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A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation.

Abstract

BACKGROUND AND PURPOSE
A new gait training strategy for patients with stroke proposes to support a percentage of the patient's body weight while retraining gait on a treadmill. This research project intended to compare the effects of gait training with body weight support (BWS) and with no body weight support (no-BWS) on clinical outcome measures for patients with stroke.
METHODS
One hundred subjects with stroke were randomized to receive one of two treatments while walking on a treadmill: 50 subjects were trained to walk with up to 40% of their body weight supported by a BWS system with overhead harness (BWS group), and the other 50 subjects were trained to walk bearing full weight on their lower extremities (no-BWS group). Treatment outcomes were assessed on the basis of functional balance, motor recovery, overground walking speed, and overground walking endurance.
RESULTS
After a 6-week training period, the BWS group scored significantly higher than the no-BWS group for functional balance (P = 0.001), motor recovery (P = 0.001), overground walking speed (P = 0.029), and overground w alking endurance (P = 0.018). The follow-up evaluation, 3 months after training, revealed that the BWS group continues to have significantly higher scores for overground walking speed (P = 0.006) and motor recovery (P = 0.039).
CONCLUSIONS
Retraining gait in patients with stroke while a percentage of their body weight was supported resulted in better walking abilities than gait training while the patients were bearing their full weight. This novel gait training strategy provides a dynamic and integrative approach for the treatment of gait dysfunction after stroke.

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  • FREE Publisher Full Text
  • Authors

    Visintin M, Barbeau H, Korner-Bitensky N, Mayo NE

    Source

    Stroke; a journal of cerebral circulation 29:6 1998 Jun pg 1122-8

    MeSH

    Adult
    Aged
    Aged, 80 and over
    Body Weight
    Cerebrovascular Disorders
    Exercise Test
    Exercise Therapy
    Female
    Follow-Up Studies
    Gait
    Hemiplegia
    Humans
    Male
    Middle Aged
    Patient Dropouts
    Treatment Outcome

    Pub Type(s)

    Clinical Trial
    Journal Article
    Randomized Controlled Trial
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    9626282