Really? Your doctor got you to sign off on the risks of HIT?
And your doctor and therapists will 100% guarantee that HIT will not cause a stroke? By verifying that your aneurysms will not blow out?
Do you really want to do high intensity training?
Because Andrew Marr blames high-intensity training for his stroke.
Can too much exercise cause a stroke?
For me to even attempt HIT on walking I would need my spasticity cured so my knee and hip won't deteriorate.
The latest here:
Effects of high-intensity gait training with and without soft robotic exosuits in people post-stroke: A development-of-concept pilot crossover trial
Journal of NeuroEngineering and Rehabilitation. Volume 20(148)
NARIC Accession Number: J93170. What's this?
Author(s): Porciuncula, Franchino, Revi, Dheepak A., Baker, Teresa C., Sloutsky, Regina, Walsh, Conor J., Ellis, Terry D., Awad, Louis N..
Publication Year: 2023.
Abstract: This study evaluated the outcomes achieved by high-intensity gait training with and without soft robotic exosuits. In this 2-arm pilot crossover study, four individuals post-stroke completed 12 visits of speed-based, high-intensity gait training: six consecutive visits of Robotic Exosuit Augmented Locomotion (REAL) gait training and six consecutive visits without the exosuit (CONTROL). The intervention arms were counterbalanced across study participants and separated by 6 or more weeks of washout. Walking function was evaluated before and after each intervention using 6-Minute Walk Test (6MWT) distance and 10-Meter Walk Test (10mWT) speed. Moreover, 10mWT speeds were evaluated before each training visit, with the time-course of change in walking speed computed for each intervention arm. For each participant, changes in each outcome were compared to minimal clinically important difference (MCID) thresholds. Secondary analyses focused on changes in propulsion mechanics and associated biomechanical metrics. Large between-group effects were observed for 6MWT distance and 10mWT speed. REAL gait training resulted in an average pre-post change of 68 meters in 6MWT distance, compared to a pre-post change of 30 meters after CONTROL gait training. Similarly, REAL training resulted in a pre-post change of 0.08 m/s in 10mWT speed, compared to a pre-post change of 0.01 m/s after CONTROL. For both outcomes, 3 of 4 study participants surpassed MCIDs after REAL training, whereas 1 of 4 surpassed MCIDs after CONTROL training. Across the training visits, REAL training resulted in a 1.67 faster rate of improvement in walking speed. Similar patterns of improvement were observed for the secondary gait biomechanical outcomes, with REAL training resulting in significantly improved paretic propulsion for 3 of 4 study participants compared to 1 of 4 after CONTROL.
Descriptor Terms: AMBULATION, MOBILITY TRAINING, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Request Information.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01267-9(link is external).
Citation: Porciuncula, Franchino, Revi, Dheepak A., Baker, Teresa C., Sloutsky, Regina, Walsh, Conor J., Ellis, Terry D., Awad, Louis N.. (2023.) Effects of high-intensity gait training with and without soft robotic exosuits in people post-stroke: A development-of-concept pilot crossover trial. Journal of NeuroEngineering and Rehabilitation., 20(148) Retrieved 1/30/2024, from REHABDATA database.
NARIC Accession Number: J93170. What's this?
Author(s): Porciuncula, Franchino, Revi, Dheepak A., Baker, Teresa C., Sloutsky, Regina, Walsh, Conor J., Ellis, Terry D., Awad, Louis N..
Publication Year: 2023.
Abstract: This study evaluated the outcomes achieved by high-intensity gait training with and without soft robotic exosuits. In this 2-arm pilot crossover study, four individuals post-stroke completed 12 visits of speed-based, high-intensity gait training: six consecutive visits of Robotic Exosuit Augmented Locomotion (REAL) gait training and six consecutive visits without the exosuit (CONTROL). The intervention arms were counterbalanced across study participants and separated by 6 or more weeks of washout. Walking function was evaluated before and after each intervention using 6-Minute Walk Test (6MWT) distance and 10-Meter Walk Test (10mWT) speed. Moreover, 10mWT speeds were evaluated before each training visit, with the time-course of change in walking speed computed for each intervention arm. For each participant, changes in each outcome were compared to minimal clinically important difference (MCID) thresholds. Secondary analyses focused on changes in propulsion mechanics and associated biomechanical metrics. Large between-group effects were observed for 6MWT distance and 10mWT speed. REAL gait training resulted in an average pre-post change of 68 meters in 6MWT distance, compared to a pre-post change of 30 meters after CONTROL gait training. Similarly, REAL training resulted in a pre-post change of 0.08 m/s in 10mWT speed, compared to a pre-post change of 0.01 m/s after CONTROL. For both outcomes, 3 of 4 study participants surpassed MCIDs after REAL training, whereas 1 of 4 surpassed MCIDs after CONTROL training. Across the training visits, REAL training resulted in a 1.67 faster rate of improvement in walking speed. Similar patterns of improvement were observed for the secondary gait biomechanical outcomes, with REAL training resulting in significantly improved paretic propulsion for 3 of 4 study participants compared to 1 of 4 after CONTROL.
Descriptor Terms: AMBULATION, MOBILITY TRAINING, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Request Information.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01267-9(link is external).
Citation: Porciuncula, Franchino, Revi, Dheepak A., Baker, Teresa C., Sloutsky, Regina, Walsh, Conor J., Ellis, Terry D., Awad, Louis N.. (2023.) Effects of high-intensity gait training with and without soft robotic exosuits in people post-stroke: A development-of-concept pilot crossover trial. Journal of NeuroEngineering and Rehabilitation., 20(148) Retrieved 1/30/2024, from REHABDATA database.
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