Gait training after stroke: a pilot study combining a gravity-balanced orthosis, functional electrical stimulation, and visual feedback.
Gait training after stroke: a pilot study combining a gravity-balanced orthosis, functional electrical stimulation, and visual feedback.
复制标题
DOI：
10.1097/npt.0b013e31818e8fc2
复制
发表时间：
2008-12-01
期刊：
影响因子：
--
通讯作者：
Scholz, John P
中科院分区：
文献类型：
--
作者：
Krishnamoorthy, Vijaya;Hsu, Wei-Li;Scholz, John P
理由：本病例报告描述了一种新颖的步态再训练方法对中风后偏瘫患者的应用。康复方案结合了专门设计的腿部矫形器（重力平衡矫形器）、跑步机行走、对踝关节肌肉进行功能性电刺激以及运动学习原理的应用。 病例：参与者是一名 58 岁男性，在干预前三年多患有中风。他接受了为期五周的步态再训练，总共 15 次，期间重力平衡矫形器提供的重力补偿和有关步行表现的视觉反馈逐渐减少。 结果：五周结束时，他减少了完成 Timed Up and Go 测试所需的时间；在地面行走时，他的步态速度加快；步态更加对称；患侧的步幅、髋关节和膝关节的偏移量增加。除了步态对称性外，所有其他改善均在干预后保持一个月。结论：本病例报告描述了明智地结合不同治疗技术在改善慢性中风幸存者步态方面可能具有的优势。计划进行进一步的研究来评估该训练的不同组成部分在中风恢复的亚急性和慢性阶段的有效性。
RATIONALE: This case report describes the application of a novel gait retraining approach to an individual with poststroke hemiparesis. The rehabilitation protocol combined a specially designed leg orthosis (the gravity-balanced orthosis), treadmill walking, and functional electrical stimulation to the ankle muscles with the application of motor learning principles.CASE: The participant was a 58-year-old man who had a stroke more than three years before the intervention. He underwent gait retraining over a period of five weeks for a total of 15 sessions during which the gravity compensation provided by the gravity-balanced orthosis and visual feedback about walking performance was gradually reduced.OUTCOMES: At the end of five weeks, he decreased the time required to complete the Timed Up and Go test; his gait speed increased during overground walking; gait was more symmetrical; stride length, hip and knee joint excursions on the affected side increased. Except for gait symmetry, all other improvements were maintained one month post-intervention.CONCLUSIONS: This case report describes possible advantages of judiciously combining different treatment techniques in improving the gait of chronic stroke survivors. Further studies are planned to evaluate the effectiveness of different components of this training in both the subacute and chronic stages of stroke recovery.