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
中科院分区:
文献类型:
--
作者:
Pohl, M;Mehrholz, J;Rückriem, S
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