observational method is one of the most used in specialized centers in Colombia; however, to avoid any possible errors associated with the subjectivity observation, technological tools that provide quantitative data can support this method. This paper deals with the methodological process for developing a computational tool and hardware device for the analysis of gait, specifically on articular kinematics of the knee. This work develops a prototype based on the fusion of inertial measurement units (IMU) data as an alternative for the attenuation of errors associated with each of these technologies. A videogrammetry technique measured the same human gait patterns to validate the proposed system, in terms of accuracy and repeatability of the recorded data. Results showed that the developed prototype successfully captured the kneejoint angles of the flexion-extension motions with high consistency and accuracy in with the measurements obtained from the videogrammetry technique. Statistical analysis (ICC and RMSE) exhibited a high correlation between the two systems for the measures of the joint angles. These results suggest the possibility of using an IMU-based prototype in realistic scenarios for accurately tracking a patient's knee-joint kinematics during a human gait.

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Walking on the Moon: A randomized clinical trial on the role of lower body positive pressure treadmill training in post-stroke gait impairment

Abstract: Graphical abstract

Cited by 9 publications

References 57 publications

The Effectiveness of Lower-Body Positive Pressure Treadmill Gait Training on Mobility Function and Quality of Life in Individuals with Chronic Stroke: Prospective Cohort Study

The Effectiveness of Lower-Body Positive Pressure Treadmill Gait Training on Mobility Function and Quality of Life in Individuals with Chronic Stroke: Prospective Cohort Study

Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions

Knee Joint Angle Measuring Portable Embedded System based on Inertial Measurement Units for Gait Analysis

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