With no protocol we can never make appropriate improvements to get this better for every survivor.
You'll hear the fuckingly stupid excuse of: 'All strokes are different, all stroke recoveries are different'.
It's time to start screaming at your 'stroke medical professionals'. With no protocols you are essentially dealing with amateurs.
My god, all this earlier research and NO protocol came out of it.
Partial body weight support treadmill training speed influences paretic and non-paretic leg muscle activation, stride characteristics, and ratings of perceived exertion during acute stroke rehabilitation Feb. 2016
Varied Overground Walking Training Versus Body-Weight-Supported Treadmill Training in Adults Within 1 Year of Stroke March 2015
Influence of visual and auditory biofeedback on partial body weight support treadmill training of individuals with chronic hemiparesis: a randomized controlled clinical trial. Feb. 2015
Physiological responses and energy cost of walking on the Gait Trainer with and without body weight support in subacute stroke patients April 2014
And the latest here: still with no protocol specified.
Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled studyAnnals of Physical and Rehabilitation Medicine , Volume 59(4) , Pgs. 235-241.
NARIC Accession Number: J75408. What's this?
Author(s): Srivastava, Abhishek; Taly, Arun B.; Gupta, Anupam; Kumar, Sendhil; Murali, Thyloth.
Publication Year: 2016.
Number of Pages: 7.
Abstract: Study evaluated the role of bodyweight-supported treadmill training (BWSTT) for chronic stroke survivors. Forty-five patients with a first episode of supratentorial arterial stroke of more than 3 months’ duration were randomly allocated to 3 groups: overground gait training, treadmill training without bodyweight support, and BWSTT (20 sessions, 30 minutes a day, 5 days a week, for 4 weeks). The primary outcome was overground walking speed and endurance and secondary outcome was improvement by the Scandinavian Stroke Scale and locomotion by the Functional Ambulation Category. Data were analyzed within groups (pre-training vs post-training and pre-training vs 3-month follow-up) and between groups (at post-training and 3-month follow-up). Forty patients (89.9 percent) completed training and 34 (75.5 percent) were followed up at 3 months. All primary and secondary outcome measures showed significant improvement in the 3 groups at the end of training, which was sustained at 3-month follow-up (except walking endurance in the overground training group). Outcomes were better with BWSTT but not significantly. Results suggest that BWSTT offers improvement in gait but has no significant advantage over conventional gait-training strategies for chronic stroke survivors.
Descriptor Terms: AMBULATION, MOBILITY TRAINING, PHYSICAL STRESS, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Srivastava, Abhishek, Taly, Arun B., Gupta, Anupam, Kumar, Sendhil, Murali, Thyloth. (2016). Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study. Annals of Physical and Rehabilitation Medicine , 59(4), Pgs. 235-241. Retrieved 3/10/2017, from REHABDATA database.