Determinants and predictors of the maximum walking speed during computer-assisted gait training in hemiparetic stroke patients

Suzuki, Kenji; Imada, Gen; Iwaya, Tsutomu; Handa, Tomoyuki; Kurogo, Hirohiko

doi:10.1016/s0003-9993(99)90117-x

Cited by 76 publications

(60 citation statements)

References 8 publications

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“…2,3,7,25 This is a result of the selection of fastest comfortable maximum walking speed as a parameter and also of the preexisting level of walking ability of the patients at the beginning of the study. The average baseline overground fastest comfortable walking speeds in this study were comparable to the maximum walking speeds of ambulatory patients described by Suzuki et al 30 In comparison with other studies, a surprisingly larger gain in fastest comfortable overground walking speed was found in the CGT group. Hesse et al 19 found in comparable patients a gain in maximum walking speed from 0.84 to 0.9 m/s after a 4-week Bobath training program.…”

Section: Treadmill and Overground Walking Speedsupporting

confidence: 87%

“…Hesse et al 19 found in comparable patients a gain in maximum walking speed from 0.84 to 0.9 m/s after a 4-week Bobath training program. Suzuki et al, 30 after 4 weeks of a computer-assisted gait training program, observed an improvement of maximum walking speed from 0.67 to 1.05 m/s. However, despite the high gain of speed in the CGT group in this study, the gain in the STT group was even higher.…”

Section: Treadmill and Overground Walking Speedmentioning

confidence: 99%

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Speed-Dependent Treadmill Training in Ambulatory Hemiparetic Stroke Patients

Pohl

Mehrholz

Ritschel

et al. 2002

Stroke

451

314

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Background and Purpose-A new gait training strategy for patients with stroke seeks to increase walking speed through treadmill training. This study compares the effects of structured speed-dependent treadmill training (STT) (with the use of an interval paradigm to increase the treadmill speed stepwise according to principles of sport physiology) with limited progressive treadmill training (LTT) and conventional gait training (CGT) on clinical outcome measures for patients with hemiparesis. Methods-Sixty ambulatory poststroke patients were each randomly selected to receive 1 of the 3 different gait therapies: 20 subjects were treated with STT, 20 subjects were trained to walk on a treadmill with a 20% increase of belt speed over the treatment period (LTT), and 20 subjects were treated with CGT. Treatment outcomes were assessed on the basis of overground walking speed, cadence, stride length, and Functional Ambulation Category scores. Results-After

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Section: Treadmill and Overground Walking Speedsupporting

confidence: 87%

Section: Treadmill and Overground Walking Speedmentioning

confidence: 99%

Speed-Dependent Treadmill Training in Ambulatory Hemiparetic Stroke Patients

Pohl

Mehrholz

Ritschel

et al. 2002

Stroke

451

314

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“…After walking exercise using a treadmill and computer instruments in real time, gait speed and strides of people with stroke improved significantly 34) . In a virtual reality gait training study, gait speed was increased 35) .…”

Section: Discussionmentioning

confidence: 99%

Effects of Motor Imagery Training on Gait Ability of Patients with Chronic Stroke

et al. 2011

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Abstract.[Purpose] The purpose of this study was to investigate the effects of motor imagery training on improvement of gait ability of patients with chronic stroke. The motor imagery training was performed using imagination of normal gait movement.[Subjects] Participants were randomly allocated to two groups: a motor imagery training group (n=13) and a control group (n=11).[Methods] Both groups received treadmill training for 3 session 30 minutes per week for 6 weeks. The motor imagery training group practiced additional motor imagery training. Measures were evaluated by gait ability.[Results] The outcomes significantly improved by motor imagery training were gait speed, step length of paretic side, step length of non-paretic side, stride length of paretic side, stride length of non-paretic side, single limb support period of paretic side, and double limb support period of both sides. [Conclusion] The motor imagery training improved gait ability. These results suggest that motor imagery training is feasible and suitable for individuals with stroke.

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“…7,11-14 Specific muscle groups that demonstrate the strongest relationship with walking speed vary greatly among studies, depending on the number of muscles investigated, the parameter used to quantify strength (ie, hand dynamometer force, isometric or isokinetic torques), and the method of documenting gait speed (eg, selfselected or fast speeds, distance walked, with or without assistive devices or orthoses). 7,[11][12][13][14] Studies that have compared multiple muscle groups most frequently have identified strength in the hip flexors 15 and ankle plantar flexors 7,12 as the strongest predictor of walking speed after stroke, although strength in the knee extensors, 14,16,17 hip extensors, 13 and ankle dorsiflexors 18 was identified as being significantly related to gait speed. The contribution of the hip flexors and ankle plantar flexors to maximizing walking speed has been related to their large bursts of power generation late in the stance phase of the gait cycle.…”

mentioning

confidence: 99%