Treadmill-Based Locomotor Training with Leg Weights to Enhance Functional Ambulation in People with Chronic Stroke: A Pilot Study

Lam, Tania; Luttmann, Kathryn; Houldin, Adina; Chan, Catherine B.

doi:10.1097/npt.0b013e3181b57de5

Cited by 40 publications

(27 citation statements)

References 64 publications

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“…(Laufer et al, 2001;Gorman, 2007;Lam et al, 2009). Randomized trials of BWSTT have shown improvements in gait parameters such as stride length and singlelimb support in the chronic stroke patients (Laufer et al, 2001;Werner et al, 2002).…”

Section: Body Weight Support Treadmill Trainingmentioning

confidence: 95%

“…In a hemiparetic patient, BWSTT creates a partial unloading of the lower extremities. Reduced load on the paretic lower extremity results in a straighter trunk and knee alignment during the weight bearing phase (Laufer et al, 2001;Lindquist et al, 2007;Lam et al, 2009). Further, due to movement of treadmill, there is a decrease in double-limb support time (stance phase), increase in single-limb support time (swing phase) and increase in walking speed (Laufer et al, 2001;Enzinger et al, 2009).…”

Section: Body Weight Support Treadmill Trainingmentioning

confidence: 97%

See 1 more Smart Citation

Movement therapy induced neural reorganization and motor recovery in stroke: A review

Arya

Pandian

Verma

et al. 2011

Journal of Bodywork and Movement Therapies

152

100

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Section: Body Weight Support Treadmill Trainingmentioning

confidence: 95%

Section: Body Weight Support Treadmill Trainingmentioning

confidence: 97%

Movement therapy induced neural reorganization and motor recovery in stroke: A review

Arya

Pandian

Verma

et al. 2011

Journal of Bodywork and Movement Therapies

152

100

View full text Add to dashboard Cite

“…Given these functional considerations, it seems warranted to further investigate the potential benefits of gait training combined with resistance. In people with chronic stroke, we have shown that up to 12 wk of BWSTT combined with leg weights around the paretic limb could improve functional ambulation, including the ability to climb stairs [39]. A recent case report study of the effect of a 3 mo training study using Lokomat-applied resistance in an individual with chronic m-iSCI also showed very promising results [40].…”

Section: Introductionmentioning

confidence: 96%

Training with robot-applied resistance in people with motor-incomplete spinal cord injury: Pilot study

Lam¹,

Pauhl²,

Ferguson³

et al. 2015

J Rehabil Res Dev

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Abstract-People with motor-incomplete spinal cord injury (m-iSCI) can recover basic walking function but still have difficulty performing the skilled walking required for everyday environments. We hypothesized that a robotic-based gait rehabilitation strategy founded on principles of motor learning would be a feasible and potentially effective approach for improving skilled walking in people with m-iSCI. Fifteen individuals with chronic (>1 yr) m-iSCI were randomly allocated to body weight-supported treadmill training (BWSTT) with Lokomat-applied resistance (Loko-R) or conventional Lokomat-assisted BWSTT (Control). Training sessions were 45 min, 3 times/week for 3 mo. Tolerance to training was assessed by ratings of perceived exertion and reports of pain/ soreness. Overground skilled walking capacity (Spinal Cord Injury-Functional Ambulation Profile [SCI-FAP]), as well as walking speed and distance, were measured at baseline, posttraining, and 1 and 6 mo follow-up. Our results indicate that Loko-R training could be feasibly applied for people with miSCI, although participants in Loko-R tended to report higher levels of perceived exertion during training. Participants in the Loko-R group performed significantly better in the SCI-FAP than Control at posttraining and in follow-up assessments. This study provides evidence that Loko-R training is feasible in people with m-iSCI. Furthermore, there is preliminary evidence suggesting that Loko-R may help improve performance in skilled overground walking tasks. Clinical Trial

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“…A study by Lam et al 13 reported that additional weight application on stroke patients showed increased flexor strength during flexion of the lower limb in the swing phase of gait, and influenced activation of the extensor muscles during the stance phase of gait.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 These results show increasing capabilities with an increase in swing phase following hip joint flexor muscle activity increase. 13 However, studies mentioned above are cross-sectional studies and not training studies, which is inadequate to testify about aquatic gait training with additional weight load applied onto stroke patients. In addition, most studies have focused on orthopedic patients, the elderly population, and normal, healthy people and there is lack of research with detailed data on balance abilities of patients with central nervous system diseases.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Underwater Gait Training with Additional Weight Application and Over-ground Gait Training to Improve Balance and Lower Extremity Strength in Persons with Stroke

Park

Chung

2017

J Kor Phys Ther

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Purpose: This purpose of this study was to compare additionally applied weight underwater gait training and over-ground gait training to improve balance and lower extremity strength in stroke patients. Methods: Subjects were randomly allocated into two groups. Underwater gait training group (n = 10) and Over-ground gait training group (n= 9). The groups performed their respective programs as well as conventional physical therapy 3 times/week for 6 weeks. All subjects were assessed with the Berg balance scale test, the timed up and go test, and the medical research council test pre and post intervention. A paired t test was applied to compare the differences before and after the intervention, and an independent t test was used to compare the differences between the groups. The level of statistical significance was set at p< 0.05. Results:The results showed that subjects in the underwater gait training group had a significantly increased Berg balance scale, timed up and go, and medical research council scores (p< 0.05), and over-ground gait training group showed a significantly increased medical research council score (p< 0.05) after intervention. The underwater gait training group showed a more significant improvement in medical research council, Berg balance scale and the timed up and go test scores compared to the over-ground gait training group (p< 0.05). Conclusion: Findings of this study suggest that applying additional weight during underwater gait training improves lower extremity strength and balance in stroke patients. It' findings can contribute to the development of more efficient rehabilitation for stroke patients.

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Treadmill-Based Locomotor Training with Leg Weights to Enhance Functional Ambulation in People with Chronic Stroke: A Pilot Study

Cited by 40 publications

References 64 publications

Movement therapy induced neural reorganization and motor recovery in stroke: A review

Movement therapy induced neural reorganization and motor recovery in stroke: A review

Training with robot-applied resistance in people with motor-incomplete spinal cord injury: Pilot study

A Comparison of Underwater Gait Training with Additional Weight Application and Over-ground Gait Training to Improve Balance and Lower Extremity Strength in Persons with Stroke

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