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The effect of treadmill-based incremental leg weight loading training on the balance of stroke patients
Park JH, Hwangbo G, Kim JS
Journal of Physical Therapy Science 2014 Feb;26(2):235-237
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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*

PURPOSE: The purpose of this study was to examine the effect of treadmill-based gait training using incremental weight loading on the ankle of the affected side on hemiplegic stroke patients' balance. SUBJECTS: In this study, 30 hemiplegic stroke patients were randomly divided into an incremental weight load group (IWLG, n = 15) and a no-load group (NLG, n = 15). METHODS: The IWLG performed gait training on treadmills for four weeks wearing a sandbag weighing 3% of the body weight on the affected side ankle, followed by wearing a sandbag weighing 5% of the body weight from the 5th week. The NLG performed similar training without sandbags. RESULTS: Both the IWLG and the NLG showed significant improvements in balance ability. The IWLG showed a larger decrease in the area and length of movement of the center of pressure in static standing positions after the experiment although the difference was not significant. CONCLUSION: We recommend, utilizing the treadmill-based gait training using incremental weight loading on the affected side ankle as a clinical intervention for improving hemiplegic stroke patients' balance ability.

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