Using body weight gait training on me didn't work. I needed the full body weight to counteract the spasticity. Lokomat training did work since it forced the spasticity into submission. My doctor however thought Lokomats were not useful. He didn't discuss it with me.
Body weight supported treadmill vs. overground gait training for acute stroke gait rehabilitation
International Journal of Rehabilitation Research:
May 14, 2019 - Volume Publish Ahead of Print - Issue -
p
doi: 10.1097/MRR.0000000000000357
Original article: PDF Only
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The purpose of this study was to evaluate the clinical
efficacy of body weight supported treadmill training for acute
post-stroke rehabilitation, relative to conventional therapy. Forty
individuals were randomized to receive either body weight supported
treadmill training or conventional therapy as part of standard care at
an acute rehabilitation facility. As part of normal care patients were
evaluated using the Functional Independence Measure; gait units and
length of stay were also recorded. Within 48 hours of discharge,
participants were evaluated using a Qualisys motion capture system to
measure spatiotemporal gait parameters. Participants allocated to the
body weight supported treadmill training group had a significantly lower
admission Functional Independence Measure, but had a longer length of
stay, and did not have significantly different discharge Functional
Independence Measure scores. Gait speed was the only spatiotemporal
outcome that was significantly different at discharge, and was lower for
the body weight supported treadmill training group. As seen in previous
literature, the clinical efficacy of body weight supported treadmill
training seems to be similar to that of conventional overground therapy.
Accounting for difference in admission scores the body weight supported
treadmill training and conventional therapy groups, both methods
performed comparably.
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