Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.apmr.2016.11.022 http://hdl.handle.net/11449/162692 |
Resumo: | 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 (P>.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. (C) 2016 by the American Congress of Rehabilitation Medicine |
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Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With StrokeAssistive technologyClinical protocolsExercise therapyRehabilitationObjective: 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 (P>.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. (C) 2016 by the American Congress of Rehabilitation MedicineFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Cruzeiro do Sul Univ, Inst Phys Act & Sport Sci, Rua Galvao Bueno 868, BR-01506000 Sao Paulo, SP, BrazilSao Paulo State Univ, Dept Phys Educ, Rio Claro, SP, BrazilVet Adm Maryland Hlth Care Syst, Maryland Exercise & Robot Ctr Excellence, Baltimore, MD USAUniv Maryland, Sch Med, Dept Phys Therapy & Rehabil Sci, Baltimore, MD 21201 USAUniv Southampton, Fac Hlth Sci, Southampton, Hants, EnglandSao Paulo State Univ, Dept Phys Educ, Rio Claro, SP, BrazilElsevier B.V.Cruzeiro do Sul UnivUniversidade Estadual Paulista (Unesp)Vet Adm Maryland Hlth Care SystUniv MarylandUniv SouthamptonGama, Gabriela L.Celestino, Melissa L.Barela, Jose A. [UNESP]Forrester, LarryWhitall, JillBarela, Ana M.2018-11-26T17:24:28Z2018-11-26T17:24:28Z2017-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article738-745application/pdfhttp://dx.doi.org/10.1016/j.apmr.2016.11.022Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 4, p. 738-745, 2017.0003-9993http://hdl.handle.net/11449/16269210.1016/j.apmr.2016.11.022WOS:000399062400017WOS000399062400017.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArchives Of Physical Medicine And Rehabilitation1,501info:eu-repo/semantics/openAccess2023-11-13T06:15:39Zoai:repositorio.unesp.br:11449/162692Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T17:35:59.955650Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke |
title |
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke |
spellingShingle |
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke Gama, Gabriela L. Assistive technology Clinical protocols Exercise therapy Rehabilitation |
title_short |
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke |
title_full |
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke |
title_fullStr |
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke |
title_full_unstemmed |
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke |
title_sort |
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke |
author |
Gama, Gabriela L. |
author_facet |
Gama, Gabriela L. Celestino, Melissa L. Barela, Jose A. [UNESP] Forrester, Larry Whitall, Jill Barela, Ana M. |
author_role |
author |
author2 |
Celestino, Melissa L. Barela, Jose A. [UNESP] Forrester, Larry Whitall, Jill Barela, Ana M. |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Cruzeiro do Sul Univ Universidade Estadual Paulista (Unesp) Vet Adm Maryland Hlth Care Syst Univ Maryland Univ Southampton |
dc.contributor.author.fl_str_mv |
Gama, Gabriela L. Celestino, Melissa L. Barela, Jose A. [UNESP] Forrester, Larry Whitall, Jill Barela, Ana M. |
dc.subject.por.fl_str_mv |
Assistive technology Clinical protocols Exercise therapy Rehabilitation |
topic |
Assistive technology Clinical protocols Exercise therapy Rehabilitation |
description |
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 (P>.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. (C) 2016 by the American Congress of Rehabilitation Medicine |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-01 2018-11-26T17:24:28Z 2018-11-26T17:24:28Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.apmr.2016.11.022 Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 4, p. 738-745, 2017. 0003-9993 http://hdl.handle.net/11449/162692 10.1016/j.apmr.2016.11.022 WOS:000399062400017 WOS000399062400017.pdf |
url |
http://dx.doi.org/10.1016/j.apmr.2016.11.022 http://hdl.handle.net/11449/162692 |
identifier_str_mv |
Archives Of Physical Medicine And Rehabilitation. Philadelphia: W B Saunders Co-elsevier Inc, v. 98, n. 4, p. 738-745, 2017. 0003-9993 10.1016/j.apmr.2016.11.022 WOS:000399062400017 WOS000399062400017.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Archives Of Physical Medicine And Rehabilitation 1,501 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
738-745 application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier B.V. |
publisher.none.fl_str_mv |
Elsevier B.V. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128833196392448 |