Deans' stroke musings: Effects of gait training with body weight support on a treadmill versus overground in individuals with stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, May 12, 2017

Effects of gait training with body weight support on a treadmill versus overground in individuals with stroke

Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 738-745.

NARIC Accession Number: J75829. What's this?
ISSN: 0003-9993.
Author(s): Gama, Gabriela L.; Celestino, Melissa L.; Barela, Jose A.; Forrester, Larry; Whitall, Jill; Barela, Ana M..
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study investigated the effects of gait training with body weight support (BWS) on a treadmill versus overground in 28 individuals with chronic stroke. Participants were randomly assigned to receive gait training with BWS on a treadmill or overground 3 times a week for 6 weeks. Outcome measures included: gait speed measured using the 10-Meter Walk Test, endurance measured using the 6-Minute Walk Test, functional independence measured using the motor domain of the Functional Independence Measure, lower-limb recovery measured using the lower-extremity domain of the Fugl-Meyer assessment, step length, step-length symmetry ratio, and single-limb support duration. Measurements were obtained at baseline, immediately after the training session, and 6 weeks after the training session. At 1 week after the last training session, both groups improved in all outcome measures except paretic step length and step-length symmetry ratio, which were improved only in the overground group. At 6 weeks after the last training session, all improvements remained and the treadmill group also improved paretic step length, but not step-length symmetry ratio. Results demonstrated that individuals with chronic stroke equally improved gait speed and other gait parameters after 18 sessions of BWS gait training either on a treadmill or overground. However, only the overground group improved step-length symmetry ratio, suggesting a role of integrating overground walking into BWS interventions poststroke.
Descriptor Terms: AMBULATION, ASSISTIVE TECHNOLOGY, EXERCISE, MOBILITY TRAINING, MOTOR SKILLS, REHABILITATION TECHNOLOGY, STROKE.

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Citation: Gama, Gabriela L., Celestino, Melissa L., Barela, Jose A., Forrester, Larry, Whitall, Jill, Barela, Ana M.. (2017). Effects of gait training with body weight support on a treadmill versus overground in individuals with stroke. Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 738-745. Retrieved 5/13/2017, from REHABDATA database.

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More information about this publication:
Archives of Physical Medicine and Rehabilitation.