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

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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Archives of Physical Medicine and Rehabilitation.