The Effect of Underwater Gait Training on Balance Ability of Stroke          Patients

Park, Seok-Woo; Lee, Kyung Jin; Shin, Doochul; Shin, Seung Ho; Lee, Myung Mo; Song, Chang Ho

doi:10.1589/jpts.26.899

Cited by 33 publications

(34 citation statements)

References 28 publications

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“…27 Researchers also evaluate the effects of underwater treadmill training and concluded that compared with the general rehabilitation programme, underwater treadmill gait training was not more effective at improving the balance ability of stroke patients than land-based training. 28 Compared with the studies described above, we observed some differences depending on the degree of stroke severity, the length of time since stroke onset and the specific exercise training protocol. We also concluded that underwater treadmill training resulted in gait improvement and that the Halliwick and Ai Chi methods, in addition to obstacle training, may benefit both dynamic and static balance.…”

Section: Discussioncontrasting

confidence: 59%

Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial

et al. 2015

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Section: Discussioncontrasting

confidence: 59%

Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial

et al. 2015

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“…To our knowledge, there have been only two reports on effectiveness of ATT on gait ability in stroke patients. Park et al [ 24 ] reported improvement in balance ability before and after ATT in stroke patients. Jung et al [ 23 ] reported that the addition of weight on the affected leg reduced unwanted flotation in chronic stroke patients during ATT, leading to increased stance stability.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Aquatic Treadmill Training on Gait Symmetry and Balance in Subacute Stroke Patients

Lee

Kwon

et al. 2017

Ann Rehabil Med

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ObjectiveTo determine the efficacy of aquatic treadmill training (ATT) as a new modality for stroke rehabilitation, by assessing changes in gait symmetry, balance function, and subjective balance confidence for the paretic and non-paretic leg in stroke patients.MethodsTwenty-one subacute stroke patients participated in 15 intervention sessions of aquatic treadmill training. The Comfortable 10-Meter Walk Test (CWT), spatiotemporal gait parameters, Berg Balance Scale (BBS), and Activities-specific Balance Confidence scale (ABC) were assessed pre- and post-interventions.ResultsFrom pre- to post-intervention, statistically significant improvements were observed in the CWT (0.471±0.21 to 0.558±0.23, p<0.001), BBS (39.66±8.63 to 43.80±5.21, p<0.001), and ABC (38.39±13.46 to 46.93±12.32, p<0.001). The step-length symmetry (1.017±0.25 to 0.990±0.19, p=0.720) and overall temporal symmetry (1.404±0.36 to 1.314±0.34, p=0.218) showed improvement without statistical significance.ConclusionATT improves the functional aspects of gait, including CWT, BBS and ABC, and spatiotemporal gait symmetry, though without statistical significance. Further studies are required to examine and compare the potential benefits of ATT as a new modality for stroke therapy, with other modalities.

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“…Therefore, this training is popular as a training method for elder persons and persons in rehabilitation, etc. [39,40]. The conventional assistive devices, which contain many electrical parts, will be difficult to apply for the underwater training from the waterproof point of view.…”

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confidence: 99%

A Motion Control of Soft Gait Assistive Suit by Gait Phase Detection Using Pressure Information

et al. 2019

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Power assistive devices have been developed in recent years. To detect the wearer’s motion, conventional devices require users to wear sensors. However, wearing many sensors increases the wearing time, and usability of the device will become worse. We developed a soft gait assistive suit actuated by pneumatic artificial rubber muscles (PARMs) and proposed its control method. The proposed suit is easy to wear because the attachment unit does not have any electrical sensors that need to be attached to the trainee’s body. A target application is forward walking exercise on a treadmill. The control unit detects the pre-swing phase in the gait cycle using the pressure information in the calf back PARMs. After the detection, the suit assists the trainee’s leg motion. The assist force is generated by the controlled PARM pressure, and the pressure input time is changed appropriately considering the gait cycle time. We conducted walking experiments; (1) verifies the proposed control method works correctly, and (2) verifies whether the gait assistive suit is effective for decreasing muscular activity. Finally, we confirmed that the accurate phase detection can be achieved by using the proposed control method, and the suit can reduce muscular activity of the trainee’s leg.

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The Effect of Underwater Gait Training on Balance Ability of Stroke Patients

Cited by 33 publications

References 28 publications

Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial

Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial

Efficacy of Aquatic Treadmill Training on Gait Symmetry and Balance in Subacute Stroke Patients

A Motion Control of Soft Gait Assistive Suit by Gait Phase Detection Using Pressure Information

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