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Does a single gait training session performed either overground or on a treadmill induce specific short-term effects on gait parameters in patients with hemiparesis? A randomized controlled study.
Top Stroke Rehabil. 2013 Nov-Dec; 20(6):509-18.TS

Abstract

BACKGROUND

Gait training for patients with hemiparesis is carried out independently overground or on a treadmill. Several studies have shown differences in hemiparetic gait parameters during overground versus treadmill walking. However, few studies have compared the effects of these 2 gait training conditions on gait parameters, and no study has compared the short-term effects of these techniques on all biomechanical gait parameters.

OBJECTIVE

To determine whether a gait training session performed overground or on a treadmill induces specific short-term effects on biomechanical gait parameters in patients with hemiparesis.

METHODS

Twenty-six subjects with hemiparesis were randomly assigned to a single session of either overground or treadmill gait training. The short-term effects on spatiotemporal, kinematic, and kinetic gait parameters were assessed using gait analysis before and immediately after the training and after a 20-minute rest.

RESULTS

Speed, cadence, percentage of single support phase, peak knee extension, peak propulsion, and braking on the paretic side were significantly increased after the gait training session. However, there were no specific changes dependent on the type of gait training performed (overground or on a treadmill).

CONCLUSION

A gait training session performed by subjects with hemiparesis overground or on a treadmill did not induce specific short-term effects on biomechanical gait parameters. The increase in gait velocity that followed a gait training session seemed to reflect specific modifications of the paretic lower limb and adaptation of the nonparetic lower limb.

Authors+Show Affiliations

Université Versailles Saint Quentin en Yvelines, EA 4497, CIC-IT 805, APHP Service de physiologie et d'exploration fonctionnelle, Hôpital Raymond Poincaré, Garches, France Laboratoire AGIM, FRE 3405 CNRS/UJF Grenoble/UPMF/EPHE, La Tronche, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

24273298

Citation

Bonnyaud, Céline, et al. "Does a Single Gait Training Session Performed Either Overground or On a Treadmill Induce Specific Short-term Effects On Gait Parameters in Patients With Hemiparesis? a Randomized Controlled Study." Topics in Stroke Rehabilitation, vol. 20, no. 6, 2013, pp. 509-18.
Bonnyaud C, Pradon D, Zory R, et al. Does a single gait training session performed either overground or on a treadmill induce specific short-term effects on gait parameters in patients with hemiparesis? A randomized controlled study. Top Stroke Rehabil. 2013;20(6):509-18.
Bonnyaud, C., Pradon, D., Zory, R., Bensmail, D., Vuillerme, N., & Roche, N. (2013). Does a single gait training session performed either overground or on a treadmill induce specific short-term effects on gait parameters in patients with hemiparesis? A randomized controlled study. Topics in Stroke Rehabilitation, 20(6), 509-18. https://doi.org/10.1310/tsr2006-509
Bonnyaud C, et al. Does a Single Gait Training Session Performed Either Overground or On a Treadmill Induce Specific Short-term Effects On Gait Parameters in Patients With Hemiparesis? a Randomized Controlled Study. Top Stroke Rehabil. 2013 Nov-Dec;20(6):509-18. PubMed PMID: 24273298.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does a single gait training session performed either overground or on a treadmill induce specific short-term effects on gait parameters in patients with hemiparesis? A randomized controlled study. AU - Bonnyaud,Céline, AU - Pradon,Didier, AU - Zory,Raphael, AU - Bensmail,Djamel, AU - Vuillerme,Nicolas, AU - Roche,Nicolas, PY - 2013/11/26/entrez PY - 2013/11/26/pubmed PY - 2014/1/15/medline KW - biomechanical parameters KW - gait training KW - hemiparesis KW - overground KW - treadmill SP - 509 EP - 18 JF - Topics in stroke rehabilitation JO - Top Stroke Rehabil VL - 20 IS - 6 N2 - BACKGROUND: Gait training for patients with hemiparesis is carried out independently overground or on a treadmill. Several studies have shown differences in hemiparetic gait parameters during overground versus treadmill walking. However, few studies have compared the effects of these 2 gait training conditions on gait parameters, and no study has compared the short-term effects of these techniques on all biomechanical gait parameters. OBJECTIVE: To determine whether a gait training session performed overground or on a treadmill induces specific short-term effects on biomechanical gait parameters in patients with hemiparesis. METHODS: Twenty-six subjects with hemiparesis were randomly assigned to a single session of either overground or treadmill gait training. The short-term effects on spatiotemporal, kinematic, and kinetic gait parameters were assessed using gait analysis before and immediately after the training and after a 20-minute rest. RESULTS: Speed, cadence, percentage of single support phase, peak knee extension, peak propulsion, and braking on the paretic side were significantly increased after the gait training session. However, there were no specific changes dependent on the type of gait training performed (overground or on a treadmill). CONCLUSION: A gait training session performed by subjects with hemiparesis overground or on a treadmill did not induce specific short-term effects on biomechanical gait parameters. The increase in gait velocity that followed a gait training session seemed to reflect specific modifications of the paretic lower limb and adaptation of the nonparetic lower limb. SN - 1074-9357 UR - https://www.unboundmedicine.com/medline/citation/24273298/Does_a_single_gait_training_session_performed_either_overground_or_on_a_treadmill_induce_specific_short_term_effects_on_gait_parameters_in_patients_with_hemiparesis_A_randomized_controlled_study_ L2 - https://www.tandfonline.com/doi/full/10.1310/tsr2006-509 DB - PRIME DP - Unbound Medicine ER -