Single-belt vs. split-belt treadmill symmetry training: is there a perfect choice for gait rehabilitation post-stroke?
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作者:
Yang, Chen
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Shirley Ryan AbilityLab, Chicago, IL 60611 USA
Northwestern Univ, Feinberg Sch Med, Dept Phys Med & Rehabil, Chicago, IL 60611 USAShirley Ryan AbilityLab, Chicago, IL 60611 USA
Yang, Chen
[1
,2
]
Veit, Nicole
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机构:
Shirley Ryan AbilityLab, Chicago, IL 60611 USA
Northwestern Univ, McCormick Sch Engn, Biomed Engn Dept, Evanston, IL USAShirley Ryan AbilityLab, Chicago, IL 60611 USA
Veit, Nicole
[1
,3
]
Mckenzie, Kelly
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机构:
Shirley Ryan AbilityLab, Chicago, IL 60611 USAShirley Ryan AbilityLab, Chicago, IL 60611 USA
Mckenzie, Kelly
[1
]
Aalla, Shreya
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Shirley Ryan AbilityLab, Chicago, IL 60611 USAShirley Ryan AbilityLab, Chicago, IL 60611 USA
Aalla, Shreya
[1
]
Embry, Kyle
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机构:
Shirley Ryan AbilityLab, Chicago, IL 60611 USA
Northwestern Univ, Feinberg Sch Med, Dept Phys Med & Rehabil, Chicago, IL 60611 USAShirley Ryan AbilityLab, Chicago, IL 60611 USA
Embry, Kyle
[1
,2
]
Kishta, Ameen
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Shirley Ryan AbilityLab, Chicago, IL 60611 USAShirley Ryan AbilityLab, Chicago, IL 60611 USA
Kishta, Ameen
[1
]
Roth, Elliot
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机构:
Shirley Ryan AbilityLab, Chicago, IL 60611 USA
Northwestern Univ, Feinberg Sch Med, Dept Phys Med & Rehabil, Chicago, IL 60611 USAShirley Ryan AbilityLab, Chicago, IL 60611 USA
Roth, Elliot
[1
,2
]
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Jayaraman, Arun
[1
,2
]
机构:
[1] Shirley Ryan AbilityLab, Chicago, IL 60611 USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Phys Med & Rehabil, Chicago, IL 60611 USA
[3] Northwestern Univ, McCormick Sch Engn, Biomed Engn Dept, Evanston, IL USA
Post-stroke gait asymmetry leads to inefficient gait and a higher fall risk, often causing limited home and community ambulation. Two types of treadmills are typically used for training focused on symmetry: split-belt and single belt treadmills, but there is no consensus on which treadmill is superior to improve gait symmetry in individuals with stroke. To comprehensively determine which intervention is superior, we considered multiple spatial and temporal gait parameters (step length, stride time, swing time, and stance time) and their symmetries. Ten individuals with stroke underwent a single session of split-belt treadmill training and single belt treadmill training on separate days. The changes in step length, stride time, swing time, stance time and their respective symmetries were compared to investigate which training improves both spatiotemporal gait parameters and symmetries immediately after the intervention and after 5 min of rest. Both types of treadmill training immediately increased gait velocity (0.08 m/s faster) and shorter step length (4.15 cm longer). However, split-belt treadmill training was more effective at improving step length symmetry (improved by 27.3%) without sacrificing gait velocity or step length. However, this step length symmetry effect diminished after a 5-min rest period. Split-belt treadmill training may have some advantages over single belt treadmill training, when targeting step length symmetry. Future research should focus on comparing the long-term effects of these two types of training and examining the duration of the observed effects to provide clinically applicable information.
机构:
Colorado State Univ, Dept Hlth & Exercise Sci, Ft Collins, CO 80523 USAColorado State Univ, Dept Hlth & Exercise Sci, Ft Collins, CO 80523 USA
Hagen, Andrew C. C.
Acosta, Jordan S. S.
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机构:
Colorado State Univ, Dept Hlth & Exercise Sci, Ft Collins, CO 80523 USAColorado State Univ, Dept Hlth & Exercise Sci, Ft Collins, CO 80523 USA
Acosta, Jordan S. S.
Geltser, Chaia S. S.
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机构:
Colorado State Univ, Dept Biomed Sci, Ft Collins, CO 80523 USAColorado State Univ, Dept Hlth & Exercise Sci, Ft Collins, CO 80523 USA
Geltser, Chaia S. S.
Fling, Brett W. W.
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机构:
Colorado State Univ, Dept Hlth & Exercise Sci, Ft Collins, CO 80523 USA
Colorado State Univ, Mol Cellular & Integrat Neurosci Program, Ft Collins, CO 80523 USAColorado State Univ, Dept Hlth & Exercise Sci, Ft Collins, CO 80523 USA