Single-belt vs. split-belt treadmill symmetry training: is there a perfect choice for gait rehabilitation post-stroke?

被引:0
|
作者
Yang, Chen [1 ,2 ]
Veit, Nicole [1 ,3 ]
Mckenzie, Kelly [1 ]
Aalla, Shreya [1 ]
Embry, Kyle [1 ,2 ]
Kishta, Ameen [1 ]
Roth, Elliot [1 ,2 ]
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
关键词
treadmill; split-belt treadmill; gait adaptation; stroke; symmetry; STROKE; ASYMMETRY; WALKING; ADAPTATION; INDIVIDUALS; MECHANISMS; SPEED; PART;
D O I
10.3389/fphys.2024.1409304
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
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.
引用
收藏
页数:8
相关论文
共 34 条
  • [1] Single-Belt Versus Split-Belt: Intelligent Treadmill Control via Microphase Gait Capture for Poststroke Rehabilitation
    Cao, Shengting
    Ko, Mansoo
    Li, Chih-Ying
    Brown, David
    Wang, Xuefeng
    Hu, Fei
    Gan, Yu
    IEEE TRANSACTIONS ON HUMAN-MACHINE SYSTEMS, 2023, 53 (06) : 1006 - 1016
  • [2] A Comparison of Split-Belt and Single-Belt Treadmill Walking Over Time
    Altman, Allison R.
    Pohl, Michael
    Davis, Irene S.
    MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2008, 40 (05): : S59 - S59
  • [3] Locomotor adaptation on a split-belt treadmill can improve walking symmetry post-stroke
    Reisman, Darcy S.
    Wityk, Robert
    Silver, Kenneth
    Bastian, Amy J.
    BRAIN, 2007, 130 : 1861 - 1872
  • [4] Kinematic comparison of split-belt and single-belt treadmill walking and the effects of accommodation
    Altman, Allison R.
    Reisman, Darcy S.
    Higginson, Jill S.
    Davis, Irene S.
    GAIT & POSTURE, 2012, 35 (02) : 287 - 291
  • [5] NeuroRecoVR: Split-Belt virtual reality treadmill training for Subacute stroke
    Boyer, Alexa
    Bertram, John
    Dukelow, Sean
    INTERNATIONAL JOURNAL OF STROKE, 2024, 19 (4_SUPPL) : 4 - 4
  • [6] Split-Belt Treadmill Training to Improve Gait Adaptation in Parkinson's Disease
    Hulzinga, Femke
    Seuthe, Jana
    D'Cruz, Nicholas
    Ginis, Pieter
    Nieuwboer, Alice
    Schlenstedt, Christian
    MOVEMENT DISORDERS, 2023, 38 (01) : 92 - 103
  • [7] A MORE SYMMETRICAL GAIT AFTER SPLIT-BELT TREADMILL WALKING INCREASES THE EFFORT IN PARETIC PLANTAR FLEXORS IN PEOPLE POST-STROKE
    Lauziere, Selena
    Mieville, Carole
    Betschart, Martina
    Duclos, Cyril
    Aissaoui, Rachid
    Nadeau, Sylvie
    JOURNAL OF REHABILITATION MEDICINE, 2016, 48 (07) : 576 - 582
  • [8] More symmetrical gait after split-belt treadmill walking does not modify dynamic and postural balance in individuals post-stroke
    Mieville, Carole
    Lauziere, Selena
    Betschart, Martina
    Nadeau, Sylvie
    Duclos, Cyril
    JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY, 2018, 41 : 41 - 49
  • [9] Changes in lower limb muscle activity after walking on a split-belt treadmill in individuals post-stroke
    Betschart, Martina
    Lauziere, Selena
    Mieville, Carole
    McFadyen, Bradford J.
    Nadeau, Sylvie
    JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY, 2017, 32 : 93 - 100
  • [10] Split-Belt Treadmill Adaptation Improves Spatial and Temporal Gait Symmetry in People with Multiple Sclerosis
    Hagen, Andrew C. C.
    Acosta, Jordan S. S.
    Geltser, Chaia S. S.
    Fling, Brett W. W.
    SENSORS, 2023, 23 (12)