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(Virtual reality-enhanced body weight-supported treadmill training improved lower limb motor function in patients with cerebral infarction) [Chinese - simplified characters]
Xiao X, Mao Y-R, Zhao J-L, Li L, Xu G-Q, Huang D-F
Chinese Journal of Tissue Engineering Research 2014 Feb 12;18(7):1143-1148
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Most stroke patients affected walking dysfunction. Virtual reality-enhanced body weight-supported treadmill training has been proposed as a strategy for gait training of cerebral infarction subjects. OBJECTIVE: To evaluate the effectiveness of virtual reality-enhanced body weight-supported treadmill training on lower limb motor function in subacute cerebral infarction patients. METHODS: Twenty cerebral infarction patients (within 3 months of onset) were randomly divided into experiment group (virtual reality-enhanced body weight-supported treadmill training) and control group (conventional physiotherapy). Three-dimensional gait analysis in lower limb motor function was carried out before and after 3-week gait training. Intergroup and intragroup comparisons in the following parameters were done before and after training: walking speed, cadence, step time, single limb support time (%), double limb support time (%), nonparetic swing (%), step length, pace, range of motion in the lower limb, functional ambulation category, Fugl-Meyer Assessment of the lower limbs and Brunel Balance Assessment. RESULTS AND CONCLUSION: No significant differences in patient's gender, age, course of disease, affected. side, walking speed, functional ambulation category, Fugl-Meyer Assessment of the lower limbs and Brunel Balance Assessment were detected between the two groups before training (p > 0.05). Fugl-Meyer Assessment and functional ambulation category were improved in patients of the two groups after training (p < 0.05). The improvement in walking speed, cadence, step time in affected side, step time in healthy side, single limb support time in affected side (%), nonparetic swing (%), pace, step lengths in affected and healthy sides were better in the experimental group than those in the control group.

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