Locomotor training using body weight support on a treadmill improves mobility in persons with multiple sclerosis: a pilot study

2007 ◽  
Vol 13 (2) ◽  
pp. 224-231 ◽  
Author(s):  
Barbara Giesser ◽  
Janell Beres-Jones ◽  
Amy Budovitch ◽  
Elise Herlihy ◽  
Susan Harkema

Rationale The purpose of this protocol was to investigate the potential benefits and tolerability of locomotor training using body weight support on a treadmill (LTBWST) in persons with multiple sclerosis (MS). Methods Four persons with primarily spinal cord MS and severely impaired ambulation (Expanded Disability Status Scale score 7.0–7.5) were enrolled in LTBWST. Subjects completed an average of 40 training sessions over several months. Results Subjects showed improvement in muscle strength, spasticity, endurance, balance, walking speed, and quality of life at the end of the training sessions, and could tolerate training without fatigue or other adverse effects. Conclusions LTBWST is well tolerated by persons with MS and may produce improvements in parameters related to functional mobility. Multiple Sclerosis 2007; 13: 224–231. http://msj.sagepub.com

2001 ◽  
Vol 19 (4) ◽  
pp. 702-710
Author(s):  
Renata Teles Vieira ◽  
Rafaela Machado de Gusmão Oliveira ◽  
Camila Alves Nogueira Barros ◽  
Leonardo Caixeta

Objetivo. O objetivo deste trabalho foi realizar uma revisão de literatura sobre o uso do treino locomotor em pacientes portadores de lesão medular incompleta, a fim de verificar os seus efeitos para a marcha destes pacientes. Método. Foi realizada uma busca utilizando os bancos de dados medline, scielo e bvs a partir dos descritores: body weight-support treadmill training (suporte parcial de peso com treinamento em esteira), locomotor training (treino locomotor), spinal cord injury (lesão medular), gait (marcha). Todos os artigos coletados nos últimos 18 anos foram analisados. Discussão. A lesão medular é uma grave síndrome neurológica que causa diversos comprometimentos, inclusive da marcha. Para aperfeiçoar este processo, deu-se início à prática de reabilitação na esteira com suporte de peso corporal. A ampla utilização desta técnica de reabilitação deve-se a maior facilidade para o treino da marcha, a satisfação dos pacientes durante o tratamento e, principalmente, aos bons resultados gerados. Conclusão. Um número significante de estudos mostrou que o treino de marcha com suporte de peso corporal é um meio seguro e confiável, e que surgiu para inovar a reabilitação funcional da marcha. Não há evidência científica para afirmar que o treino locomotor com suporte de peso seja um método superior a outras terapias.


2006 ◽  
Vol 24 ◽  
pp. S207-S208 ◽  
Author(s):  
Ilona Pintér ◽  
Arianne Vreugdenhil ◽  
Thomas Janssen ◽  
Claudine Lamoth

2016 ◽  
Vol 97 (10) ◽  
pp. e125-e126
Author(s):  
Gioella Chaparro ◽  
Larisa Piton ◽  
Rachel Walker ◽  
Meltum Izzetoglu ◽  
Rob Motl ◽  
...  

2019 ◽  
Author(s):  
Virginia L Little ◽  
Lindsay A Perry ◽  
Mae WV Mercado ◽  
Steven A Kautz ◽  
Carolynn Patten

AbstractBackgroundGiven the prevalence of gait dysfunction following stroke, walking recovery is a primary goal of rehabilitation. However, current gait rehabilitation approaches fail to demonstrate consistent benefits. Furthermore, asymmetry is a prominent feature of gait dysfunction following stroke. Differential patterns of gait asymmetry may respond differently to gait training parameters.ObjectiveThe purpose of this study was to determine whether differential responses to locomotor task condition occur on the basis of direction of step length asymmetry (Symmetrical, NPshort, Pshort) observed during overground walking.MethodsParticipants first walked overground at their self-selected walking speed. Overground data were compared against three task conditions all tested during treadmill walking: self-selected speed with 0% body weight support (TM); self-selected speed with 30% body weight support (BWS); and fastest comfortable speed with 30% body weight support and nonparetic leg guidance (GuidanceNP). Our primary outcomes were: step length, single limb support duration, and stride length.ResultsWe identified differences in the response to locomotor task conditions for each step length asymmetry subgroup. GuidanceNPinduced an acute spatial symmetry only in the NPshortgroup and temporal symmetry in the Symmetrical group.ConclusionsTask conditions consistent with locomotor training do not produce uniform effects across subpatterns of gait asymmetry. We identified differential responses to locomotor task conditions between groups with distinct asymmetry patterns, suggesting these subgroups may require unique intervention strategies. Despite group differences in asymmetry characteristics, improvements in symmetry noted in the Symmetrical and NPshortgroups were driven by changes in both the paretic and nonparetic limbs.


2018 ◽  
Vol 8 (9) ◽  
pp. 1871-1874
Author(s):  
Zhang Wenyu ◽  
Jiao Dongdong ◽  
Li Beibei ◽  
Zhang Xinlei ◽  
Zhu Yingzhi ◽  
...  

Goal: To investigate the clinical benefits of partial body weight support for the function of Cardiopulmonary and Cardiac autonomic nerve in the early stage of Heart failure rehabilitation. Materials and Methods: We selected 90 patients with heart failure, divided into observation group (n = 45) and control group (n = 45). Both patients had the conventional drug therapy, while the observation group had the partial body weight support additionally within the 3 months treatment period. Serological examination includes brain natriuretic peptide (BNP) and aldosterone. Echocardiography detects left ventricular morphology, cardiac ejection function (EF) and cardiac autonomic nerve function. Minnesota quality of life scale (MHL) evaluates the life quality of the patients. Results: Before any treatment, there is no significant difference of serum brain natriuretic peptide (BNP), aldosterone, cardiac autonomic nerve function and the Minnesota quality of life scale (MHL) (P > 0.05). After treatment, outcome measures declined, including serum brain natriuretic peptide (BNP) and aldosterone (P < 0.01), LVESD and ESV (P < 0.01), LVEDD and EDV (P > 0.05). Outcome measures raised, including SV, CI, EF%, ΔD%. Among them, EF% had significant difference with P value < 0.05, and ΔD% with P value < 0.01. Both LF and HF raised, but LF/HF declined. The Minnesota quality of life scale (MHL) is significantly lower than before. Conclusion: Partial body weight support obviously reduces serum brain natriuretic peptide (BNP) and aldosterone, as well as improves the function of cardiopulmonary and cardiac autonomic nerve of the patients with heart failure, which at last improves the life quality.


Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1461
Author(s):  
E. Swinnen ◽  
J.-P. Baeyens ◽  
J. Van Nieuwenhoven ◽  
S. Ilsbroukx ◽  
M. Michielsen ◽  
...  

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