I really believe your therapists and doctors should be doing massive amounts of perturbation training so you know how to recover and prevent falling. My doctor always asks me if I fall; 'Of course I do, if I don't, I'm not challenging myself to be able to keep walking until I die at 100!' She doesn't like that answer; 'Well, she's wrong about that for me'.
Stroke Patient Rehabilitation: An Analysis of the Effects of Perturbation Training Combined with Hip Unloading Gait Strategies
- 1 Department of Physical Medicine and Rehabilitation, Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing, China
- 2 Tianjin University of Technology, Tianjin, China
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Background:
Perturbation training has been proven effective in reducing the risk of falls in stroke patients. When combined with hip unloading walking training, it may further enhance the restoration of walking and balance functions. This study aims to explore the rehabilitation effects of this combined training strategy on walking disabilities in post-stroke patients, with the goal of providing new methodological guidance for clinical rehabilitation.
Methods:
A randomized controlled trial was conducted at Beijing Tsinghua Changgung Hospital with stroke patients aged 18-70 years(Once you get past 70 years you had better have fallen enough to strengthen your bones. Therefore this perturbation training past 70 is probably too risky, you'll have to have your stroke early like me, at age 50!). Thirty patients were included and randomly assigned to three groups: the hip unloading walking group, the hip unloading plus perturbation walking group, and the control group, with ten patients in each. The effectiveness of the training was assessed before and after using the 10-meter walk test and the Berg Balance Scale, along with secondary indicators including the Fugl-Meyer Assessment for Lower Extremity, Functional Ambulation Categories, three-dimensional gait analysis, and the timed up-and-go test.Compared to other types of unloading perturbation training methods, hip unloading training exhibits unique superiority. Perturbation training significantly improved the balance and walking efficiency of stroke patients, especially those with severe balance issues, outperforming traditional rehabilitation methods. The unloading group also showed a positive trend, although it did not reach statistical significance. This demonstrates the potential value of perturbation training in stroke rehabilitation.
Keywords: Stroke, Clinical rehabilitation, Hip Joint Weight-Reduced Perturbation Walking Training, Balance Issues, Walking Function Recovery
Received: 13 Sep 2024; Accepted: 08 Feb 2025.
Copyright: © 2025 Fan, Ma and Pan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yu Pan, Department of Physical Medicine and Rehabilitation,
Beijing Tsinghua Changgeng Hospital, Tsinghua University, Beijing,
102218, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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