Speed-dependent treadmill training in ambulatory hemiparetic stroke patients -: A randomized controlled trial

Speed-dependent treadmill training in ambulatory hemiparetic stroke patients -: A randomized controlled trial
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DOI:
10.1161/hs0202.102365
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发表时间:
2002-02-01
期刊:
影响因子:
8.3
通讯作者:
Rückriem, S
Rückriem, S
中科院分区:
医学1区
文献类型:
--
作者:
Pohl, M;Mehrholz, J;Rückriem, S

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背景和目的-一种新的中风患者步态训练策略寻求通过跑步机训练来提高步行速度。本研究比较了结构化速度依赖跑步机训练(STT)(根据运动生理学原理采用间歇模式逐步提高跑步机速度)与有限递进式跑步机训练(LTT)和常规步态训练(CGT)对偏瘫患者临床疗效的影响。方法:随机选择60例中风后患者接受3种不同步态疗法中的一种:20例接受STT,20例在治疗期间带速增加20%的跑步机上行走,20例接受CGT治疗。结果:经过4周的训练,STT组的地面步行速度得分显著高于LTT组和CGT组(STT与LTT,P
Background and Purpose-A new gait training strategy for patients with stroke seeks to increase walking speed through treadmill training. This study compares the effects of structured speed-dependent treadmill training (STT) (with the use of an interval paradigm to increase the treadmill speed stepwise according to principles of sport physiology) with limited progressive treadmill training (LTT) and conventional gait training (CGT) on clinical outcome measures for patients with hemiparesis.Methods-Sixty ambulatory poststroke patients were each randomly selected to receive 1 of the 3 different gait therapies: 20 subjects were treated with STT, 20 subjects were trained to walk on a treadmill with a 20% increase of belt speed over the treatment period (LTT), and 20 subjects were treated with CGT. Treatment outcomes were assessed on the basis of overground walking speed, cadence, stride length, and Functional Ambulation Category scores.Results-After a 4-week training period, the STT group scored significantly higher than the LTT and CGT groups for overground walking speed (STT versus LTT, P