Gait training combining partial body-weight support, a treadmill, and functional electrical stimulation: effects on poststroke gait.
BACKGROUND AND PURPOSE: Treadmill training with harness support is a promising, task-oriented approach to restoring locomotor function in people with poststroke hemiparesis. Although the combined use of functional electrical stimulation (FES) and treadmill training with body-weight support (BWS) has...
| Publicado en: | Physical Therapy Vol. 87; no. 9; pp. 1144 - 1155 |
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| Autores principales: | , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Sep2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106173790&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106173790 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Sep2007 vid: 87 iid: 9 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 106173790 2009665185 10.2522/ptj.20050384 NLM17609334 106173790 ppf: 1144 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Gait training combining partial body-weight support, a treadmill, and functional electrical stimulation: effects on poststroke gait. aug: au: Lindquist ARR Prado CL Barros RML Mattioli R da Costa PHL Salvini TF affil: Department of Physical Therapy, Federal University of Rio Grande do Norte, Brazil. sug: subj: Stroke Rehabilitation Electrical Stimulation, Functional Gait Training Aged Clinical Assessment Tools Combined Modality Therapy Female Gait Analysis Male Middle Age Scales Treadmills Treatment Outcomes Weight-Bearing Human Aged: 65+ years Middle Aged: 45-64 years Female Male ab: BACKGROUND AND PURPOSE: Treadmill training with harness support is a promising, task-oriented approach to restoring locomotor function in people with poststroke hemiparesis. Although the combined use of functional electrical stimulation (FES) and treadmill training with body-weight support (BWS) has been studied before, this combined intervention was compared with the Bobath approach as opposed to BWS alone. The purpose of this study was to evaluate the effects of the combined use of FES and treadmill training with BWS on walking functions and voluntary limb control in people with chronic hemiparesis. SUBJECTS: Eight people who were ambulatory after chronic stroke were evaluated. METHODS: An A(1)-B-A(2) single-case study design was applied. Phases A(1) and A(2) included 3 weeks of gait training on a treadmill with BWS, and phase B included 3 weeks of treadmill training plus FES applied to the peroneal nerve. The Stroke Rehabilitation Assessment of Movement was used to assess motor recovery, and a videography analysis was used to assess gait parameters. RESULTS: An improvement (from 54.9% to 71.0%) in motor function was found during phase B. The spatial and temporal variables cycle duration, stance duration, and cadence as well as cycle length symmetry showed improvements when phase B was compared with phases A(1) and A(2). DISCUSSION AND CONCLUSION:: The combined use of FES and treadmill training with BWS led to an improvement in motor recovery and seemed to improve the gait pattern of subjects with hemiparesis, indicating the utility of this combination method during gait rehabilitation. In addition, this single-case series showed that this alternative method of gait training-treadmill training with BWS and FES-may decrease the number of people required to carry out the training. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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