Home Use Gait Device for Stroke Hemiparesis: Long-Term Follow-Up Results

Huizenga, David; Darcy, Brianne; Rashford, Lauren; Lundin, Elizabeth; Medas, Ryan; Shultz, S. Tyler; DuBose, Elizabeth; Reed, Kyle B.

doi:10.1016/j.apmr.2020.09.206

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“…Figure 3 shows the mean gait speed, associated p -values, and effect sizes at each of the six time frames. Additionally, while the focus of this paper is retention of gait speed, other measures of performance which have been reported ( 41 , 42 ) showed similar patterns of improvement and retention. Supplementary Figure S1 shows outcome boxplots and association statistics.…”

Section: Resultsmentioning

confidence: 55%

One-year retention of gait speed improvement in stroke survivors after treatment with a wearable home-use gait device

Darcy,

Rashford,

Tsai

et al. 2024

Front. Neurol.

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BackgroundGait impairments after stroke are associated with numerous physical and psychological consequences. Treatment with the iStride® gait device has been shown to facilitate improvements to gait function, including gait speed, for chronic stroke survivors with hemiparesis. This study examines the long-term gait speed changes up to 12 months after treatment with the gait device.MethodsEighteen individuals at least one-year post-stroke completed a target of 12, 30-minute treatment sessions with the gait device in their home environment. Gait speed was measured at baseline and five follow-up sessions after the treatment period: one week, one month, three months, six months, and 12 months. Gait speed changes were analyzed using repeated-measures ANOVA from baseline to each follow-up time frame. Additional analysis included comparison to the minimal clinically important difference (MCID), evaluation of gait speed classification changes, and review of subjective questionnaires.ResultsParticipants retained an average gait speed improvement >0.21 m/s compared to baseline at all post-treatment time frames. Additionally, 94% of participants improved their gait speed beyond the MCID during one or more post-treatment measurements, and 88% subjectively reported a gait speed improvement.ConclusionTreatment with the gait device may result in meaningful, long-term gait speed improvement for chronic stroke survivors with hemiparetic gait impairments.Clinical trial registrationhttps://clinicaltrials.gov/ct2/show/NCT03649217, identifier NCT03649217.

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Section: Resultsmentioning

confidence: 55%