Training conditions influence walking kinematics and self-selected walking speed in patients with neurological impairments.

作者: Gavin Williams , Ross Clark , Anthony Schache , Natalie A. Fini , Liz Moore

DOI: 10.1089/NEU.2010.1649

关键词: Physical medicine and rehabilitationPreferred walking speedRehabilitationGait analysisGait trainingPhysical therapyGait abnormalityAcquired brain injuryGait (human)Orthotic deviceMedicine

摘要: Abstract Gait training is a major focus of rehabilitation for many people with neurological disorders, yet systematic reviews have failed to identify the most effective form gait training. The main objective this study was compare conditions acquired brain injury (ABI). Seventeen who had sustained an ABI and were unable walk without assistance recruited as sample. Each participant exposed seven alternative in randomized order. These were: (1) therapist manual facilitation; (2) use gait-assistive device; (3) unsupported treadmill walking; (4) four variations body weight support (BWSTT). Quantitative analysis performed Profile Scores (GPS) generated each determine which condition closely resembled normal walking. BWSTT additional or self-support upper limbs associated more severe abnormality [Wil...

参考文章(47)
A Kobiri, T K Hamzat, Effects of walking with a cane on balance and social participation among community-dwelling post-stroke individuals. European Journal of Physical and Rehabilitation Medicine. ,vol. 44, pp. 121- 126 ,(2008)
Stefan Hesse, Treadmill Training With Partial Body Weight Support After Stroke: A Review NeuroRehabilitation. ,vol. 23, pp. 55- 65 ,(2008) , 10.3233/NRE-2008-23106
Kenton R. Kaufman, Robert H. Brey, Li-Shan Chou, Ann Rabatin, Allen W. Brown, Jeffrey R. Basford, Comparison of subjective and objective measurements of balance disorders following traumatic brain injury. Medical Engineering & Physics. ,vol. 28, pp. 234- 239 ,(2006) , 10.1016/J.MEDENGPHY.2005.05.005
S A Hesse, M T Jahnke, C M Bertelt, C Schreiner, D Lücke, K H Mauritz, Gait outcome in ambulatory hemiparetic patients after a 4-week comprehensive rehabilitation program and prognostic factors Stroke. ,vol. 25, pp. 1999- 2004 ,(1994) , 10.1161/01.STR.25.10.1999
B.M. Nigg, V Fisher, J.L. Ronsky, Gait characteristics as a function of age and gender Gait & Posture. ,vol. 2, pp. 213- 220 ,(1994) , 10.1016/0966-6362(94)90106-6
Inácio Teixeira da Cunha, Peter A. Lim, Huma Qureshy, Helene Henson, Trilok Monga, Elizabeth J. Protas, Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: a randomized controlled pilot study. Archives of Physical Medicine and Rehabilitation. ,vol. 83, pp. 1258- 1265 ,(2002) , 10.1053/APMR.2002.34267
Lara Allet, Beatrice Leemann, Emmanuel Guyen, Laura Murphy, Dominique Monnin, François R. Herrmann, Armin Schnider, Effect of different walking aids on walking capacity of patients with poststroke hemiparesis. Archives of Physical Medicine and Rehabilitation. ,vol. 90, pp. 1408- 1413 ,(2009) , 10.1016/J.APMR.2009.02.010
Sarah F. Tyson, Ann Ashburn, The influence of walking aids on hemiplegic gait Physiotherapy Theory and Practice. ,vol. 10, pp. 77- 86 ,(1994) , 10.3109/09593989409047444
T. George Hornby, Donielle D. Campbell, Jennifer H. Kahn, Tobey Demott, Jennifer L. Moore, Heidi R. Roth, Enhanced Gait-Related Improvements After Therapist- Versus Robotic-Assisted Locomotor Training in Subjects With Chronic Stroke: A Randomized Controlled Study Stroke. ,vol. 39, pp. 1786- 1792 ,(2008) , 10.1161/STROKEAHA.107.504779
Jocelyn E. Harris, Janice J. Eng, Goal Priorities Identified through Client-Centred Measurement in Individuals with Chronic Stroke Physiotherapy Canada. Physiothérapie Canada. ,vol. 56, pp. 171- 176 ,(2004) , 10.2310/6640.2004.00017