|Locomotor treadmill training with partial body-weight support before overground gait in adults with acute stroke: a pilot study.|
|PMID: 18373999 Owner: NLM Status: MEDLINE|
|OBJECTIVE: To investigate the impact of locomotor treadmill training with partial body-weight support (BWS) before the initiation of overground gait for adults less than 6 weeks poststroke. DESIGN: Parallel group, posttest only. SETTING: Inpatient rehabilitation center. PARTICIPANTS: Adults after first stroke admitted to an inpatient rehabilitation unit: treadmill group (n=7) and comparison group (n=7). INTERVENTIONS: Locomotor treadmill training with partial BWS or traditional gait training methods. MAIN OUTCOME MEASURES: Gait kinematics, symmetry, velocity, and endurance at least 6 months postinsult. RESULTS: Data from 3-dimensional gait analysis and 6-minute walk test (6MWT) supported improved gait for adults postacute stroke who practiced gait on a treadmill before walking over ground. Gait analysis showed increased knee flexion during swing and absence of knee hyperextension in stance for the treadmill group. In addition, more normal ankle kinematics at initial contact and terminal stance were observed in the treadmill group. Improved gait symmetry in the treadmill group was confirmed by measures of single support time, hip flexion at initial contact, maximum knee flexion, and maximum knee extension during stance. The treadmill group also walked further and faster in the 6MWT than the comparison group. CONCLUSIONS: Application of locomotor treadmill training with partial BWS before overground gait training may be more effective in establishing symmetric and efficient gait in adults postacute stroke than traditional gait training methods in acute rehabilitation.|
|Karen J McCain; Fabian E Pollo; Brian S Baum; Scott C Coleman; Shawn Baker; Patricia S Smith|
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|Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't|
|Title: Archives of physical medicine and rehabilitation Volume: 89 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2008 Apr|
|Created Date: 2008-03-31 Completed Date: 2008-04-30 Revised Date: 2008-11-21|
Medline Journal Info:
|Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States|
|Languages: eng Pagination: 684-91 Citation Subset: AIM; IM|
|Department of Physical Therapy, University of Texas Southwestern Medical Center Allied Health Sciences School, Dallas, TX, USA. firstname.lastname@example.org|
|APA/MLA Format Download EndNote Download BibTex|
Exercise Test / methods*
Exercise Therapy / methods*
Gait / physiology*
Severity of Illness Index
Stroke / diagnosis, rehabilitation*
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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