Walking after stroke: what does treadmill training with body weight support add to overground gait training in patients early after stroke?: a single-blind, randomized, controlled trial.
Details
Request a copy Under indefinite embargo.UNIL restricted access
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_7DE7085092E5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Walking after stroke: what does treadmill training with body weight support add to overground gait training in patients early after stroke?: a single-blind, randomized, controlled trial.
Journal
Stroke; A Journal of Cerebral Circulation
Contributor(s)
Gruppo Italiano Studio Allevio Carico Ictus, Saccavini M., Nora M., Maestrini E., Contini D., Bassi L., Florio A., Airoldi A., Lenti G., Sacco G., Cassio A., Pellegrino N., Santin M., Raggi R., Iannilli M., Sorgato G., Danese E., Mazzoleni F., Trapletti R., Magni E., Filoni G.
ISSN
1524-4628 (Electronic)
ISSN-L
0039-2499
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
40
Number
9
Pages
3079-3085
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Randomized Controlled Trial Publication Status: ppublish
Abstract
BACKGROUND AND PURPOSE: This study aimed to assess the effectiveness of gait training using body weight support on a treadmill compared with conventional gait training for people with subacute stroke who were unable to walk.
METHODS: This was a single-blind, randomized, controlled trial with a 6-month follow-up. Ninety-seven subjects were recruited within 6 weeks of stroke onset and were randomly assigned to conventional rehabilitative treatment plus gait training with body weight support on a treadmill (experimental group; n=52) and conventional treatment with overground gait training only (control group; n=45). All subjects were treated in 60-minute sessions every weekday for 4 weeks. Outcome measures were Motricity Index, Trunk Control test, Barthel Index, Functional Ambulation Categories, 10-meter and 6-minute Walk Tests, and Walking Handicap Scale. Assessments were made at baseline, after 20 sessions of treatment, 2 weeks after treatment, and 6 months after stroke.
RESULTS: After treatment, all patients were able to walk. Both groups showed improvement in all outcome measures (P<0.0063) at the end of the treatment and at follow-up. No differences were seen between the 2 groups before, during, and after treatment and at follow-up.
CONCLUSIONS: In subacute patients with stroke, gait training on a treadmill with body weight support is feasible and as effective as conventional gait training. However, the need for more personnel for treadmill training makes the use of robotically assisted systems more compelling.
METHODS: This was a single-blind, randomized, controlled trial with a 6-month follow-up. Ninety-seven subjects were recruited within 6 weeks of stroke onset and were randomly assigned to conventional rehabilitative treatment plus gait training with body weight support on a treadmill (experimental group; n=52) and conventional treatment with overground gait training only (control group; n=45). All subjects were treated in 60-minute sessions every weekday for 4 weeks. Outcome measures were Motricity Index, Trunk Control test, Barthel Index, Functional Ambulation Categories, 10-meter and 6-minute Walk Tests, and Walking Handicap Scale. Assessments were made at baseline, after 20 sessions of treatment, 2 weeks after treatment, and 6 months after stroke.
RESULTS: After treatment, all patients were able to walk. Both groups showed improvement in all outcome measures (P<0.0063) at the end of the treatment and at follow-up. No differences were seen between the 2 groups before, during, and after treatment and at follow-up.
CONCLUSIONS: In subacute patients with stroke, gait training on a treadmill with body weight support is feasible and as effective as conventional gait training. However, the need for more personnel for treadmill training makes the use of robotically assisted systems more compelling.
Keywords
Adult, Aged, Aged, 80 and over, Exercise, Female, Follow-Up Studies, Gait, Humans, Male, Middle Aged, Stroke/rehabilitation, Time Factors, Treatment Outcome
Pubmed
Open Access
Yes
Create date
25/03/2013 17:20
Last modification date
15/07/2020 5:26
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