Hemiparesis, Stroke
Conditions
Keywords
kinematic, hemiparesis, gait, Body weight support, Functional electrical stimulation
Brief summary
The aim of this study was to investigate the effects of gait training on ground level, combining BWS and FES in people following chronic stroke.
Detailed description
The body weight support system (BWS) associated to a treadmill as well as to a functional electrical stimulation (FES) of the common peroneal nerve, has been proposed as a strategy for gait training in people following stroke. Moreover, it has also considered that the ground level is the most common locomotion surface, and that there is little information about the effects of gait training, on this kind of surface, in people with hemiparesis.
Interventions
DEVICEgait training on ground level using BWS
An A1-B-A2 system was applied in which A1 and A2 corresponded to gait training on ground level using Body Weight Support (BWS). Each training phase was performed during 45 minutes, three times a week, for six weeks.
DEVICEgait training on ground level using BWS associated to FES
An A1-B-A2 system was applied in which B corresponded to the training associated to Functional Electrical Stimulation. Each training phase was performed during 45 minutes, three times a week, for six weeks.
Sponsors
Fundação de Amparo à Pesquisa do Estado de São Paulo
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Universidade Federal de Sao Carlos
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Elapsed time since stroke longer than 6 months * Spasticity classified under level 3 according to the Modified Ashworth Scale * The ability to walk classified at levels 2, 3 or 4 according to the Functional Ambulation Category
Exclusion criteria
* Heart failure, angina pectoris, arrhythmias and other cardiovascular diseases * Severe lung disease * Orthopedic disorders * Cognitive deficits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| kinematic evaluation | 4 months | Participants were assessed walking freely at a comfortable self-selected speed before and after each training phase. The analyzed variables were: mean walking speed of locomotion; step length; stride length, speed and duration; initial and final double support duration; single-limb support duration; swing period; range of motion (ROM), maximum and minimum angles of foot, leg, thigh, and trunk segments of both paretic and nonparetic limbs. |
Countries
Brazil
Outcome results
None listed