The effects of treadmill walking combined with obstacle-crossing on walking ability in ambulatory patients after stroke: A pilot randomized controlled trial

I bet the obstacles covered here don't include stepping over 18 inch high trees, in mud, in water, in snow, on ice? If not, they are missing real life training.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77374&phrase=no&rec=135312&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(6) , Pgs. 406-412.

NARIC Accession Number: J77374.  What's this?
ISSN: 1074-9357.
Author(s): Jeong, Yeon-Gyu; Koo, Jung-Wan.
Publication Year: 2016.
Number of Pages: 7.
Abstract: Study investigated the effects of treadmill walking combined with obstacle-crossing on the walking ability of ambulatory post-stroke patients. Twenty-nine subjects from a university hospital-based rehabilitation center were randomly assigned to one of the following: experimental group (15 subjects) or control group (14 subjects). All subjects underwent 30 minutes of active/passive exercises and 30 minutes of gait training in the form of treadmill walking. The subjects in the experimental group underwent simultaneous training in obstacle-crossing while walking on the treadmill for 30 minutes a day, 5 times a week, for 4 weeks. Main measures were the 10-Meter Walk Test (10MWT), 6-Minute Walk Test (6MWT), Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Activities-specific Balance Confidence (ABC) scale used before and after the intervention. The changed values of the 6MWT and BBS were significantly higher in the experimental group than in the control group after adjusting for each baseline value, with large effects of 1.12 and 0.78, respectively, but not in the 10MWT, TUG, and ABC scale scores. Both groups showed a significant difference in all variables before and after the intervention. Treadmill walking combined with obstacle-crossing training may help improve the walking ability of patients with hemiplegic stroke and can possibly be used as an adjunct to routine rehabilitation therapy as a task-oriented practice based on community ambulation.
Descriptor Terms: AMBULATION, OUTCOMES, REHABILITATION TECHNOLOGY, STROKE, THERAPEUTIC TRAINING.


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Citation: Jeong, Yeon-Gyu, Koo, Jung-Wan. (2016). The effects of treadmill walking combined with obstacle-crossing on walking ability in ambulatory patients after stroke: A pilot randomized controlled trial.  Topics in Stroke Rehabilitation , 23(6), Pgs. 406-412. Retrieved 1/14/2018, from REHABDATA database.