year 10, Issue 2 (Summer 2022)                   Ann Appl Sport Sci 2022, 10(2): 0-0 | Back to browse issues page

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Park D, Shin D. The Effect of Partial Weight Support with Ground Walking Training on Temporal and Spatial Gait in Patients with Chronic Stroke. Ann Appl Sport Sci 2022; 10 (2)
1- Department of Physical Therapy, Graduate School of Kyungnam University, Republic of Korea
2- Department of Physical Therapy, College of Health Sciences, Kyungnam University, Republic of Korea ,
Abstract:   (2632 Views)
Background. There have been many studies on partial weight support walking training. However, most studies have been performed in treadmill settings, not in actual walking environments.
Objectives. This study aimed to investigate the effect of partial weight support ground walking training on the temporal and spatial gait parameters of chronic stroke patients.
Methods. This study was designed as a single-blinded randomized controlled trial. The experimental group applied only 70% of its weight using partial weight support equipment. The experimental group underwent the 30 m ground track for 12 minutes, rested for 3 minutes, and then repeated twice in the same way to apply a total of 30 minutes of partial weight-supported ground walking training. In order to measure the temporal and spatial parameters of gait for walking training in stroke patients, a pre-and post-test was performed using GAIT RITE. An analysis of covariance (ANCOVA) was used to compare gait variables.
Results. There was a significant improvement in walking speed in the experimental group compared to the control group. However, there was no significant difference between cadence and cycle time (P < 0.05). Step length, stride length, and swing rate were significantly improved in the experimental group compared to the control group (P < 0.05).
Conclusion. Partial weight support walking training positively affects gait in chronic stroke patients. Thus, it is thought that partial weight support gait training can be used as an effective intervention method to improve gait in chronic stroke patients.
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  • This study supports that partial weight-bearing ground gait training in chronic stroke patients can improve the patients' walking ability.

Type of Study: Original Article | Subject: Sport Biomechanics and its related branches
Received: 2021/06/28 | Accepted: 2021/08/18

1. Isabel C, Calvet D, Mas JL. Stroke prevention. Presse Med. 2016;45(12 Pt 2):e457-e471. [DOI:10.1016/j.lpm.2016.10.009] [PMID]
2. Mandic M, Rancic N. [Risk factors for stroke]. Med Pregl. 2011;64(11-12):600-605. [DOI:10.2298/MPNS1112600M] [PMID]
3. Ru X, Dai H, Jiang B, Li N, Zhao X, Hong Z, et al. Community-Based Rehabilitation to Improve Stroke Survivors' Rehabilitation Participation and Functional Recovery. Am J Phys Med Rehabil. 2017;96(7):e123-e129. [DOI:10.1097/PHM.0000000000000650] [PMID]
4. Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011;377(9778):1693-1702. [DOI:10.1016/S0140-6736(11)60325-5]
5. Kesar TM, Reisman DS, Perumal R, Jancosko AM, Higginson JS, Rudolph KS, et al. Combined effects of fast treadmill walking and functional electrical stimulation on post-stroke gait. Gait Posture. 2011;33(2):309-313. [DOI:10.1016/j.gaitpost.2010.11.019] [PMID] [PMCID]
6. van Duijnhoven HJ, Heeren A, Peters MA, Veerbeek JM, Kwakkel G, Geurts AC, et al. Effects of Exercise Therapy on Balance Capacity in Chronic Stroke: Systematic Review and Meta-Analysis. Stroke. 2016;47(10):2603-2610. [DOI:10.1161/STROKEAHA.116.013839] [PMID]
7. Mao YR, Lo WL, Lin Q, Li L, Xiao X, Raghavan P, et al. The Effect of Body Weight Support Treadmill Training on Gait Recovery, Proximal Lower Limb Motor Pattern, and Balance in Patients with Subacute Stroke. Biomed Res Int. 2015;2015:175719. [DOI:10.1155/2015/175719] [PMID] [PMCID]
8. Barclay RE, Stevenson TJ, Poluha W, Ripat J, Nett C, Srikesavan CS. Interventions for improving community ambulation in individuals with stroke. Cochrane Database Syst Rev. 2015(3):CD010200. [DOI:10.1002/14651858.CD010200.pub2] [PMID] [PMCID]
9. Taylor-Piliae RE, Latt LD, Hepworth JT, Coull BM. Predictors of gait velocity among community-dwelling stroke survivors. Gait Posture. 2012;35(3):395-399. [DOI:10.1016/j.gaitpost.2011.10.358] [PMID] [PMCID]
10. Khademi-Kalantari K, Rahimi F, Hosseini SM, Baghban AA, Jaberzadeh S. Lower limb muscular activity during walking at different speeds: Over-ground versus treadmill walking: A voluntary response evaluation. J Bodyw Mov Ther. 2017;21(3):605-611. [DOI:10.1016/j.jbmt.2016.09.009] [PMID]
11. Srivastava A, Taly AB, Gupta A, Kumar S, Murali T. Bodyweight-supported treadmill training for retraining gait among chronic stroke survivors: A randomized controlled study. Ann Phys Rehabil Med. 2016;59(4):235-241. [DOI:10.1016/] [PMID]
12. Brasileiro A, Gama G, Trigueiro L, Ribeiro T, Silva E, Galvao E. Influence of visual and auditory biofeedback on partial body weight support treadmill training of individuals with chronic hemiparesis: a randomized controlled clinical trial. Eur J Phys Rehabil Med. 2015;51(1):49-58.
13. Ada L, Dean CM, Morris ME, Simpson JM, Katrak P. Randomized trial of treadmill walking with body weight support to establish walking in subacute stroke: the MOBILISE trial. Stroke. 2010;41(6):1237-1242. [DOI:10.1161/STROKEAHA.109.569483] [PMID]
14. Ribeiro T, Britto H, Oliveira D, Silva E, Galvao E, Lindquist A. Effects of treadmill training with partial body weight support and the proprioceptive neuromuscular facilitation method on hemiparetic gait: a randomized controlled study. Eur J Phys Rehabil Med. 2013;49(4):451-461.
15. Gama GL, Celestino ML, Barela JA, Forrester L, Whitall J, Barela AM. Effects of Gait Training With Body Weight Support on a Treadmill Versus Overground in Individuals With Stroke. Arch Phys Med Rehabil. 2017;98(4):738-745. [DOI:10.1016/j.apmr.2016.11.022] [PMID]
16. Santos-Couto-Paz CC, Teixeira-Salmela LF, Tierra-Criollo CJ. The addition of functional task-oriented mental practice to conventional physical therapy improves motor skills in daily functions after stroke. Braz J Phys Ther. 2013;17(6):564-571. [DOI:10.1590/S1413-35552012005000123] [PMID] [PMCID]
17. Dragin AS, Konstantinovic LM, Veg A, Schwirtlich LB. Gait training of poststroke patients assisted by the Walkaround (body postural support). Int J Rehabil Res. 2014;37(1):22-28. doi: 10.1097/MRR.0b013e328363ba30 pmid: 23820295 [DOI:10.1097/MRR.0b013e328363ba30] [PMID]
18. Dean JC, Kautz SA. Foot placement control and gait instability among people with stroke. J Rehabil Res Dev. 2015;52(5):577-590. doi: 10.1682/JRRD.2014.09.0207 pmid: 26437301 [DOI:10.1682/JRRD.2014.09.0207] [PMID] [PMCID]
19. Ribeiro T, Britto H, Oliveira D, Silva E, Galvão E, Lindquist A. Effects of treadmill training with partial body weight support and the proprioceptive neuromuscular facilitation method on hemiparetic gait: a randomized controlled study. Eur J Phys Rehabil Med. 2013;49(4):451-461.
20. Van Criekinge T, Saeys W, Hallemans A, Velghe S, Viskens PJ, Vereeck L, et al. Trunk biomechanics during hemiplegic gait after stroke: A systematic review. Gait Posture. 2017;54:133-143. [DOI:10.1016/j.gaitpost.2017.03.004] [PMID]
21. Varoqui D, Froger J, Lagarde J, Pelissier JY, Bardy BG. Changes in preferred postural patterns following stroke during intentional ankle/hip coordination. Gait Posture. 2010;32(1):34-38. [DOI:10.1016/j.gaitpost.2010.03.004] [PMID]
22. Kessner SS, Schlemm E, Cheng B, Bingel U, Fiehler J, Gerloff C, et al. Somatosensory Deficits After Ischemic Stroke. Stroke. 2019;50(5):1116-1123. [DOI:10.1161/STROKEAHA.118.023750] [PMID]
23. Bovonsunthonchai S, Hiengkaew V, Vachalathiti R, Vongsirinavarat M. Gait symmetrical indexes and their relationships to muscle tone, lower extremity function, and postural balance in mild to moderate stroke. J Med Assoc Thai. 2011;94(4):476-484.
24. Sousa CO, Barela JA, Prado-Medeiros CL, Salvini TF, Barela AM. Gait training with partial body weight support during overground walking for individuals with chronic stroke: a pilot study. J Neuroeng Rehabil. 2011;8:48. [DOI:10.1186/1743-0003-8-48] [PMID] [PMCID]
25. Hall AL, Bowden MG, Kautz SA, Neptune RR. Biomechanical variables related to walking performance 6-months following post-stroke rehabilitation. Clin Biomech (Bristol, Avon). 2012;27(10):1017-1022. [DOI:10.1016/j.clinbiomech.2012.07.006] [PMID] [PMCID]
26. Mehrholz J, Thomas S, Elsner B. Treadmill training and body weight support for walking after stroke. Cochrane Database Syst Rev. 2017;8:CD002840. [DOI:10.1002/14651858.CD002840.pub4] [PMID]

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