期刊
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
卷 45, 期 2, 页码 221-228出版社
JOURNAL REHAB RES & DEV
DOI: 10.1682/JRRD.2007.02.0024
关键词
cadence; exercise; function; gait; hemiparesis; rehabilitation; stride length; stroke; symmetry; treadmill; velocity
资金
- NIA NIH HHS [P60 AG012583, P60 AG012583-10, P60AG12583] Funding Source: Medline
- NATIONAL INSTITUTE ON AGING [P60AG012583] Funding Source: NIH RePORTER
The effects of task-repetitive locomotor training on stroke patients' spatial and temporal gait parameters during unassisted walking are not well understood. This study determined the effects of treadmill aerobic exercise (T-EX) on spatial and temporal gait parameters that underlie changes in over-ground walking function. Thirty-nine subjects with hemiparetic stroke underwent T-EX three times weekly for 6 months. We measured the subjects pre- and posttraining on 30-foot timed walks and 6-minute distance walks with usual assistive devices and on an 8 in instrumented walkway without assistive devices. T-EX improved 30-foot walks by 17% and 6-minute walks by 23%. Unassisted walking velocity increased 22%, stride length increased 13%, and cadence increased 7%. Paretic and non-paretic step lengths increased significantly, and respective step times decreased significantly. Interlimb symmetry did not change. This study presents preliminary evidence that changes in spatial and temporal gait parameters contribute to the increased velocity of subjects with stroke after T-EX.
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