Comparison of training effects between underwater treadmill gait training and overground gait training on the walking ability and respiratory function in patients with chronic severe hemiplegic stroke: A randomized, controlled, preliminary trial

2021 ◽  
pp. 1-9
Author(s):  
Nan-Hyang Kim ◽  
Yoon-Hee Choi ◽  
Yu-Ran Choi ◽  
Jun-Nam Ryu ◽  
Se–Jung Oh ◽  
...  
Keyword(s):  
Respiratory Function ◽  
Gait Training ◽  
Walking Ability ◽  
Training Effects ◽  
Preliminary Trial ◽  
Randomized Controlled

scholarly journals Highly challenging balance and gait training for individuals with Parkinson’s disease improves pace, rhythm and variability domains of gait – A secondary analysis from a randomized controlled trial

2020 ◽  
pp. 026921552095650
Author(s):  
Linda Rennie ◽  
Arve Opheim ◽  
Espen Dietrichs ◽  
Niklas Löfgren ◽  
Erika Franzén
Keyword(s):  
Controlled Trial ◽  
Secondary Analysis ◽  
Gait Training ◽  
Time Variability ◽  
Training Effects ◽  
Fast Speed ◽  
Randomized Controlled ◽  
Normal Speed ◽  
Stance Time

Objective: Evaluate immediate and long-term effects of highly challenging balance and gait training on pace-, rhythm-, variability-, asymmetry-, and postural control domains of gait for individuals with Parkinson’s disease (PD). Design: Randomized controlled trial - a secondary analysis. Setting: University hospital setting. Participants: One-hundred older adults with mild to moderate PD (Hoehn & Yahr 2 and 3). Intervention: Training group ( n = 51): 10 weeks (3 times/week) of intensive balance and gait training, incorporating dual tasks. Control group ( n = 49): care as usual. Main outcome measures: Spatiotemporal gait variables collected during normal and fast walking on a pressure-sensitive mat. A linear mixed model was used to evaluate training effects post intervention and at the 6 and 12 month follow-up. Results: Immediate training effects in the pace domain of gait were increased step velocity (normal speed: 8.2 cm/s, P = 0.04; fast: 10.8 cm/s, P < 0.01), increased step length (normal speed: 3 cm, P = 0.05; fast: 2.3 cm, P = 0.05) and reduced swing time variability (fast speed: –2.5 ms, P = 0.02). In the rhythm domain reduced step time (fast speed: –19.3 ms, P = 0.02), stance time (normal: –24.3 ms, P = 0.01; fast: –29.6 ms, P = 0.02) and swing time (fast speed: –8.7 ms, P = 0.04) was seen. Relative to the variability domain, the training decreased step time variability (fast: –2.8 ms, P = 0.02) and stance time variability (fast: –3.9 ms, P = 0.02). No training effects were retained at 6 months. Conclusions: Highly challenging balance and gait training improved pace, rhythm and variability aspects of PD gait in the short-term, but effects are not retained long-term. Trial registration number: NCT01417598.

The effects of robot-assisted gait training in progressive multiple sclerosis: A randomized controlled trial

2015 ◽  
Vol 22 (3) ◽  
pp. 373-384 ◽  
Author(s):  
Sofia Straudi ◽  
Chiara Fanciullacci ◽  
Carlotta Martinuzzi ◽  
Claudia Pavarelli ◽  
Bruno Rossi ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Short Form ◽  
Gait Training ◽  
Progressive Multiple Sclerosis ◽  
Controlled Study ◽  
Walking Ability ◽  
Walk Test ◽  
Robot Assisted ◽  
Positive Effects ◽  
Randomized Controlled

Background: Gait and mobility impairments are common in progressive multiple sclerosis (MS), leading to reduced quality of life (QoL). Objective: In this randomized controlled study, we tested the effects of robot-assisted gait training (RAGT) and compared it to conventional physiotherapy, measuring walking ability, depression, fatigue, and QoL in patients with progressive MS and severe gait disability. Methods: Fifty-two participants (Expanded Disability Status Scale score 6–7) completed the study protocol. They received two sessions/week over 6 weeks of RAGT or conventional walking therapy. Outcome measures were Six-Minute Walk Test, Ten-Meter Walk Test, Timed Up and Go Test, Berg Balance Scale, Fatigue Severity Scale, Patient Health Questionnaire, and Short Form 36. They were performed pre-treatment, post-treatment, and at 3 months. Results: Walking endurance ( p < 0.01) and balance ( p < 0.01) were improved among those in the RAGT group. Positive effects on depression in both treatment groups were highlighted. However, only among those in the RAGT group was perceived physical functioning QoL increased. No significant effects on fatigue were found. Conclusion: RAGT is a treatment option in progressive MS patients with severe gait impairments to induce short-lasting effects on mobility and QoL.

scholarly journals Effect of Virtual Reality Gait Training on Participation in Survivors of Subacute Stroke: Randomized Controlled Trial

2021 ◽  
Author(s):  
Ilona J M de Rooij ◽  
Ingrid G L van de Port ◽  
Michiel Punt ◽  
Pim J M Abbink-van Moorsel ◽  
Michiel Kortsmit ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Virtual Reality ◽  
Controlled Trial ◽  
Gait Training ◽  
Secondary Outcome ◽  
Community Living ◽  
Walking Ability ◽  
Randomized Controlled ◽  
Subacute Stroke ◽  
Walking Activity

Abstract Objective After stroke, people experience difficulties with walking that lead to restrictions in participation in daily life. The purpose of this study was to examine the effect of virtual reality gait training (VRT) compared to non-virtual reality gait training (non-VRT) on participation in community-living people after stroke. Methods In this assessor-blinded randomized controlled trial with 2 parallel groups, people were included between 2 weeks and 6 months after stroke and randomly assigned to the VRT group or non-VRT group. Participants assigned to the VRT group received training on the Gait Real-time Analysis Interactive Lab (GRAIL), and participants assigned to the non-VRT group received treadmill training and functional gait exercises without virtual reality. Both training interventions consisted of 12 30-minute sessions during 6 weeks. Primary outcome was participation measured with the restrictions subscale of the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P) 3 months postintervention. Secondary outcomes included subjective physical functioning, functional mobility, walking ability, dynamic balance, walking activity, fatigue, anxiety and depression, falls efficacy, and quality of life. Results Twenty-eight participants were randomized to the VRT group and 27 to the non-VRT group, of which 25 and 22 attended 75% or more of the training sessions, respectively. No significant differences between the groups were found over time for the USER-P restrictions subscale (1.23; 95% CI = −0.76 to 3.23) or secondary outcome measures. Patients’ experiences with VRT were positive, and no serious adverse events were related to the interventions. Conclusions The effect of VRT was not statistically different from non-VRT in improving participation in community-living people after stroke. Impact Although outcomes were not statistically different, treadmill-based VRT was a safe and well-tolerated intervention that was positively rated by people after stroke. VR training might, therefore, be a valuable addition to stroke rehabilitation.

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