Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label backward walking. Show all posts
Showing posts with label backward walking. Show all posts

Monday, February 9, 2026

Comparison of multi-planar and sagittal-plane stepping machines for walking and balance restoration in chronic stroke: a randomized control trial (RCT)

 But is a split-belt treadmill or backwards walking better? 

DOESN'T YOUR INCOMPETENT? DOCTOR KNOW THAT SIMPLE ANSWER?

  • split-belt treadmill (15 posts to June2012)
  • backward walking (17 posts to February 2013)
  • Comparison of multi-planar and sagittal-plane stepping machines for walking and balance restoration in chronic stroke: a randomized control trial (RCT)


    We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

    Abstract

    Balance deficits are a common consequence of stroke, increasing the risk of falls. The Pinnacle Trainer (PT), which features a multi-planar exercise trajectory, has been shown to significantly activate hip abductors—key muscles for lateral stability. The elliptical trainer (ET), which simulates gait-like movement, is another commonly used rehabilitation tool. Both may offer viable options for gait training in individuals with chronic stroke. This study investigated the intervention effects of PT and ET on walking and balance abilities in individuals with chronic stroke. Thirty-six individuals with chronic stroke were randomly assigned to one of three groups: Pinnacle Trainer group (n = 12), ET group (n = 12), and control group (n = 12). Each group participated in an 8-week intervention program. The 6-minute walk test, 10-meter walk test, and the center of pressure (COP) displacements during obstacle crossing were measured as outcome measurements. The assessors (one therapist and one biomechanist) were blinded to the participants’ group assignments. All groups demonstrated significant improvements on the walking ability. Compared to the ET and control groups, the PT group showed significant improvements in mediolateral COP displacement, indicating enhanced balance and gait performance. These results support the integration of PT exercises into stroke rehabilitation programs targeting functional balance and mobility.

    Monday, December 8, 2025

    Walking is good for you. Walking backward can add to the benefits

     Didn't your fuckingly incompetent doctor have you doing this a decade ago? Or is yours so incompetent all they can write is E.T(Evaluate and Treat) to all the therapists? I could train a chimpanzee to do that! NO, SO COMPLETELY FUCKING INCOMPENT? And you're still paying them for shit?

  • backward walking (15 posts to April 2015)
  • Walking is good for you. Walking backward can add to the benefits

    Here’s a simple way to switch up your walking routine, according to experts: try going backward.

    Taking a brisk walk is an exercise rich in simplicity, and it can have impressive mental and physical benefits: stronger bones and muscles, cardiovascular fitness and stress relief, to name a few. But like any workout, hoofing it for your health may feel repetitive and even boring after a while.

    Backward walking, also known as retro walking or reverse walking, could add variety and value to an exercise routine, when done safely. Turning around not only provides a change of view, but also puts different demands on your body.

    Janet Dufek, a biomechanist and faculty member at the University of Nevada, Las Vegas, has researched the mechanics of both walking and landing from jumps to identify ways of preventing injuries and improving physical performance. And as a former college basketball player and a regular exerciser, she’s also done her fair share of backward walking.

    In humans, reverse locomotion can increase hamstring flexibility, strengthen underused muscles and challenges the mind as the body adjusts to a new movement and posture.

    “I see a lot of people in my neighborhood and they walk, and that’s good,” she said. “But they are still stressing the same elements of their structure over and over again. Walking backward introduces an element of cross-training, a subtly different activity.”

    On the treadmill

    Kevin Patterson, a personal trainer in Nashville, Tennessee, recommends the treadmill as the safest place to retro walk. You can adjust it to a slow speed. However, Patterson likes to turn off the treadmill — termed the “dead mill” — and have clients propel the belt on their own.

    “It can take a while to get the treadmill going, but from there we have them be the horsepower for the treadmill,” he said.

    Patterson said he uses backward walking with all his clients as an “accessory exercise” — a weight-training term for add-on movements designed to work a specific muscle group — or during warm-ups. The activity typically makes up a small part of the workouts, he said.

    “The treadmill is great for older clients because you have the handles on the side and you reduce that risk of falling,” he said.

    Off the treadmill

    Dufek suggests working a one-minute segment of backward walking into a 10-minute walk and adding time and distance as you get comfortable.

    You can also do it with a partner; face each other, perhaps clasp hands. One person walks backward, and the other strolls forward and watches for problems. Then switch positions.

    “At first, you start really, really slowly because there’s a balance accommodation and there is brain retraining. You are learning a new skill,” Dufek said. “You’re using muscles in different ways.”

    If you work your way up to running and get really good at it, you can try running a marathon backward — 26.2 miles or 42.2 kilometers. Yes, people have done that.

    Backward walking as cross-training

    Dufek classifies backward walking as a form of cross-training, or incorporating a mix of moves into a fitness program. Doing a range of exercises can help prevent overuse injuries, which can occur after repeatedly using the same muscle groups.

    For many people, cross-training involves different activities and types of exercise: for example, running one day, swimming the next, and strength training on a third day. But the modifications required to walk backward work in the same way, but on a micro level.

    Do small tweaks make much of a difference? Once an avid runner, Dufek said she had several pairs of running shoes and did not wear the same pair two days in a row.

    “The shoes had a different level of wear, a different design,” she said. “Just by changing that one element, in this case footwear, it would provide a slightly different stress to the system.”

    Retro walking as rehabilitation

    Physical therapists instruct some of their clients to reverse walk, which can be useful after knee injuries or for people in rehabilitation or recovering from surgery.

    “Backward walking is very different than forward walking from a force perspective, from a movement pattern perspective,” Dufek explained. Instead of landing heel first, “you strike the forefoot first, often quite gently, and often the heel does not contact the ground.”

    “This reduces of the range of motion in the knee joint, which allows for activity without stressing the (knee) joint,” Dufek said.

    Backward walking also stretches the hamstring muscles, the group of muscles at the back of the thigh. Dufek is interested in finding out if it improves balance and reduces fall risks in older adults by activating more senses of the body.

    Athletes do it naturally

    There is nothing unnatural about backward walking. In fact, backward running is a key skill for top athletes.

    Basketball players do it. So do soccer players. American football players — particularly the defensive backs — do it continually.

    “I played basketball and I probably spent 40% of my time playing defense and running backwards,” Dufek said.

    ___


    Sunday, September 22, 2024

    Advancing treatment for impairments caused by stroke

     

    Didn't your competent? doctor prescribe you backwards walking years ago? Oh, you don't have a competent? doctor, do you?

    Advancing treatment for impairments caused by stroke

    Backward walking improved walking speed and balance confidence

    September 20, 2024

    Lynn Dirk

    Dissemination research assistant, Brain Rehabilitation Research Center

    Some Veterans have health conditions for which standard care(That's because 'care' does not provide recovery! EXACT 100% REHAB RECOVERY PROTOCOLS DO, does your doctor have them?) has not yet led to full recovery. One example of this is impaired mobility after stroke. One of the ways VA advances treatment for these Veterans is through research to discover treatments that will lead to full recovery.

    VA clinical researcher Dr. Dorian K. Rose is dedicated to advancing treatment that will help Veterans recover walking ability after stroke. She was recently honored by the American Physical Therapy Association with a Catherine Worthingham Fellowship. This honor from the largest and oldest groups of physical therapists recognizes excellent physical therapists who serve as an inspiration to other physical therapists.

    Backward walking post-stroke

    Below, Rose discusses the importance of research that focuses on working directly with patients to discover how to improve physical therapy for impairments caused by stroke.

    Vet on stepper
    Dr. Rose with Veteran patient

    “I’m a physical therapist by trade. I worked in a large rehab center in southwestern Pennsylvania in my scrubs or polo shirts and chinos for many years. I love that atmosphere,” she said. “I make sure the questions I ask or the grants I propose have a clinical component to them. My goal is to always design questions that can impact the care that patients receive. That has to always be in the forefront of my mind. 

    “The notion of backward walking post-stroke originated from hearing physical therapists describe their experiences in the clinic and hearing patients in those clinics describing their struggles. I need to make sure I’m always bringing it back to the patient. That’s what’s critical.

    “We’ve been studying backward walking for about eight years and learning more about the role it can play in recovery. There are always additional questions to explore—we keep peeling the onion. In a previous study, we examined the effectiveness of a novel Backward Walking training program to improve walking speed and balance immediately after stroke and later in stroke recovery. Results from the study showed that the backward walking improved walking speed and balance confidence more than the standard balance training program.”

    Rose has a Ph.D in biokinesiology from the University of Southern California.

    She joined VA in 2010 as a career development investigator at the Brain Rehabilitation Research Center at the Malcom Randall VA in Gainesville, Florida.

    Read a story about Rose’s other honors

    See the list of significant contributions VA researchers have made to advancing health care since 1925, resulting in their being awarded two Nobel Prizes.

    Thursday, December 28, 2023

    Benefits of Walking Backwards

    Didn't your competent? doctor prescribe you backwards walking years ago?

    All this information out there on backward walking and no one in stroke is smart enough to put this all together in a protocol?  WHAT STROKE MEDICAL 'PROFESSIONAL' DO I REAM OUT FOR COMPLETE INCOMPETENCY? It took me 1 minute to find this.

    Effect of backward walking treadmill training on walking capacity after stroke: a randomized clinical trial 2005

    Effects of partial body weight support while training acute stroke patients to walk backwards on a treadmill-a controlled clinical trial using randomized allocation 2010

    A backward walking training program to improve balance and mobility in acute stroke: a pilot randomized controlled trial 2018 

    Comparison of forward walking and backward walking in stroke hemiplegia patients focusing on the paretic side 2017

    Benefits of Walking Backwards

    Walking backwards – also known as “retro walking” – was a past time of sorts in the United States. In 1915, a man named Patrick Harmon was challenged to walk backwards from San Francisco to New York City to win a $20,000 bet. He is said to have conquered the feat in 290 days. Harmon wasn’t the only American to walk backwards for an extreme distance, as newspaper outlets in the early 20th century regularly chronicled these challenges. Walking backwards was often done to win a friendly wager or break a world record.
    You’re not likely to hear about such a strange challenge happening today. Perhaps today’s version of the sideshow would be broadcast on Instagram Live. Now, if you see someone at the gym walking backwards on a treadmill, one of two things is probably happening. That person either suffers from knee pain, lower back pain or arthritis and does it to lessen the wear and tear other cardiovascular activities put on their body, perhaps as an extension of physical therapy. Or they’re trying to work different muscles than forward walking or running work. 

    Are there any benefits to walking backwards?

    Walking backwards has been studied for decades. The reduced range of motion required during backwards walking as opposed to regular walking is appealing to people with certain ailments or conditions. Walking forward begins with heel contact, while walking backward begins with toe contact. A person’s heel may barely touch the ground depending on their motion, resulting in little to no impact in the knee joint.
    Janet Dufek, University of Nevada biomechanics expert, has researched backwards locomotion for more than 20 years. In a study Dufek and her colleagues released in 2011, walking backwards for just 10 to 15 minutes per day over a four-week period was found to increase the hamstring flexibility of 10 heathy female students. 
    Other studies have concluded that a long-term backward walking regiment reduced pain and improved mobility in people with knee osteoarthritis.
    It’s also an activity that can benefit post-stroke patients. One study has indicated that walking backwards for 30 minutes a day, three days a week can improve gait, balance speed of walking and cardiopulmonary fitness. It could be helpful as part of a chronic stroke rehabilitation routine.

    What muscles are toned by walking backwards?

    Incorporating varied movement into workouts is important. The body adapts to movements and postures it performs most often. When we work the same muscles over and over, they naturally get tight, leading to joint compensation and eventually pain, stiffness and sometimes injury. Adding varied movements to our day-to-day activities or at the gym can help break that monotony.
    While forward walking or running ignites a hamstring-dominant motion, backwards walking is generated by activating the quadricep muscles, so it’s a great exercise for the quads. This is a prime example of varied movement.
    Additionally, the ankle joint absorbs the most shock while walking in reverse. Studies point to the exercise as one that stimulates the ankles and other muscles in the lower limbs, like the glutes and calves.

    How to safely start a backward-walking routine

    Whether you choose a treadmill or want to do it outside, starting a backward walking routine is fairly easy. But before you do, beware of the risks involved, most notably the fact you can’t see what’s behind you as you walk. Walking backwards during physical therapy has resulted in falls and serious injuries.
    Practice good form by keeping your head and chest upright while rolling from toe to heel. Refrain from constantly peering over your shoulder, which can contort your body and expose you to injury.
    If you are walking backwards outdoors, be sure to choose a wide-open area that isn’t crowded, has low elevation and isn’t amid a lot of trees and shrubbery that could collide with you. A large area of patchy grass or a long stretch of boardwalk are two examples. To avoid that peering-over-the-shoulder problem, walk with a forward-walking friend who can serve as your eyes. The two of you can take turns switching roles.
    If you are walking backwards on a treadmill, start by holding the handrails and walking at a low speed, advisably below 2.0. As you become more accustomed to this movement, you can increase the speed setting.
    Start your routine by walking backwards for 5 to 10 minutes a day several times a week. Or, during 20-minute walks, spend 5 to 10 of those minutes walking backwards. As your body acclimates to the varied movement, you can steadily increase your time. If it’s something you’ve gotten used to, you can eventually graduate to picking up your pace. Some can try challenging themselves by walking backward in a squat or lightly jogging backwards.

    Saturday, March 18, 2023

    Analysis of the Impacts of Task-oriented Backward Walking Training on the Gross Motor Function and Balance Ability of Children with Hemiparesis

    All this information out there on backward walking and no one in stroke is smart enough to put this all together in a protocol?  WHAT STROKE 'LEADER' DO I REAM OUT FOR COMPLETE INCOMPETENCY? It took me 1 minute to find this.

    Effect of backward walking treadmill training on walking capacity after stroke: a randomized clinical trial 2005

    Effects of partial body weight support while training acute stroke patients to walk backwards on a treadmill-a controlled clinical trial using randomized allocation 2010

    A backward walking training program to improve balance and mobility in acute stroke: a pilot randomized controlled trial 2018 

    Comparison of forward walking and backward walking in stroke hemiplegia patients focusing on the paretic side 2017

     

    Effect of backward walking treadmill training on walking capacity after stroke:a randomized clinical trial 2014

    The latest here:

     Analysis of the Impacts of Task-oriented Backward Walking Training
    on the Gross Motor Function and Balance Ability of Children with
    Hemiparesis

    Seung-Jun Oh, PT, PhD*1
    *1Dept. of Physical Therapy, College of Nursing & Health, Kyungwoon University, Republic of Korea
    Purpose  
    This study would test if backward walking is an effective exercise program that helps the recovery of the function of children with hemiparesis by combining backward walking with taskoriented gait training Methods This study was conducted from June 6 through July 15, 2022. After asking the child and guardians for consent to research, evaluation and exercise intervention were applied. The same evaluation (GMFM: Gross Motor Function Measure, PBS:
    Pediatric Balance Scale) was conducted in 4 weeks, 8 weeks, and 12 weeks after the first intervention to finish the research.  
    Result  
    After task oriented backward walking training, gradual ascending trends could be found in pre-evaluation, evaluation after 4 weeks, evaluation after 8 weeks, and evaluation after 12 weeks of Items GMFMC, D, E, and Total, and especially, there were more improvements in Items D and E deeply related to walking ability than in Item C.
    Conclusion 
    To sum up the above results, it is judged that taskoriented backward walking training has positive impacts on the indicators related to the walking ability of the exercise functions of children with hemiparesis.  
    Conclusion  
    After taskoriented backward walking training, gradual ascending trends could be found in preevaluation, evaluation after 4 weeks, evaluation after 8 weeks, and evaluation after 12 weeks of Items GMFMC, D, E, and Total, and especially, there were more improvements in Items D and E deeply related to walking ability than in Item C. The improvement of lower limb function led to that of balance ability, and it was possible to see an improvement in PBS score as well.

    Friday, November 25, 2022

    Effect of backward walking treadmill training on walking capacity after stroke: a randomized clinical trial

    All this information out there on backward walking and no one in stroke is smart enough to put this all together in a protocol?  WHAT STROKE 'LEADER' DO I REAM OUT FOR COMPLETE INCOMPETENCY? It took me 1 minute to find this.

    Effect of backward walking treadmill training on walking capacity after stroke: a randomized clinical trial 2005

    Effects of partial body weight support while training acute stroke patients to walk backwards on a treadmill-a controlled clinical trial using randomized allocation 2010

    A backward walking training program to improve balance and mobility in acute stroke: a pilot randomized controlled trial 2018 

    Comparison of forward walking and backward walking in stroke hemiplegia patients focusing on the paretic side 2017

     

     

    Effect of backward walking treadmill training on walking capacity after stroke:a randomized clinical trial 2014

    Stella Maris Michaelsen
    1
    *
    , Angélica Cristiane Ovando
    2
    , Fernanda Romaguera
    1
    , andLouise Ada
    3
    Rationale
     Residual walking deficits are common in people after stroke. Treadmill training can increase walking speed and walking distance. A new way to increase the challenge of walking is to walk backwards.
     Backward
     treadmill walking may provide advantages by promoting improvement in balance, walking spatiotemporal parameters and quality that may reflect in improving walking distance.
     Aim
     This study will test the hypothesis that backward  treadmill walking is superior to
     forward  treadmill walking in improving walking capacity, walking parameters, quality and balance in people with stroke.
    Design
     A prospective, single-blinded, randomized trial will randomly allocate 88 community-dwelling people after stroke into either an experimental or control group. The experimental group will undertake 30-min sessions of backward  treadmill walking, three-days/week for six-weeks, while the control group will undertake the same dose of forward  treadmill walking. Training will begin at the baseline overground walking speed and will increase each week by 10% of baseline speed.
    Study outcomes
     The primary outcome will be distance walked in the 6-min Walk Test. Secondary outcomes will be walking speed, step length, cadence, and one-leg stance time. Out-comes will be collected by a researcher blinded to group allocation at baseline (Week 0), at the end of training period(Week 6), and three-months after the cessation of intervention(Week 18).
    Discussion
     If backward  treadmill walking can improve walking capacity more than forward  treadmill training in stroke, it may have broader implications because walking capacity has been shown to predict physical activity level and community participation.
    Key words: ambulation, clinical trial, intervention, rehabilitation, stroke
    Introduction and rationale
    Walking is one of the most important activities to enable community participation. After stroke, although the majority of patients recover independent walking, many have residual walking disabilities. Many individuals after stroke cannot walk fast or far enough, which reduces their ability to walk outside the house. Even for those undergoing inpatient rehabilitation,walking quality can be surprisingly poor at the time of discharge from hospital,with one study finding that only 7% of people after stroke are able to have independent community ambulation at discharge of rehabilitation (1) and mobility problems persist in the chronic phase after stroke (2). The walking speed of community-dwelling people after stroke has been reported to be 40% less, and six-minute walking distance about half the value expected in age- and gender-matched people (3). This reduced capacity to walk long distances can restrict the access for community exercise programs as well as result in major limitations in community participation.The treadmill is frequently used for walking training in people after stroke. It allows a controlled speed and an intensive amount of practice (4), working as a ‘forced use’ (5). A recent review on treadmill training (6) suggests that treadmill training can increase walking speed by 0·12 m/s and improve walking distance by 40 m.A relatively new way to increase the challenge of walking is to walk backwards. At a given speed, when compared with forward walking, backward  walking elicits more electromyographic activity which in turn results in higher physiological cost and greater perceived exertion (7–9). Hip extension is more active in backward  walking due to the concentric contraction of knee flexorsduring early swing phase (10,11) which may be beneficial at improving lower limb coordination after stroke. Also, backward
    walking is more difficult and demanding than forward  walking due to its postural instability and may therefore provide a training challenge to balance (12). There have been three clinical trials of backward walking. One trial (13) in chronic stroke found that backward overgound walking increased walking speed while another trial (14) found that backward treadmill walking also increased speed compared with overground walking. The only trial to compare backward treadmill walking with forward treadmill walking (15) was carried out in acute just-ambulatory patients and was therefore performed with body weight support, but it found that backward walking produced more independent walking.The main objectives of this trial are: to determine whether six weeks of  backward  treadmill walking is more effective than six weeks of  forward  treadmill walking in improving walking capacity, walking parameters, walking quality, and balance in  community-dwelling people after stroke. We hypothesize that
    backward  treadmill walking will lead to a greater increase in walking capacity compared with
     forward  treadmill walking.
    Correspondence: Stella Maris Michaelsen
    *
    , Department of PhysicalTherapy – Centro de Ciências da Saúde e do Esporte, Universidade doEstado de Santa Catarina, Rua Pascoal Simone, 358 – Coqueiros,88080-350, Florianópolis, SC, Brazil.E-mail: michaelsenstella@hotmail.com
    1
    Departmentof PhysicalTherapy,PhysicalTherapyMasterProgram,Uni-versidade do Estado de Santa Catarina, Florianópolis, Santa Catarina,Brazil
    2
    Department of Physical Therapy, Universidade do Estado de Santa Cata-rina, Florianópolis, Santa Catarina, Brazil
    3
    Discipline of Physiotherapy, The University of Sydney, Lidcombe, New South Wales, AustraliaReceived: 30 August 2013; Accepted: 16 December 2013; Published online15 April 2014Conflict of interest: The authors declare that there is no conflict of interest.Funding: The trial is funded by the Brazilian National funding agency (Conselho Nacional de Pesquisa).
    DOI: 10.1111/ijs.12255
    Protocols
    © 2014 The Authors.International Journal of Stroke © 2014 World Stroke OrganizationVol 9, June 2014, 529–532
     529

    Sunday, August 14, 2022

    A Gait Retraining Clinical Pearl for Young Athletes

    Do you think there is even the minutest possibility that your doctor and therapists see this and exclaim; 'Wow, this might work for stroke rehab'? If not, why are you employing incompetent people? They are your employees, you can fire them and get someone better.

    A Gait Retraining Clinical Pearl for Young Athletes


    Written By: Paul Frizelle, PT, DPT, MS, OCS, MTC, CSCS, PES, CES

     

     

    I’m going to be honest with everyone…. gait retraining is one of my least favorite parts of lower body rehab. Young athletes seem to present an even bigger challenge for me because they are often mentally two steps ahead of where they are physically. Teaching the intricacies of coordinated and efficient movement seems to take a back seat to “get me back to playing”. In the Unusual Cases in Rehab Series: Young Athlete Shoulder, Foot and Wrist course I have an example of an ankle injury who was able to pass through many benchmarks prior to returning to play. Her case was not without a little challenge, but she was a good example of teaching the nuances of gait training successfully.

    One of the tools that I like using the most is treadmill retropulsion to teach symmetrical stride length. It is a great example of a slightly higher movement coordination intervention that does not significantly increase loading or speed of movement. In fact, when compared to forward walking it is actually 30-50% slower. It is also an evidence-based intervention (Balasukumaran, Olivier & Ntsiea, 2019) that has been shown to be an effective tool for helping people with gait impairments. I have found one of the best ways to use it with young athletes is to use video recording during walking backwards on a treadmill. You can use the patient’s phone if there are any HIPPA concerns or if your clinic does not have recording equipment. This allows the rehab professional to use a low-speed intervention that is easily recorded (and HIPPA complaint) to quickly reveal stride length differences. My personal experience has been that once a young athlete sees the video, it becomes apparent the need to focus more on gait retraining. Also using the treadmill backwards keeps them engaged and moderately challenged, all at lower and safer speeds than walking forwards. In the initial phases of rehab, it may be used as gait training but as you get further into the rehab process it is a great tool to use as a therapeutic exercise for a dynamic warm-up prior to engaging in the full rehab program.

     

    Above is a short video of a patient with whom I used this to help him understand why we needed to work on stride length before running. He was walking at about 1-1.4 mph in this video which really highlights how well the treadmill can accomplish early goals for improving stride length awareness and symmetry in the rehab process.

    If you want to learn more, be sure to register for my September 10th webinar, Unusual Cases in Rehab Series: Knee, Cervical Spine, and Vestibular Dysfunction. Thanks for taking the time to read this blog and hope you get a chance to use this tool with your patients!

    Tuesday, October 19, 2021

    Effect of backward walking treadmill training on walking capacity after stroke: a randomized clinical trial

    Well shit, this research came out in April 2014 and earlier research was done in October 2006.  Why the fuck is this research(2014) being done? Demand answers from the mentors and senior researchers who approved  this later  research.

    If your doctor/hospital didn't do anything with this from 15 years ago or the 7 years ago one then s/he needs to be fired.  Why is your board of directors being so incompetent in not demanding new interventions from any stroke research?

    Effectiveness of backward walking treadmill training in lower extremity function after stroke - Oct. 2006

    Effect of backward walking treadmill training on walking capacity after stroke: a randomized clinical trial

    Received: 30 August 2013; Accepted: 16 December 2013; Published online15 April 2014
     Stella Maris Michaelsen
    1
    *
    , Angélica Cristiane Ovando
    2
    , Fernanda Romaguera
    1
    , and Louise Ada
    3
    Rationale
     Residual walking deficits are common in people after stroke. Treadmill training can increase walking speed and walking distance. A new way to increase the challenge of walking is to walk backwards.
     Backward
     treadmill walking may provide advantages by promoting improvement in balance, walking spatiotemporal parameters and quality that may reflect in improving walking distance.
     Aim
     This study will test the hypothesis that
     backward
     tread-mill walking is superior to
     forward
     treadmill walking in improving walking capacity, walking parameters, quality and balance in people with stroke.
    Design
     A prospective, single-blinded, randomized trial willrandomly allocate 88 community-dwelling people after stroke into either an experimental or control group. The experimental group will undertake 30-min sessions of
     backward
     treadmill walking, three-days/week for six-weeks, while the controlgroup will undertake the same dose of
     forward
     treadmill walking. Training will begin at the baseline overgroundwalking speed and will increase each week by 10% of baseline speed.
    Study outcomes
     The primary outcome will be distance walkedin the 6-min Walk Test. Secondary outcomes will be walkingspeed, step length, cadence, and one-leg stance time. Out-comes will be collected by a researcher blinded to group allo-cation at baseline (Week 0), at the end of training period(Week 6), and three-months after the cessation of intervention(Week 18).
    Discussion
     If
     backward
     treadmill walking can improve walking capacity more than
     forward
     treadmill training in stroke, it may have broader implications because walking capacity has been shown to predict physical activity level and community participation.
    Key words: ambulation, clinical trial, intervention, rehabilitation, stroke