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Titre : | Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke (2017) |
Auteurs : | Gabriela L. Gama ; Melissa L. Celestino ; José A. Barela |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/4, 2017) |
Article en page(s) : | pp. 738-745 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Traitement par les exercices physiques |
Mots-clés: | Self-Help Devices ; Dispositifs d'assistance au mouvement ; Clinical protocols ; Protocoles cliniques ; Exercise therapy |
Résumé : |
Objective To investigate the effects of gait training with body weight support (BWS) on a treadmill versus overground in individuals with chronic stroke. Design Randomized controlled trial. Setting University research laboratory. Participants Individuals (N=28) with chronic stroke (>6mo from the stroke event). Interventions Participants were randomly assigned to receive gait training with BWS on a treadmill (n=14) or overground (n=14) 3 times a week for 6 weeks. Main Outcome Measures Gait speed measured using the 10-meter walk test, endurance measured using the 6-minute walk test, functional independence measured using the motor domain of the FIM, lower limb recovery measured using the lower extremity domain of the Fugl-Meyer assessment, step length, step length symmetry ratio, and single-limb support duration. Measurements were obtained at baseline, immediately after the training session, and 6 weeks after the training session. Results At 1 week after the last training session, both groups improved in all outcome measures except paretic step length and step length symmetry ratio, which were improved only in the overground group (P=.01 and P=.01, respectively). At 6 weeks after the last training session, all improvements remained and the treadmill group also improved paretic step length (P<.001 but not step length symmetry ratio>.05). Conclusions Individuals with chronic stroke equally improve gait speed and other gait parameters after 18 sessions of BWS gait training on either a treadmill or overground. Only the overground group improved step length symmetry ratio, suggesting a role of integrating overground walking into BWS interventions poststroke. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316313296 |