| The effectiveness of body weight-supported gait training and floor walking in patients with chronic stroke. | |
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MedLine Citation:
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PMID: 16084808 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare body weight-supported exercise on a gait trainer with walking exercise overground. DESIGN: Randomized controlled trial. SETTING: Rehabilitation hospital. PARTICIPANTS: Forty-five ambulatory patients with chronic stroke. INTERVENTIONS: Patients were randomized to 3 groups: (1) gait trainer exercise with functional electric stimulation (GTstim), (2) gait trainer exercise without stimulation (GT), and (3) walking overground (WALK). All patients practiced gait for 15 sessions during 3 weeks (each session, 20 min), and they received additional physiotherapy 55 minutes daily. MAIN OUTCOME MEASURES: Ten-meter walk test (10MWT), six-minute walk test (6MWT), lower-limb spasticity and muscle force, postural sway tests, Modified Motor Assessment Scale (MMAS), and FIM instrument scores were recorded before, during, and after the rehabilitation and at 6 months follow-up. RESULTS: The mean walking distance using the gait trainer was 6900+/-1200 m in the GTstim group and 6500+/-1700 m in GT group. In the WALK group, the distance was 4800+/-2800 m, which was less than the walking distance obtained in the GTstim group (P=.027). The body-weight support was individually reduced from 30% to 9% of the body weight over the course of the program. In the pooled 45 patients, the 10MWT (P<.001), 6MWT (P<.001), MMAS (P<.001), dynamic balance test time (P<.001), and test trip (P=.005) scores improved; however, no differences were found between the groups. CONCLUSIONS: Both the body weight-supported training and walking exercise training programs resulted in faster gait after the intensive rehabilitation program. Patients' motor performance remained improved at the follow-up. |
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Authors:
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Sinikka H Peurala; Ina M Tarkka; Kauko Pitkänen; Juhani Sivenius |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 86 ISSN: 0003-9993 ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-08-08 Completed Date: 2005-09-20 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 1557-64 Citation Subset: AIM; IM |
Affiliation:
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Brain Research and Rehabilitation Center Neuron, Kuopio, Finland. sinikka.peurala@neuron.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Chi-Square Distribution Chronic Disease Exercise Therapy / methods* Female Gait / physiology* Humans Male Middle Aged Postural Balance Statistics, Nonparametric Stroke / physiopathology*, rehabilitation* Treatment Outcome Walking / physiology* |
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