Treadmill training with partial body weight support after stroke

Hesse, Stefan; Werner, Carsten; Frankenberg, S. V.; Bardeleben, Anita

doi:10.1016/s1047-9651(02)00061-x

Cited by 99 publications

(80 citation statements)

References 24 publications

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“…However, among hip arthroplasty patients, BWSTT had a positive effect on muscle strength, gait symmetry, and Harris score, suggesting that treadmill walking has the potential to improve gait-related outcomes among patients who undergo hip surgery. 16 Despite these positive observations among hip arthroplasty patients, there were distinct differences between that study by Hesse et al 16 and the current one; patients in that study were excluded if older than 75 years or if they were unable to walk with reciprocal crutches, whereas in the current study the average age of BWSTT participants was 79 years, and many had limited mobility at baseline. Further, because the current study was focused primarily on feasibility, the intensity and frequency of the training in the current study were lower and were based on participant tolerance.…”

Section: Discussionmentioning

confidence: 60%

“…15 A randomized controlled trial comparing 10 days of BWSTT to conventional therapy after total hip arthroplasty demonstrated significant improvements in Harris score (pain and mobility), muscle strength, and gait symmetry in favor of BWSTT, and these improvements persisted after 12 months. 16 However, the population of hip arthroplasty patients includes mainly patients with osteoarthritis, a population that is very different with respect to age and other health-related characteristics than patients with hip fracture. Whether BWSTT is feasible among patients with hip fractures remains to be determined.…”

Section: Hip Fractures; Physical Therapy Techniques; Rehabilitationmentioning

confidence: 99%

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Body Weight–Supported Treadmill Training for Patients With Hip Fracture: A Feasibility Study

Giangregorio

Thabane

DeBeer

et al. 2009

Archives of Physical Medicine and Rehabilitation

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Objective-To determine the feasibility of body weight-supported treadmill training (BWSTT) as a strategy for improving independent ambulation among patients who had sustained a hip fracture. Design-Nonrandomized controlled trial. Setting-Inpatient rehabilitation.Participants-Patients with a stable hip fracture and at least 50% weight-bearing. Intervention-BWSTT in lieu of standard walking exercises throughout stay in rehabilitation.Main Outcomes Measures-Feasibility outcomes included the number of patients agreeing to participate in treadmill walking, the number who returned for follow-up assessments, compliance, and the number of adverse events. Secondary outcomes included the Lower Extremity Functional Scale, the Timed Up & Go test, a 2-minute walk test, and the Falls Self-Efficacy Scale. Univariate regression was used to assess the group effect on score changes from baseline to discharge and from baseline to follow-up.Results-Among 41 potentially eligible patients, 21 (51%) agreed to participate and 14 returned for follow-up assessments. The recruitment goal of 12 patients agreeing to BWSTT was achieved; however, retention by 3-month follow-up was 67%. The average compliance was 3 sessions a week; however, several patients were below average. No adverse events of BWSTT were reported. There were no significant differences between groups with respect to secondary outcomes.Correspondence to Lora Giangregorio, PhD, Department of Kinesiology, University of Waterloo, 200 University Ave W, Waterloo, ON, N1H 8K4, lmgiangr@healthy.uwaterloo.ca. Clinical trial registration no.: NCT00197496.Reprints are not available from the author.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated. Ambulatory capacity is a predictor of returning home after discharge after hip fracture. 6,7 Mobility may be linked to lower extremity function; power of the leg extensors in the fractured leg has been positively associated with walking speed and stair-climbing time among patients after hip fracture. 8,9 Current strategies for training independent ambulation involve muscle strengthening, weight shifting, and balance exercises, as well as walking with or without assistive aids, generally in the hallways of inpatient units. Patients with hip fracture may not be allowed to bear full body weight initially, 10 which may be difficult for rehabilitation providers to control during walking exercises. Although participation in an inpatient rehabilitation program can achieve improvements in mobility, many patients with hip fracture remain dependent in transfers and locomotion at discharge. 10,11 Further, patients with a hip fracture continue to experience functional impairment a year after the fracture. 12,13A Cochrane review highlighted the paucity of evidence for rehabilitation strategies aimed at improving mobility after hip fracture. 14 BWSTT may be a useful method for retraini...

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Section: Discussionmentioning

confidence: 60%

Section: Hip Fractures; Physical Therapy Techniques; Rehabilitationmentioning

confidence: 99%

Body Weight–Supported Treadmill Training for Patients With Hip Fracture: A Feasibility Study

Giangregorio

Thabane

DeBeer

et al. 2009

Archives of Physical Medicine and Rehabilitation

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“…A systematic review performed by the author (manuscript submitted for publication) on level 1 evidence-(randomised controlled trials) for regimes for rehabilitation after THR found the use of PRT to be predictive of functional benefit, when measured either using objective measures such as muscle strength or subjective functional measures such as the WOMAC. These centrebased interventions (Hesse et al, 2003;Husby et al, 2009;Jesudason et al, 2002;Liebs et al, 2010;Suetta et al, 2004) were performed in the early period (<1 month following surgery) and the home-based interventions (Jan et al, 2004;Trudelle-Jackson et al 2004) were performed late (>1 month following surgery). A limitation of the home-based interventions assessed in the literature is that follow-up does not extend beyond the end of the exercise interventions periods.…”

Section: The Evidence For Post-operative Home or Centre-based Exercismentioning

confidence: 99%

Methods for Optimising Patient Function After Total Hip Arthroplasty

Okoro¹,

Lemmey²,

Maddison³

et al. 2012

Recent Advances in Hip and Knee Arthroplasty

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“…El sistema permite ejercitar la marcha de forma rítmica y repetitiva. Este tipo de tratamiento se presenta como más completo ya que, reduce la carga que debe desplazar el paciente durante la marcha y permite dar un numero de pasos por sesión mayor que el ECM (Hesse et al, 2003).…”

Section: Introductionunclassified

Rehabilitación de la marcha en el paciente con ictus. Revisión bibliográfica

Llobet¹,

Nicolau²

2018

AgoraSalut

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María araNtzazu rueScaS Nicolauarancha.ruescas@uv.es resumen introducción: La rehabilitación de la marcha es el objetivo principal de la fisioterapia en el ictus. Dos de los tratamientos más utilizados son el entrenamiento convencional de la marcha (ECM) y el entrenamiento de la marcha sobre cinta rodante con soporte de peso (EMSP). El objetivo principal de esta revisión ha sido realizar una revisión bibliográfica de la literatura científica, sobre la comparación entre el EMSP y el ECM en función de los resultados de las variables velocidad de la marcha, capacidad funcional y equilibrio. Y secundariamente, se ha pretendido evidenciar su eficacia en función de la cronicidad del ictus. metodología: Se realizó una búsqueda bibliográfica en siete bases de datos EMBASE, Scopus, Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LI-LACS), Web of Science (ISI), Physiotherapy Evidence Database (PEDro) y Cochrane, limitándola a estudios experimentales, prospectivos, aleatorizados y controlados, publicados entre enero de 2010 y diciembre de 2015 en lengua inglesa o española. resultados: Se incluyeron 11 artículos. Nuestros resultados parecen indicar una tendencia hacia la mejoría superior en el tratamiento EMSP. No obstante, no existen diferencias estadísti-camente significativas que lo abalen. Conclusión: No hemos encontrado evidencia para confirmar que el EMSP es un tratamiento más eficaz que el ECM, aunque clínicamente parece haber una mayor mejoría con el EMSP. La respuesta al tratamiento varía en función de la cronicidad. De modo que, los pacientes agudos tienen una mayor progresión en su capacidad de deambular, mientras que los crónicos mantienen la funcionalidad de la marcha. palabras clave: Ictus, rehabilitación de la marcha, soporte de peso, entrenamiento sobre el suelo, tapiz rodante. Abstract introduction:Gait rehabilitation is the main objective of the physiotherapy in the stroke. Two of the most used treatments in conventional walking training (ECM) and treadmill training with bodyweight support (EMSP). The main objective of this review has been to analize the scientific literature on the comparison between EMSP and ECM in the function of the results of variables gait velocity, functional capacity and balance. Secondarily, it has been tried to show its efficacy in the function of the chronicity of the stroke. methodology: A bibliographic search was conducted in seven databases EMBASE, Scopus, 366 àGora de Salut. Vol. V. iSSN: 2443-9827. doi: httP://dx.doi.orG/10.6035/aGoraSalut.2018.5.40 -PP. [365][366][367][368][369][370][371][372] Latin American and Caribbean Literature in Health Sciences (LILACS), Web of Science (ISI), Physiotherapy Evidence Database (PEDro) and Cochrane, limiting it to experimental, prospective, randomized and controlled studies, published between January 2010 and December 2015 in English or Spanish. results: Eleven articles were included. Our results seem to indicate a trend toward superior improvement in EMSP treatment. However, there are no statistically significant diffe...

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Treadmill training with partial body weight support after stroke

Cited by 99 publications

References 24 publications

Body Weight–Supported Treadmill Training for Patients With Hip Fracture: A Feasibility Study

Body Weight–Supported Treadmill Training for Patients With Hip Fracture: A Feasibility Study

Methods for Optimising Patient Function After Total Hip Arthroplasty

Rehabilitación de la marcha en el paciente con ictus. Revisión bibliográfica

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