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Effects of treadmill inclination on hemiparetic gait: controlled and randomized clinical trial
Gama GL, de Lucena Trigueiro LC, Simao CR, de Sousa AVC, de Souza e Silva EMG, Galvao ERVP, Lindquist ARR
American Journal of Physical Medicine & Rehabilitation 2015 Sep;94(9):718-727
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: The aim of this study was to analyze the effects of inclined treadmill training on the kinematic characteristics of gait in subjects with hemiparesis. DESIGN: A blind, randomized, controlled study was conducted with 28 subjects divided into two groups: the control group, submitted to partial body weight-support treadmill gait training with no inclination, and the experimental group, which underwent partial body weight-support treadmill training at 10% of inclination. All volunteers were assessed for functional independence, motor function, balance, and gait before and after the 12 training sessions. RESULTS: Both groups showed posttraining alterations in balance (p < 0.001), motor function (p < 0.001), and functional independence (p = 0.002). Intergroup differences in spatiotemporal differences were observed, where only the experimental group showed posttraining alterations in velocity (p = 0.02) and paretic step length (p = 0.03). Angular variables showed no significant differences in either group. CONCLUSIONS: In subjects with hemiparesis, the addition of inclination is a stimulus capable of enhancing the effects of partial body weight-support treadmill gait training.

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