Does altering inclination alter effectiveness of treadmill training for gait impairment after stroke? A randomized controlled trial.

Détails

ID Serval
serval:BIB_B323CD11A1B7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Does altering inclination alter effectiveness of treadmill training for gait impairment after stroke? A randomized controlled trial.
Périodique
Clinical Rehabilitation
Auteur⸱e⸱s
Carda S., Invernizzi M., Baricich A., Cognolato G., Cisari C.
ISSN
1477-0873 (Electronic)
ISSN-L
0269-2155
Statut éditorial
Publié
Date de publication
2013
Volume
27
Numéro
10
Pages
932-938
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
Objective: To assess whether a downhill walking training programme is more effective than the same amount of training applied uphill in chronic stroke survivors. Design: Randomized, single-blind study. Setting: Outpatient rehabilitation service. Methods: Thirty-eight adults with hemiplegia from stroke lasting more than three months were randomly allocated to one of the two groups: 'UP' - 45 minutes of physical therapy + 30 minutes of treadmill with 5% ascending slope; and 'DOWN' - 45 minutes of physical therapy + 30 minutes of treadmill with 5% descending slope. Both groups were treated 5 times a week for six weeks. Patients were evaluated before treatment, at the end of treatment and after three months. Outcome measures: Primary outcome measure was the number of patients showing an improvement in 6-minute walking test (6MWT) greater than 50 m. Secondary outcome measures were: (1) number of patients showing a clinically relevant improvement of gait speed during 10-m walking test (10mWT); (2) number of patients showing an improvement in timed up and go (TUG) greater than minimal detectable change. Results: Both groups had a significant improvement after treatment and at follow-up. At the end of treatment, compared to UP group, more patients in the DOWN group showed clinically significant improvements in primary and secondary outcomes (16/19 patients for 6MWT, 11/19 patients for 10mWT and 9/19 patients for TUG compared with 3/19, 4/19 and 2/19 patients, respectively, P < 0.01). At follow-up, results were similar except for 10mWT. Conclusions: In chronic stroke patients, downhill treadmill training produces a bigger effect than uphill training.
Pubmed
Web of science
Création de la notice
03/10/2013 17:56
Dernière modification de la notice
20/08/2019 16:21
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