Immediate effect of treadmill walking practice versus overground walking practice on overground walking pattern in ambulatory stroke patients: an experimental study.

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  • Author(s): Kuys SS;Kuys SS; Brauer SG; Ada L; Russell TG
  • Source:
    Clinical rehabilitation [Clin Rehabil] 2008 Oct-Nov; Vol. 22 (10-11), pp. 931-9.
  • Publication Type:
    Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: SAGE Publications Country of Publication: England NLM ID: 8802181 Publication Model: Print Cited Medium: Print ISSN: 0269-2155 (Print) Linking ISSN: 02692155 NLM ISO Abbreviation: Clin Rehabil Subsets: MEDLINE
    • Publication Information:
      Publication: London : SAGE Publications
      Original Publication: London : Edward Arnold ; New York : Cambridge University Press [distributor in North America], c1987-
    • Subject Terms:
      Stroke Rehabilitation*; Exercise Test/*methods ; Exercise Therapy/*methods ; Paresis/*rehabilitation ; Walking/*physiology; Aged ; Analysis of Variance ; Biomechanical Phenomena ; Confidence Intervals ; Female ; Gait/physiology ; Humans ; Male ; Middle Aged ; Paresis/physiopathology ; Rehabilitation/instrumentation ; Stroke/physiopathology ; Treatment Outcome
    • Abstract:
      Objective: To determine whether 10 minutes of treadmill walking had a different effect on overground walking pattern compared with 10 minutes of overground walking in newly ambulatory stroke patients. Are any changes influenced by walking ability?
      Design: A within-participant, repeated measures experimental study was conducted. Each participant carried out 10 minutes of overground walking practice followed by 10 minutes of treadmill walking practice at matched heart rate on separate days.
      Setting: An inpatient rehabilitation facility.
      Subjects: Twenty-one participants receiving inpatient rehabilitation following stroke.
      Measures: Overground walking pattern was measured as linear and angular kinematics using GAITRite and a two-dimensional webcam application respectively.
      Results: Following treadmill walking practice, there was 6 degrees (95% confidence interval (CI) 2 to 10) more knee extension at heel strike during overground walking than following overground walking practice. Poorer walkers increased non-paretic limb step length following treadmill walking practice more than those with better walking ability (mean difference 2.2 cm, 95% CI 0 to 5).
      Conclusions: Ten minutes of treadmill walking practice resulted in a similar overground walking pattern compared with overground walking practice in newly ambulatory stroke patients undergoing rehabilitation, regardless of walking ability.
    • Publication Date:
      Date Created: 20081029 Date Completed: 20090210 Latest Revision: 20161124
    • Publication Date:
      20221213
    • Accession Number:
      10.1177/0269215508094245
    • Accession Number:
      18955425