Gait outcome in ambulatory hemiparetic patients after a 4-week comprehensive rehabilitation program and prognostic factors.

Hesse, Stefan; Jahnke, M.T.; Bertelt, Christine; Schreiner, Christoph E.; Lücke, D; Mauritz, Karl-Heinz

doi:10.1161/01.str.25.10.1999

Cited by 87 publications

(37 citation statements)

References 14 publications

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“…A study of gait training for 4 weeks based on the Bobath theory involving chronic stoke patients showed a significant increase in gait speed 33) . After walking exercise using a treadmill and computer instruments in real time, gait speed and strides of people with stroke improved significantly 34) .…”

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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Section: Discussionmentioning

confidence: 99%

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

et al. 2011

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“…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. 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.…”

Section: Treadmill and Overground Walking Speedmentioning

confidence: 95%

“…18 The FAC distinguishes 6 levels of walking ability on the basis of the amount of physical support required, although it does not take into account walking aids such as canes. 19 …”

Section: Clinical Outcome Measuresmentioning

confidence: 99%

Speed-Dependent Treadmill Training in Ambulatory Hemiparetic Stroke Patients

Pohl

Mehrholz

Ritschel

et al. 2002

Stroke

452

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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“…Several studies have investigated temporal and distance parameters of gait following stroke (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13), but only a few are focused on clinical characterization of gait pattern. A detailed description of hemiplegic gait has been reported by Perry (14).…”

Section: Introductionmentioning

confidence: 99%

Gait in hemiplegia: evaluation of clinical features with the wisconsin gait scale

Pizzi¹,

Carlucci²,

Falsini³

et al. 2007

Acta Derm Venereol

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Objective: To assess the ability of the Wisconsin Gait Scale to evaluate qualitative features of changes in hemiplegic gait in post-stroke patients. Design: A prospective observational study. Subjects: Ten healthy subjects and 56 hemiplegic outpatients, more than 12 months post-stroke, consecutively admitted in a rehabilitation centre. Methods: Patients were videotaped while walking at a comfortable speed. Quantitative and clinical gait parameters were derived from videotaped walking tasks at admission and at the end of a period of rehabilitation training. Qualitative features were assessed using the Wisconsin Gait Scale. Functional status was rated through the modified Barthel Index. Conclusion:The Wisconsin Gait Scale is a useful tool to rate qualitative gait alterations of post-stroke hemiplegic subjects and to assess changes over time during rehabilitation training. It may be used when a targeted and standardized characterization of hemiplegic gait is needed for tailoring rehabilitation and monitoring results.

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Gait outcome in ambulatory hemiparetic patients after a 4-week comprehensive rehabilitation program and prognostic factors.

Cited by 87 publications

References 14 publications

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

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

Speed-Dependent Treadmill Training in Ambulatory Hemiparetic Stroke Patients

Gait in hemiplegia: evaluation of clinical features with the wisconsin gait scale

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