Ok, that was generalized and probably a bit overblown. but ask your therapist for the research that backs up their therapy suggestions and I bet there is little provided.
http://www.sciencedirect.com/science/article/pii/S138824571301167X
- a University of Maryland School of Medicine, Department of Physical Therapy and Rehabilitation Science, Baltimore, MD 21201, USA
- b University of Iowa Carver College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242, USA
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Check accessHighlights
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- Locomotor adaptation to a unilateral swing phase resistance during treadmill walking generalized to overground walking in all study participants.
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- Overground aftereffects resulted in a temporary reduction of step length asymmetry in participants with stroke who had baseline step length asymmetry.
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- Aftereffects in participants with stroke decayed at a slower rate overground compared to controls, despite no difference in the rate of treadmill adaptation between the two groups.
Abstract
Objectives
Determine
whether adaptation to a swing phase perturbation during gait
transferred from treadmill to overground walking, the rate of overground
deadaptation, and whether overground aftereffects improved step length
asymmetry in persons with hemiparetic stroke and gait asymmetry.
Methods
Ten
participants with stroke and hemiparesis and 10 controls walked
overground on an instrumented gait mat, adapted gait to a swing phase
perturbation on a treadmill, then walked overground on the gait mat
again. Outcome measures, primary: overground step length symmetry, rates
of treadmill step length symmetry adaptation and overground step length
symmetry deadaptation; secondary: overground gait velocity, stride
length, and stride cycle duration.
Results
Step
length symmetry aftereffects generalized to overground walking and
adapted at a similar rate on the treadmill in both groups. Aftereffects
decayed at a slower rate overground in participants with stroke and
temporarily improved overground step length asymmetry. Both groups’
overground gait velocity increased post adaptation due to increased
stride length and decreased stride duration.
Conclusions
Stroke
and hemiparesis do not impair generalization of step length symmetry
changes from adapted treadmill to overground walking, but prolong
overground aftereffects.
Significance
Motor adaptation during treadmill walking may be an effective treatment for improving overground gait asymmetries post-stroke.
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