Body weight-supported treadmill training versus conventional gait training for people with chronic traumatic brain injury

Body weight-supported treadmill training versus conventional gait training for people with chronic traumatic brain injury
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DOI:
10.1097/00001199-200509000-00002
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发表时间:
2005-09-01
影响因子:
2.4
通讯作者:
Kim, J
Kim, J
中科院分区:
医学3区
文献类型:
--
作者:
Brown, TH;Mount, J;Kim, J

文献摘要

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目标:比较体重支撑跑步机训练 (BWSTT) 与传统的地上步态训练 (COGT)。设计:随机对照试验。地点:住宅康复中心。参与者:20 名患有慢性创伤性脑损伤 (TBI) 的受试者。干预:BWSTT 或 COGT 15 分钟加上每周 2 天 30 分钟的锻炼,持续 3 个月。主要结果指标:功能性步行类别 (FAC)、功能性伸展 (FR)、定时起床和走动;使用仪表步态垫测量步态速度、步宽 (BOS) 和步长差异。结果:步宽接近标准,没有组间差异。 COGT 的步长差异显着改善 结论:物理治疗可以改善 TBL 后 6 年以上患者的步态。 COGT 比 BWSTT 更能有效改善地面行走期间的步态对称性。
Objectives: To compare body weight support treadmill training (BWSTT) to conventional over-ground gait training (COGT). Design: Randomized controlled trial. Setting: Residential rehabilitation center. Participants: Twenty subjects with chronic traumatic brain injury (TBI). Intervention: The BWSTT or COGT for 15 minutes plus 30 minutes of exercise 2 days per week, for 3 months. Main Outcome Measures: Functional Ambulation Category (FAC), Functional Reach (FR), Timed Up and Go; gait velocity, step width (BOS) and step length differential using instrumented gait mat. Results: Step width approached the norm Without between-group differences. Step length differential improved significantly more for the COGT Conclusions: Physical therapy can improve gait for patients more than 6 years post-TBL. The COGT is more effective than the BWSTT for improving gait symmetry during overground walking.