Backward Walking Training Improves Knee Proprioception in Non Athletic Males

Sedhom, Magda Gaid

doi:10.15621/ijphy/2017/v4i1/136161

Cited by 10 publications

(10 citation statements)

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“…Additionally, better proprioception was examined both in BG and CG, but the improvement of proprioception was similar between BG and CG, which meant the effect of BW on proprioception was unobvious. This result was not the same as the results reported by Sedhom et al [ 43 ] and Shen M et al [ 44 ]. On one hand, proprioception improvement in the two groups should be attributed to acupotomy and routine exercise.…”

Section: Discussioncontrasting

confidence: 77%

“…Similarly, Ye J et al [17] thought SA was more sensitive in terms of reflecting a postural stability than SL. Additionally, better proprioception was examined both in BG and CG, but the [43] and Shen M et al [44]. On one hand, proprioception improvement in the two groups should be attributed to acupotomy and routine exercise.…”

Section: Discussionmentioning

confidence: 99%

“…As a simple, practicable, and effective training, BW was used to improve the balance performance for stroke [ 25 ] and children with hemiparetic cerebral palsy [ 34 ], and the favorable effects of BW on proprioception in nonathletic males [ 43 ] and subjects with anterior cruciate ligament reconstruction [ 44 ] were observed. Nevertheless, to the best of our knowledge, this is the first time to evaluate the effect of BW on static stability and proprioception in people affected by KOA.…”

Section: Discussionmentioning

confidence: 99%

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The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Chen

Wang

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. Impaired static stability and proprioception have been observed in individuals with knee osteoarthritis (KOA), which serves as a major factor increasing risk of fall. This study aimed to investigate the effects of backward walking (BW) on static stability, proprioception, pain, and physical function in KOA patients. Methods. Thirty-two subjects with knee osteoarthritis were randomly assigned to either an BW group (BG, n = 16) or a control group (CG, n = 16). The participants in the BG received combination treatment of a 4-week BW training and conventional treatments, while those in the CG was treated with conventional treatments alone. All the participants were tested for the assessment of static stability [center of pressure (COP) sway, including sway length (SL, mm) and sway area (SA, mm2)] and proprioception [average trajectory error (ATE, %) and completion time (CT, second)]. Additionally, pain and knee function scores were measured by the numerical rating scale (NRS) and the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index, respectively. The assessments were conducted before and after intervention. Results. The COP sway (SA and SL), ATE, NRS, and WOMAC showed a significant decline at week 4 in the two groups in contrast to their baseline ( P < 0.05 ). Moreover, after 4-week intervention, the SA [(610.50 ± 464.26) mm2 vs. (538.69 ± 420.52) mm2], NRS [(1.56 ± 0.63) vs. (2.25 ± 0.86)], and WOMAC [(11.69 ± 2.50) vs. (16.19 ± 3.94)] showed a significantly greater decrease in the BG compared to the CG ( P < 0.05 , respectively). However, the proprioception (ATE and CT) was closely similar between both groups at week 4 ( P > 0.05 ). Conclusion. BW is an effective adjunct to conventional treatment in reducing pain, improving physical function and static stability for KOA patients. It should be taken into consideration when developing rehabilitation programs for people with KOA.

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Section: Discussioncontrasting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Chen

Wang

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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“…From a rehabilitation training standpoint, the BLTT protocol appears beneficial across groups. Past studies have hypothesized that backward walking training, particularly when performed on the treadmill, facilitates lower extremity strengthening [ 55 ] and enhances proprioception [ 56 , 57 ], agility, and balance [ 17 ] while enabling aerobic conditioning [ 58 ]. Furthermore, since participants cannot see where their feet are in space while walking on a moving treadmill platform, such a task can be both physically [ 45 ] and cognitively [ 38 , 59 ] demanding.…”

Section: Discussionmentioning

confidence: 99%

Backward Locomotor Treadmill Training Differentially Improves Walking Performance across Stroke Walking Impairment Levels

et al. 2022

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Background: Post-stroke walking impairment is a significant cause of chronic disability worldwide and often leads to loss of life roles for survivors and their caregivers. Walking impairment is traditionally classified into mild (>0.8 m/s), moderate (0.41–0.8 m/s), and severe (≤0.4 m/s), and those categorized as “severe” are more likely to be homebound and at greater risk of falls, fractures, and rehospitalization. In addition, there are minimal effective walking rehabilitation strategies currently available for this subgroup. Backward locomotor treadmill training (BLTT) is a novel and promising training approach that has been demonstrated to be safe and feasible across all levels of impairment; however, its benefits across baseline walking impairment levels (severe (≤0.4 m/s) vs. mild–moderate (>0.4 m/s)) have not been examined. Methods: Thirty-nine adults (>6 months post-stroke) underwent 6 days of BLTT (3 x/week) over 2 weeks. Baseline and PRE to POST changes were measured during treadmill training and overground walking. Results: Individuals with baseline severe walking impairment were at a more significant functional disadvantage across all spatiotemporal walking measures at baseline and demonstrated fewer overall gains post-training. However, contrary to our working hypothesis, both groups experienced comparable increases in cadence, bilateral percent single support times, and step lengths. Conclusion: BLTT is well tolerated and beneficial across all walking impairment levels, and baseline walking speed (≤0.4 m/s) should serve as a covariate in the design of future walking rehabilitation trials.

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“…Backward walking (BW) is a simple and effective method for adjuvant treatment and rehabilitation. [ 10 ] On 1 hand, BW is helpful for improving proprioception, [ 11 , 12 ] muscle strength, [ 13 ] intralimb coordination [ 14 ] and balance. [ 15 ] On the other hand, it can also assess the severity of impairment of coordination and motor ability, and serve as a predictor of falls in the elderly.…”

Section: Introductionmentioning

confidence: 99%