Locomotor Treadmill Training With Partial Body-Weight Support Before Overground Gait in Adults With Acute Stroke: A Pilot Study

McCain, Karen J.; Pollo, Fabian E.; Baum, Brian S.; Coleman, Scott; Baker, Shawn; Smith, Patricia S.

doi:10.1016/j.apmr.2007.09.050

Cited by 91 publications

(73 citation statements)

References 47 publications

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“…The use of treadmills, in clinical and research settings [1][2][3][4][5][6], rests upon the assumption that reliable and valid measures of gait can be obtained during treadmill walking (TW) and that TW can be generalized to overground walking (OW). TW, in theory, is mechanically equivalent to OW, but in reality walking on a treadmill is initially an unfamiliar experience.…”

Section: Introductionmentioning

confidence: 99%

Adult age differences in familiarization to treadmill walking within virtual environments

et al. 2010

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Section: Introductionmentioning

confidence: 99%

Adult age differences in familiarization to treadmill walking within virtual environments

et al. 2010

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“…However, subacute stroke patients with over-ground gait training in this study showed no significant difference in pelvic motion of sagittal plane. Previous studies also demonstrated BWSTT was superior to traditional gait training in improving motor function [23,30,32]. The above-mentioned reasons probably explained the targeted effect using BWSTT on gait parameters.…”

Section: S361mentioning

confidence: 93%

“…Body-weight-support treadmill training (BWSTT) is a task-specific and repetitive nature of step training on the treadmill with partial body weight of the subjects been held [19]. It enables the harness-secured patients to practice numerous steps assisted by therapists at an early stage after neurological insult, and the assisted control by therapist focuses on the pelvis of proximal limbs [20]. Literature results showed BWSTT improved walking speed, motor function and balance ability on stroke patients [21,22].…”

Section: Y Mao Et Al / Changes Of Pelvis Control With Subacute Strokementioning

confidence: 99%

Changes of pelvis control with subacute stroke: A comparison of body-weight- support treadmill training coupled virtual reality system and over-ground training

Mao¹,

Chen²,

Li³

et al. 2015

THC

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Abstract. BACKGROUND:Gait recovery is very important to stroke survivors to regain their independence in activity of daily life. OBJECTIVE: This study aimed to investigate the effects of virtual reality (VR) coupled body weight support treadmill training (BWSTT) on pelvic control at the early stage of stroke. METHODS: Kinematic and kinetic changes of pelvic motion were evaluated by a 3D gait analysis system and were compared to the results from over-ground walking training. Twenty-four patients having unilateral hemiplegia with subacute stroke were recruited to a VR coupled BWSTT group (n = 12) and a conventional therapy (CT) group (n = 12). Both of the groups received training of 20-40 min/day, 5 days/week, for 3 weeks. RESULTS:The results showed the tilt of pelvis in sagittal plane improved significantly (P = 0.038) after treatment in the BWSTT+VR group, in terms of decreased amplitude of anterior peak (mean, from 10.99• to 6.25 • ), while there were no significant differences in the control group. CONCLUSION: The findings suggested that VR coupled BWSTT gait training could decrease anterior tilt of pelvis in early hemiparetic persons following a modest intervention dose, and the training may have advantages over conventional over-ground gait training and can assist the therapists in correcting abnormal gait pattern of stroke survivors.

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“…The most common electromechanically assisted gait devices for gait restoration are a treadmill with BWS [15], the Lokomat ® (Hocoma, AG; Volketswil, Switzerland) [16], and the Gait Trainer ® (GT) (Reha-Stim; Berlin, Germany) [2]. On treadmills, only the percentage of BWS and the WS can be selected.…”

Section: Introductionmentioning

confidence: 99%

Driving electromechanically assisted Gait Trainer for people with stroke

Iosa¹,

Morone²,

Bragoni³

et al. 2011

JRRD

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Abstract-Electromechanically assisted gait training is a promising task-oriented approach for gait restoration, especially for people with subacute stroke. However, few guidelines are available for selecting the parameter values of the electromechanical Gait Trainer (GT) (Reha-Stim; Berlin, Germany) and none is tailored to a patient's motor capacity. We assessed 342 GT sessions performed by 20 people with stroke who were stratified by Functional Ambulatory Category. In the first GT session of all patients, the body-weight support (BWS) required was higher than that reported in the literature. In further sessions, we noted a slow reduction of BWS and a fast increment of walking speed for the most-affected patients. Inverse trends were observed for the less-affected patients. In all the patients, the heart rate increment was about 20 beats per minute, even for sessions in which the number of strides performed was up to 500. In addition, the effective BWS measured during GT sessions was different from that initially selected by the physiotherapist. This difference depended mainly on the position of the GT platforms during selection. Finally, harness acceleration in the anteroposterior direction proved to be higher in patients with stroke than in nondisabled subjects. Our findings are an initial step toward scientifically selecting parameters in electromechanically assisted gait training.

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Locomotor Treadmill Training With Partial Body-Weight Support Before Overground Gait in Adults With Acute Stroke: A Pilot Study

Cited by 91 publications

References 47 publications

Adult age differences in familiarization to treadmill walking within virtual environments

Adult age differences in familiarization to treadmill walking within virtual environments

Changes of pelvis control with subacute stroke: A comparison of body-weight- support treadmill training coupled virtual reality system and over-ground training

Driving electromechanically assisted Gait Trainer for people with stroke

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