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Improvement of gait ability with a short-term intensive gait rehabilitation program using body weight support treadmill training in community dwelling chronic poststroke survivors
Takao T, Tanaka N, Iizuka N, Saitou H, Tamaoka A, Yanagi H
Journal of Physical Therapy Science 2015 Jan;27(1):159-163
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: Most previous studies have shown that body weight support treadmill training (BWSTT) can improve gait speed poststroke patients. The purpose of this study was to evaluate effectiveness of a short-term intensive program using BWSTT among community dwelling poststroke survivors. SUBJECTS: Eighteen subjects participated in this study. The treatment group was composed of 10 subjects (2 women; 8 men; mean age 59.1 +/- 12.5 years; time since stroke onset 35.3 +/- 33.2 months), whereas the control group was made up of 8 subjects (3 women; 5 men; mean age 59.8 +/- 6.3 years; time since stroke onset 39.3 +/- 27.3 months). METHODS: The treatment group received BWSTT 3 times a week for 4 weeks (a total of 12 times), with each session lasting 20 minutes. The main outcome measures were maximum gait speed on a flat floor, cadence, and step length. RESULTS: No differences were observed in the baseline clinical data between the 2 groups. The gait speed in the treatment group was significantly improved compared with that in the control by 2-way ANOVA, while the other parameters showed no significant interaction. CONCLUSION: These results suggested that short-term intensive gait rehabilitation using BWSTT was useful for improving gait ability among community dwelling poststroke subjects.

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