scholarly journals The Efficacy of Gait Training Using a Body Weight Support Treadmill and Visual Biofeedback in Patients with Subacute Stroke: A Randomized Controlled Trial

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Mariusz Drużbicki ◽  
Grzegorz Przysada ◽  
Agnieszka Guzik ◽  
Agnieszka Brzozowska-Magoń ◽  
Krzysztof Kołodziej ◽  
...  
Keyword(s):  
Body Weight ◽  
Walking Speed ◽  
Gait Training ◽  
Treadmill Training ◽  
Control Group ◽  
Visual Biofeedback ◽  
Subacute Stroke ◽  
Weight Support ◽  
Gait Parameters ◽  
The Difference

Background.This study was designed to determine whether or not gait training based on the use of treadmill with visual biofeedback and body weight support (BWS) would produce better effects in patients with subacute stroke compared to BWS treadmill training with no visual biofeedback.Materials and Methods.30 patients with subacute stroke were randomly assigned to do body weight supported treadmill training with visual biofeedback (BB group) or BWS treadmill training without visual biofeedback. Their gait was assessed with a 3D system (spatiotemporal gait parameters and symmetry index) and by means of 2-minute walk test (2 MWT), 10-metre walk test (10 MWT), and Timed Up & Go test. Subjects in both groups participated in 15 treadmill training sessions (30 minutes each).Results.The participants from both groups achieved a statistically significant improvement in spatiotemporal gait parameters, walking speed, endurance, and mobility. The average change in the BB group after the end of the programme did not differ significantly compared to the change in the control group. The change in the symmetry index value of stance phase in the BB group was 0.03 (0.02) and in the control group was 0.02 (0.02). The difference was not statistically significant (p=0.902). The statistically significantly higher improvement in the BB group was found in the range of walking speed (p=0.003) and endurance (p=0.012), but the difference between groups was of low clinical significance.Conclusions.The findings do not confirm that BWS treadmill training with the function of visual biofeedback leads to significantly greater improvement in gait compared to BWS treadmill training with no visual biofeedback at an early stage after stroke. This study was registered at ClinicalTrials.gov, ID:ACTRN12616001283460.

scholarly journals Gait Parameters Associated With Responsiveness to Treadmill Training With Body-Weight Support After Stroke: An Exploratory Study

2010 ◽  
Vol 90 (2) ◽  
pp. 209-223 ◽  
Author(s):  
Sara J. Mulroy ◽  
Tara Klassen ◽  
JoAnne K. Gronley ◽  
Valerie J. Eberly ◽  
David A. Brown ◽  
...  
Keyword(s):  
Body Weight ◽  
Lower Extremity ◽  
Muscle Activation ◽  
Walking Speed ◽  
Treadmill Training ◽  
High Response ◽  
Emg Activity ◽  
Locomotor Training ◽  
Gait Parameters ◽  
Response Group

Background Task-specific training programs after stroke improve walking function, but it is not clear which biomechanical parameters of gait are most associated with improved walking speed. Objective The purpose of this study was to identify gait parameters associated with improved walking speed after a locomotor training program that included body-weight–supported treadmill training (BWSTT). Design A prospective, between-subjects design was used. Methods Fifteen people, ranging from approximately 9 months to 5 years after stroke, completed 1 of 3 different 6-week training regimens. These regimens consisted of 12 sessions of BWSTT alternated with 12 sessions of: lower-extremity resistive cycling; lower-extremity progressive, resistive strengthening; or a sham condition of arm ergometry. Gait analysis was conducted before and after the 6-week intervention program. Kinematics, kinetics, and electromyographic (EMG) activity were recorded from the hemiparetic lower extremity while participants walked at a self-selected pace. Changes in gait parameters were compared in participants who showed an increase in self-selected walking speed of greater than 0.08 m/s (high-response group) and in those with less improvement (low-response group). Results Compared with participants in the low-response group, those in the high-response group displayed greater increases in terminal stance hip extension angle and hip flexion power (product of net joint moment and angular velocity) after the intervention. The intensity of soleus muscle EMG activity during walking also was significantly higher in participants in the high-response group after the intervention. Limitations Only sagittal-plane parameters were assessed, and the sample size was small. Conclusions Task-specific locomotor training alternated with strength training resulted in kinematic, kinetic, and muscle activation adaptations that were strongly associated with improved walking speed. Changes in both hip and ankle biomechanics during late stance were associated with greater increases in gait speed.

scholarly journals Advantage in muscle activation in gait with support of body weight in spinal cord injury

2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Jéssica Saccol Borin ◽  
Tânia Valdameri Capelari ◽  
Melissa Grigol Goldhardt ◽  
Márcia Cristina Issa ◽  
Diego Antônio Pereira Bica dos Santos ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Muscle Activation ◽  
Gait Training ◽  
Treadmill Training ◽  
Body Weight Support ◽  
Weight Support ◽  
Cord Injury ◽  
Injured Patients

Abstract Introduction: The locomotor training with body weight support has been proposed as an alternative for the rehabilitation of people with spinal cord injury, in order to develop most of the residual potential of the body. Objective: To compare the levels of muscle activation of the main muscle involved in gait during body weight-supported treadmill training and body weight-supported overground training in incomplete spinal cord injured patients. Methods: It was a prospective cross-sectional study, in which 11 incomplete injured patients were submitted to two modalities of gait with body weight support, the first one on the treadmill (two different speeds: 1 and 4km/h), and the second one with the walker on fixed floor. The electromyographical acquisition was done in the rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL) and gluteus maximus (GM). Results: There was a greater muscle activation of all muscles analyzed in the treadmill training as compared to the over groundtraining, both at 4 km/h (RF: p=0.00), (VM: p=0.00), (VL: p=0.00) e (GM: p=0.00) and at 1km/h (RF: p=0.00), (VM: p=0.00), (VL: p=0.00) e (GM: p=0.00). When comparing the two modalities of treadmill training, at 4 and 1km/h, there was no statically significant difference between them (RF: p=0.36), (VM: p=1.00), (VL: p=1.00) e (GM: p=0.16). Conclusion: The gait training with body weight support is more effective in activating the muscles involved in the gait training on treadmill compared to overground training in patients with incomplete spinal cord injury.

scholarly journals Walking After Stroke: What Does Treadmill Training With Body Weight Support Add to Overground Gait Training in Patients Early After Stroke?

Stroke ◽  
2009 ◽  
Vol 40 (9) ◽  
pp. 3079-3085 ◽  
Author(s):  
Marco Franceschini ◽  
Stefano Carda ◽  
Maurizio Agosti ◽  
Roberto Antenucci ◽  
Daniele Malgrati ◽  
...  
Keyword(s):  
Body Weight ◽  
Gait Training ◽  
Treadmill Training ◽  
Body Weight Support ◽  
Weight Support

scholarly journals Gait Training Combining Partial Body-Weight Support, a Treadmill, and Functional Electrical Stimulation: Effects on Poststroke Gait

2007 ◽  
Vol 87 (9) ◽  
pp. 1144-1154 ◽  
Author(s):  
Ana RR Lindquist ◽  
Christiane L Prado ◽  
Ricardo ML Barros ◽  
Rosana Mattioli ◽  
Paula H Lobo da Costa ◽  
...  
Keyword(s):  
Body Weight ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Single Case ◽  
Gait Training ◽  
Motor Recovery ◽  
Treadmill Training ◽  
Body Weight Support ◽  
Weight Support ◽  
Combined Use

Background and Purpose: Treadmill training with harness support is a promising, task-oriented approach to restoring locomotor function in people with poststroke hemiparesis. Although the combined use of functional electrical stimulation (FES) and treadmill training with body-weight support (BWS) has been studied before, this combined intervention was compared with the Bobath approach as opposed to BWS alone. The purpose of this study was to evaluate the effects of the combined use of FES and treadmill training with BWS on walking functions and voluntary limb control in people with chronic hemiparesis. Subjects: Eight people who were ambulatory after chronic stroke were evaluated. Methods: An A1-B-A2 single-case study design was applied. Phases A1 and A2 included 3 weeks of gait training on a treadmill with BWS, and phase B included 3 weeks of treadmill training plus FES applied to the peroneal nerve. The Stroke Rehabilitation Assessment of Movement was used to assess motor recovery, and a videography analysis was used to assess gait parameters. Results: An improvement (from 54.9% to 71.0%) in motor function was found during phase B. The spatial and temporal variables cycle duration, stance duration, and cadence as well as cycle length symmetry showed improvements when phase B was compared with phases A1 and A2. Discussion and Conclusions: The combined use of FES and treadmill training with BWS led to an improvement in motor recovery and seemed to improve the gait pattern of subjects with hemiparesis, indicating the utility of this combination method during gait rehabilitation. In addition, this single-case series showed that this alternative method of gait training—treadmill training with BWS and FES—may decrease the number of people required to carry out the training.

scholarly journals Effects of conventional overground gait training and a gait trainer with partial body weight support on spatiotemporal gait parameters of patients after stroke

2015 ◽  
Vol 27 (5) ◽  
pp. 1603-1607 ◽  
Author(s):  
Byoung-Sun Park ◽  
Mee-Young Kim ◽  
Lim-Kyu Lee ◽  
Seung-Min Yang ◽  
Won-Deok Lee ◽  
...  
Keyword(s):  
Body Weight ◽  
Gait Training ◽  
Body Weight Support ◽  
Weight Support ◽  
Gait Parameters ◽  
Partial Body ◽  
Gait Trainer

scholarly journals Change of Muscle Architecture following Body Weight Support Treadmill Training for Persons after Subacute Stroke: Evidence from Ultrasonography

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Peng Liu ◽  
Yanjun Wang ◽  
Huijing Hu ◽  
Yurong Mao ◽  
Dongfeng Huang ◽  
...  
Keyword(s):  
Body Weight ◽  
Tibialis Anterior ◽  
Muscle Architecture ◽  
Treadmill Training ◽  
Medial Gastrocnemius ◽  
Body Weight Support ◽  
Muscular System ◽  
Rehabilitation Training ◽  
Subacute Stroke ◽  
Weight Support

Although the body weight support treadmill training (BWSTT) in rehabilitation therapy has been appreciated for a long time, the biomechanical effects of this training on muscular system remain unclear. Ultrasonography has been suggested to be a feasible method to measure muscle morphological changes after neurological diseases such as stroke, which may help to enhance the understanding of the mechanism underlying the impaired motor function. This study investigated the muscle architectural changes of tibialis anterior and medial gastrocnemius in patients after subacute stroke by ultrasound. As expected, we found the effect of BWSTT on the muscular system. Specifically, the results showed larger pennation angle and muscle thickness of tibialis anterior and longer fascicle length of medial gastrocnemius after the training. The findings of this study suggest that the early rehabilitation training of BWSTT in subacute stage of stroke provides positive changes of the muscle architecture, leading to the potential improvement of the force generation of the muscle. This may not only help us understand changes of subacute stroke in muscular system but also have clinical implications in the evaluation of rehabilitation training after neurological insults.

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