Deans' stroke musings: Gait Parameters Associated With Responsiveness to Treadmill Training With Body-Weight Support After Stroke: An Exploratory Study

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.

Monday, April 13, 2020

Gait Parameters Associated With Responsiveness to Treadmill Training With Body-Weight Support After Stroke: An Exploratory Study

It has been ten years. HAVE WE LEARNED ONE DAMN THING FROM THIS? WHERE THE FUCK IS THE PROTOCOL?

Gait Parameters Associated With Responsiveness to Treadmill Training With Body-Weight Support After Stroke: An Exploratory Study

doi: 10.2522/ptj.20090141Originally published online December 18, 2009 2010; 90:209-223.
PHYS THER

Sara J. Mulroy, Tara Klassen, JoAnne K. Gronley, Valerie J. Eberly, David A. Brown,Katherine J. Sullivan
Background.
Task-speciﬁc training programs after stroke improve walking func-tion, but it is not clear which biomechanical parameters of gait are most associated with improved walking speed.
Objective.
The purpose of this study was to identify gait parameters (LAZY, LAZY, LAZY. We need protocols not identification.)associated with improved walking speed after a locomotor training program that included body-weight–supported treadmill training (BWSTT).
Design.
A prospective, between-subjects design was used.
Methods.
Fifteen people, ranging from approximately 9 months to 5 years after stroke, completed 1 of 3 different 6-week training regimens. These regimens consisted of 12 sessions of BWSTT alternated with 12 sessions of: lower-extremity resistive cycling; lower-extremity progressive, resistive strengthening; or a sham condition of arm ergometry. Gait analysis was conducted before and after the 6-week intervention program. Kinematics, kinetics, and electromyographic (EMG) activity were recorded from the hemiparetic lower extremity while participants walked at a self-selected pace. Changes in gait parameters were compared in participants who showed an increase in self-selected walking speed of greater than 0.08 m/s (high-response group) and in those with less improvement (low-response group).
Results.
Compared with participants in the low-response group, those in the high-response group displayed greater increases in terminal stance hip extension angle and hip ﬂexion power (product of net joint moment and angular velocity) after the intervention. The intensity of soleus muscle EMG activity during walking also was signiﬁcantly higher in participants in the high-response group after the intervention.
Limitations.
Only sagittal plane parameters were assessed, and the sample size was small.
Conclusions.
Task speciﬁc locomotor training alternated with strength training resulted in kinematic, kinetic, and muscle activation adaptations that were strongly associated with improved walking speed. Changes in both hip and ankle biomechanics during late stance were associated with greater increases in gait speed.