scholarly journals The Effect of Body Weight Support Treadmill Training on Gait Recovery, Proximal Lower Limb Motor Pattern, and Balance in Patients with Subacute Stroke

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Yu-Rong Mao ◽  
Wai Leung Lo ◽  
Qiang Lin ◽  
Le Li ◽  
Xiang Xiao ◽  
...  
Keyword(s):  
Body Weight ◽  
Lower Extremity ◽  
Motor Function ◽  
Motor Pattern ◽  
Gait Training ◽  
Treadmill Training ◽  
Kinematic Data ◽  
Subacute Stroke ◽  
Gait Quality ◽  
Significant Difference

Objective. Gait performance is an indicator of mobility impairment after stroke. This study evaluated changes in balance, lower extremity motor function, and spatiotemporal gait parameters after receiving body weight supported treadmill training (BWSTT) and conventional overground walking training (CT) in patients with subacute stroke using 3D motion analysis.Setting. Inpatient department of rehabilitation medicine at a university-affiliated hospital.Participants. 24 subjects with unilateral hemiplegia in the subacute stage were randomized to the BWSTT(n=12)and CT(n=12)groups. Parameters were compared between the two groups. Data from twelve age matched healthy subjects were recorded as reference.Interventions. Patients received gait training with BWSTT or CT for an average of 30 minutes/day, 5 days/week, for 3 weeks.Main Outcome Measures. Balance was measured by the Brunel balance assessment. Lower extremity motor function was evaluated by the Fugl-Meyer assessment scale. Kinematic data were collected and analyzed using a gait capture system before and after the interventions.Results. Both groups improved on balance and lower extremity motor function measures(P<0.05), with no significant difference between the two groups after intervention. However, kinematic data were significantly improved(P<0.05)after BWSTT but not after CT. Maximum hip extension and flexion angles were significantly improved(P<0.05)for the BWSTT group during the stance and swing phases compared to baseline.Conclusion. In subacute patients with stroke, BWSTT can lead to improved gait quality when compared with conventional gait training. Both methods can improve balance and motor function.

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 Short Term Effects of Rhythmic Auditory Stimulation with Body Weight Supported Treadmill Training on Gait and Balance in Individuals with Incomplete Spinal Cord Injury

2021 ◽  
Vol 6 (4) ◽  
pp. 191-197
Author(s):  
Kanika Singhal ◽  
Chitra Kataria
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Body Weight ◽  
Gait Training ◽  
Auditory Stimulation ◽  
Treadmill Training ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Rhythmic Auditory Stimulation ◽  
Gait Trainer

Background: Rhythmic auditory stimulation and body weight supported treadmill training both are standardized gait rehabilitation techniques. However there is limited literature evaluating the effect of rhythmic auditory stimulation and its combination with gait training in spinal cord injury. Aim of this study is to determine the short term effectiveness of rhythmic auditory stimulation with body weight supported treadmill training on gait and balance in individuals with incomplete Spinal Cord Injury. Method: A randomized control study design. 8 subjects with incomplete spinal cord injury who met the inclusion criteria were randomly allocated into two groups: Experimental and Control. Subjects in experimental group were given body weight supported treadmill training with rhythmic auditory stimulation. Subjects in Control Group were given Body weight supported treadmill training alone. Both the groups received conventional rehabilitation as well. Both groups received training for 30 minutes, five times a week for two weeks (10 sessions). Outcome Measures: Gait parameters i.e. cadence, velocity, step length were measured using the Biodex Gait Trainer 2TM, level of walking performance measured using Walking Index for Spinal Cord Injury II, and balance was evaluated using Prokin 252NTM , Berg Balance Scale, and Activity specific Balance Confidence scale. Results: No significant improvement was found on gait parameters i.e. cadence, velocity, step length which were measured using the Gait Trainer, level of walking performance measured using WISCI II, and balance which was evaluated using Prokin 252NTM , Berg Balance Scale, and Activity specific Balance Confidence scale. Conclusion: Rhythmic auditory stimulation didn’t have any positive effect on gait training in incomplete spinal cord injured patients. Further studies are warranted to explore the entrainment effects of rhythmic auditory stimulation in spinal cord injured individuals on gait rehabilitation. Keywords: Rhythmic Auditory Stimulation (RAS), Body Weight Supported Treadmill Training (BWSTT), Metronome, Incomplete spinal cord injury, Biodex Gait Trainer 2.0, Prokin 252N

Treadmill training with partial body weight support compared with conventional gait training for low-functioning children and adolescents with nonspastic cerebral palsy: A two-period crossover study

2013 ◽  
Vol 37 (6) ◽  
pp. 445-453 ◽  
Author(s):  
Ivan YW Su ◽  
Kenny KY Chung ◽  
Daniel HK Chow
Keyword(s):  
Body Weight ◽  
Cerebral Palsy ◽  
Children And Adolescents ◽  
Gait Training ◽  
Treadmill Training ◽  
Gross Motor ◽  
Gross Motor Skills ◽  
Intellectual Capacity ◽  
Partial Body ◽  
Low Functioning

Background:Partial body weight-supported treadmill training has been shown to be effective in gait training for patients with neurological disorders such as spinal cord injuries and stroke. Recent applications on children with cerebral palsy were reported, mostly on spastic cerebral palsy with single subject design. There is lack of evidence on the effectiveness of such training for nonspastic cerebral palsy, particularly those who are low functioning with limited intellectual capacity.Objectives:This study evaluated the effectiveness of partial body weight-supported treadmill training for improving gross motor skills among these clients.Study design:A two-period randomized crossover design with repeated measures.Methods:A crossover design following an A–B versus a B–A pattern was adopted. The two training periods consisted of 12-week partial body weight-supported treadmill training (Training A) and 12-week conventional gait training (Training B) with a 10-week washout in between. Ten school-age participants with nonspastic cerebral palsy and severe mental retardation were recruited. The Gross Motor Function Measure-66 was administered immediately before and after each training period.Results:Significant improvements in dimensions D and E of the Gross Motor Function Measure-66 and the Gross Motor Ability Estimator were obtained.Conclusions:Our findings revealed that the partial body weight-supported treadmill training was effective in improving gross motor skills for low-functioning children and adolescents with nonspastic cerebral palsy.Clinical relevanceOur preliminary findings demonstrated that partial body weight-supported treadmill training was a treatment of choice for improving gross motor functioning related to standing and ambulation for low-functioning children and adolescents with nonspastic cerebral palsy and limited intellectual capacity.

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.

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