| Titre : | Coordination of Dynamic Balance During Gait Training in People With Acquired Brain Injury (2012) |
| Auteurs : | R.A. Clark ; G. Williams ; N. Fini |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2012/4, 2012) |
| Article en page(s) : | pp 636-640 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation |
| Mots-clés: | Brain injuries ; Gait ; Lésions encéphaliques ; Démarche |
| Résumé : |
Objective To investigate movement of the center of mass (COM) during different gait training methods in people with neurologic conditions. Design Coordination of the gait cycle, represented by mediolateral COM displacement amplitude, timing, and stability, was assessed during a variety of gait training methods performed in a single session. Setting Gait laboratory. Participants People who were unable to walk unassisted due to an acquired brain injury (n=17) and healthy control subjects (n=25). Interventions The participants performed 7 alternative gait training methods in a randomized order. These were therapist manual facilitation, the use of a gait assistive device, treadmill walking with handrail support, and 4 variations of body weight–support treadmill training with combinations of handrail and/or therapist support. Main Outcome Measures Mediolateral COM movement was analyzed in terms of displacement amplitude (overall range of motion), timing (relative to stride time), and stability (steadiness of the movement). Normative values for these measures were acquired from 25 healthy participants walking at a self-selected comfortable pace. Results Body weight–support treadmill training without any additional support resulted in significantly (P<.05 greater amplitude altered timing and reduced movement stability compared with nonpathologic gait. allowing handrail support or therapist facilitation this effect resulted in treadmill training body weight having lower amplitudes when the other methods. manual most closely matched gait for stability.> Conclusions In the context of overall dynamic gait coordination, no single method of training provides the optimal stimulus. A training program that uses a variety of techniques may provide a beneficial rehabilitation response. |
| Disponible en ligne : | Oui |
| En ligne : | http://www.archives-pmr.org/article/S0003-9993%2811%2900952-X/abstract |
Bibliothèques HE Vinci
