Effects of Load Addition During Gait Training on Weight-Bearing and Temporal Asymmetry After Stroke

التفاصيل البيبلوغرافية
العنوان: Effects of Load Addition During Gait Training on Weight-Bearing and Temporal Asymmetry After Stroke
المؤلفون: Ana Raquel Rodrigues Lindquist, Emília Márcia Gomes de Souza e Silva, Stephano Tomaz da Silva, Tatiana Souza Ribeiro, Isabelly Cristina Rodrigues Regalado, Catarina de Oliveira Sousa, Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro
المصدر: American Journal of Physical Medicine & Rehabilitation. 99:250-256
بيانات النشر: Ovid Technologies (Wolters Kluwer Health), 2019.
سنة النشر: 2019
مصطلحات موضوعية: Adult, Male, 030506 rehabilitation, medicine.medical_specialty, media_common.quotation_subject, Physical Therapy, Sports Therapy and Rehabilitation, medicine.disease_cause, Asymmetry, Weight-bearing, law.invention, Weight-Bearing, 03 medical and health sciences, 0302 clinical medicine, Gait (human), Physical medicine and rehabilitation, Gait training, Randomized controlled trial, law, Humans, Medicine, Ground reaction force, Stroke, Gait Disorders, Neurologic, Aged, media_common, business.industry, Rehabilitation, Stroke Rehabilitation, Middle Aged, medicine.disease, Female, 0305 other medical science, business, 030217 neurology & neurosurgery, Motion system
الوصف: Objective The aim of the study was to evaluate the effects of adding load to restrain the nonparetic lower limb during gait training on weight-bearing and temporal asymmetry after stroke. Design Thirty-eight subjects were randomized into treadmill training with load (5% of body weight) on the nonparetic limb (experimental group) and treadmill training without load (control group). Interventions lasted 30 mins/d for 2 wks (9 sessions). Both groups performed home-based exercises and were instructed to increase the use of paretic limb in daily life situations. Ground reaction force was obtained by a force plate during standing position (static) and gait (dynamic). Temporal gait parameters were assessed by a motion system analysis. Outcome measures were evaluated at baseline, posttraining, and after a 40-day follow-up. Results The experimental group increased static ground reaction force of the paretic limb at posttraining (P = 0.037) and the control group increased dynamic ground reaction force of the paretic limb at posttraining (P = 0.021), both with maintenance at follow-up. Neither group showed a change in the swing time symmetry ratio after training (P = 0.190). Conclusions Treadmill training associated with behavioral strategies/home-based exercises seemed to be useful to minimize weight-bearing asymmetry, but not to improve temporal gait asymmetry. Load addition did not show additional benefits.
تدمد: 1537-7385
0894-9115
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2cc0c899e46d1acce1ca1081a47e0f3d
https://doi.org/10.1097/phm.0000000000001314
رقم الأكسشن: edsair.doi.dedup.....2cc0c899e46d1acce1ca1081a47e0f3d
قاعدة البيانات: OpenAIRE