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Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study

BACKGROUND: It is not yet established if the use of body weight support (BWS) systems for gait training is effective per se or if it is the combination of BWS and treadmill that improves the locomotion of individuals with gait impairment. This study investigated the effects of gait training on groun...

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Autores principales: Sousa, Catarina O, Barela, José A, Prado-Medeiros, Christiane L, Salvini, Tania F, Barela, Ana MF
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3173296/
https://www.ncbi.nlm.nih.gov/pubmed/21864373
http://dx.doi.org/10.1186/1743-0003-8-48
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author Sousa, Catarina O
Barela, José A
Prado-Medeiros, Christiane L
Salvini, Tania F
Barela, Ana MF
author_facet Sousa, Catarina O
Barela, José A
Prado-Medeiros, Christiane L
Salvini, Tania F
Barela, Ana MF
author_sort Sousa, Catarina O
collection PubMed
description BACKGROUND: It is not yet established if the use of body weight support (BWS) systems for gait training is effective per se or if it is the combination of BWS and treadmill that improves the locomotion of individuals with gait impairment. This study investigated the effects of gait training on ground level with partial BWS in individuals with stroke during overground walking with no BWS. METHODS: Twelve individuals with chronic stroke (53.17 ± 7.52 years old) participated of a gait training program with BWS during overground walking, and were evaluated before and after the gait training period. In both evaluations, individuals were videotaped walking at a self-selected comfortable speed with no BWS. Measurements were obtained for mean walking speed, step length, stride length and speed, toe-clearance, durations of total double stance and single-limb support, and minimum and maximum foot, shank, thigh, and trunk segmental angles. RESULTS: After gait training, individuals walked faster, with symmetrical steps, longer and faster strides, and increased toe-clearance. Also, they displayed increased rotation of foot, shank, thigh, and trunk segmental angles on both sides of the body. However, the duration of single-limb support remained asymmetrical between each side of the body after gait training. CONCLUSIONS: Gait training individuals with chronic stroke with BWS during overground walking improved walking in terms of temporal-spatial parameters and segmental angles. This training strategy might be adopted as a safe, specific and promising strategy for gait rehabilitation after stroke.
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spelling pubmed-31732962011-09-15 Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study Sousa, Catarina O Barela, José A Prado-Medeiros, Christiane L Salvini, Tania F Barela, Ana MF J Neuroeng Rehabil Research BACKGROUND: It is not yet established if the use of body weight support (BWS) systems for gait training is effective per se or if it is the combination of BWS and treadmill that improves the locomotion of individuals with gait impairment. This study investigated the effects of gait training on ground level with partial BWS in individuals with stroke during overground walking with no BWS. METHODS: Twelve individuals with chronic stroke (53.17 ± 7.52 years old) participated of a gait training program with BWS during overground walking, and were evaluated before and after the gait training period. In both evaluations, individuals were videotaped walking at a self-selected comfortable speed with no BWS. Measurements were obtained for mean walking speed, step length, stride length and speed, toe-clearance, durations of total double stance and single-limb support, and minimum and maximum foot, shank, thigh, and trunk segmental angles. RESULTS: After gait training, individuals walked faster, with symmetrical steps, longer and faster strides, and increased toe-clearance. Also, they displayed increased rotation of foot, shank, thigh, and trunk segmental angles on both sides of the body. However, the duration of single-limb support remained asymmetrical between each side of the body after gait training. CONCLUSIONS: Gait training individuals with chronic stroke with BWS during overground walking improved walking in terms of temporal-spatial parameters and segmental angles. This training strategy might be adopted as a safe, specific and promising strategy for gait rehabilitation after stroke. BioMed Central 2011-08-24 /pmc/articles/PMC3173296/ /pubmed/21864373 http://dx.doi.org/10.1186/1743-0003-8-48 Text en Copyright ©2011 Sousa et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Sousa, Catarina O
Barela, José A
Prado-Medeiros, Christiane L
Salvini, Tania F
Barela, Ana MF
Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study
title Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study
title_full Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study
title_fullStr Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study
title_full_unstemmed Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study
title_short Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study
title_sort gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3173296/
https://www.ncbi.nlm.nih.gov/pubmed/21864373
http://dx.doi.org/10.1186/1743-0003-8-48
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