Asking for more research. Until that research is completed at least write up a tentative stroke protocol so we don't waste another couple of years DOING NOTHING. This didn't help me at all, spasticity prevented decent walking, and of course my doctor had absolutely nothing for spasticity. My occupational therapist actually setup my botox injections
Body weight-supported treadmill training after stroke
Stefan Hesse, MD, Cordula Werner, MS, Anita Bardeleben,MS, and Hugues Barbeau, PhDAddress
Department of Neurological Rehabilitation, Klinik Berlin, Free University Berlin, Kladower Damm 223, Berlin 14089, Germany. E-mail: hesse@reha-hesse.de
Current Atherosclerosis Reports
2001,
3
:287 – 294 Current Science Inc. ISSN 1523-3804Copyright © 2001 by Current Science Inc.
Gait rehabilitation is a major aspect of neurologic rehabilitation. This review focuses on locomotor therapy by treadmill stimulation with partial body weight support (BWS), which has become a very promising treatment concept over the past few years. It enables severely affected patients to follow modern aspects of motor learning, favoring a task-specific approach. Initially two therapists assist the movement, placing the paretic limbs and controlling the trunk movements. As compared with overground walking, patients walked more symmetrically, less spastically, and more efficiently on the treadmill with BWS. Several clinical controlled studies have shown its potential in patients after stroke, who regained walking ability faster in the acute or in the chronic stage. Controlled multicenter trials comparing locomotor and conventional therapy will be the next step. Also, the use of BWS during overground walking could be incorporated into the locomotor treatment program of less affected stroke patients. An electromechanical gait trainer relieving the strenuous effort of the therapists and controlling the trunk in a phase-dependent manner is a new technical alternative for severe stroke patients.
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