Studies of innovative gate training using repetition of facilitation exercise or functional vibratory stimulation for patients with hemiplegia

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We have developed innovative facilitation exercises, so called Repetition of Facilitation Exercise (RFE), for a hemiparetic limbs and have been confirmed to promote the functional recovery of hemiplegic limbs (Kawahira et al., 2004; Kawahira et al., 2010; Shimodozono et al., 2012). We studied efficacy of the gait training using RFEs for patients with hemiplegia adressing changes in the gaits during RFEs or functional vibratory stimulation (FVS) and those after 4 weeks gait training. The changes in the gait were evaluated using force plate(WinFDM: Zebris), tread mill with force plate (C-MILL: Forcelink) and 3-D motion analysis. Comparing with gait of control, gait with RFE or FVS showed improvements in gate parameters. Gate training with RFEs for 4 weeks promoted many parameters such as gate speed, cadence, single support time in patients with chronic hemiplegia.