Useless, you still haven't written a stroke protocol on this even with the previous research to guide you. Did you even know about this previous research?
Kinematics of turning during walking over ground and on a rotating treadmill post-stroke August 2014
Novel gait training alters functional brain connectivity during walking in chronic stroke patients: a randomized controlled pilot trial
- I-Hsuan Chen,
- Yea-Ru Yang,
- Chia-Feng Lu and
- Ray-Yau WangEmail author
Journal of NeuroEngineering and Rehabilitation201916:33
© The Author(s). 2019
- Received: 2 October 2017
- Accepted: 22 February 2019
- Published: 28 February 2019
Abstract
Background
A recent study has
demonstrated that a turning-based treadmill program yields greater
improvements in gait speed and temporal symmetry than regular treadmill
training in chronic stroke patients. However, it remains unknown how
this novel and challenging gait training shapes the cortico-cortical
network and cortico-spinal network during walking in chronic stroke
patients. The purpose of this study was to examine how a novel type of
gait training, which is an unfamiliar but effective task for people with
chronic stroke, enhances brain reorganization.
Methods
Subjects in the experimental
and control groups received 30 min of turning-based treadmill training
and regular treadmill training, respectively. Cortico-cortical
connectivity and cortico-muscular connectivity during walking and gait
performance were assessed before and after completing the 12-session
training.
Results
Eighteen subjects (n = 9
per group) with a mean age of 52.5 ± 9.7 years and an overground
walking speed of 0.61 ± 0.26 m/s consented and participated in this
study. There were significant group by time interactions for gait speed,
temporal gait symmetry, and cortico-cortical connectivity as well as
cortico-muscular connectivity in walk-related frequency (24–40 Hz) over
the frontal-central-parietal areas. Compared with the regular treadmill
training, the turning-based treadmill training resulted in greater
improvements in these measures. Moreover, the increases in
cortico-cortical connectivity and cortico-muscular connectivity while
walking were associated with improvements in temporal gait symmetry.
Conclusions
Our findings suggest this
novel turning-based treadmill training is effective for enhancing brain
functional reorganization underlying cortico-cortical and
corticomuscular mechanisms and thus may(Stop using weasel words and write a fucking protocol.) result in gait improvement in
people with chronic stroke.
Trial registration
ACTRN12617000190303. Registered 3 February 2017, retrospectively registered.
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