Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke
Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke
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DOI：
10.1016/j.apmr.2016.11.022
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发表时间：
2017-04-01
影响因子：
4.3
通讯作者：
Barela, Ana M.
中科院分区：
文献类型：
--
作者：
Gama, Gabriela L.;Celestino, Melissa L.;Barela, Ana M.
目的：探讨体重支持（BWS）步态训练在跑步机上与地面上对慢性脑卒中患者的影响。设计：随机对照试验。环境：大学研究实验室。参与者：慢性中风患者（N=28）（距中风事件60个月）。干预措施：参与者被随机分配在跑步机上（n=14）或地上（n=14）接受BWS步态训练，每周3次，持续6周。主要观察指标：采用10米步行测试测量步态速度，采用6分钟步行测试测量耐力，采用FIM运动域测量功能独立性，采用Fugl-Meyer评估下肢域测量下肢恢复，步长，步长对称比和单肢支撑持续时间。测量分别在基线、训练结束后和训练结束后6周进行。结果：在最后一次训练后1周，两组在所有结果测量中均有改善，除了父母步长和步长对称比，只有地上组有改善（P= 0.01和P= 0.01）。在最后一次训练后的6周，所有的改善仍然存在，跑步机组也改善了父母的步长（p < 0.05）。结论：慢性中风患者在跑步机或地面上进行18次BWS步态训练后，步态速度和其他步态参数均有改善。只有地上行走组改善了步长对称比，提示将地上行走纳入脑卒中后BWS干预措施的作用。(C) 2016年美国康复医学大会
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.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