【論文摘要】Effects of Different Forms of Treadmill Training on Walking Ability and Changes of Gait Parameters in Patients With Chronic Stroke

【論文摘要】不同形式的跑步機訓練對慢性腦中風患者步行能力的影響與步態參數的改變

Li-Yu Lin(林俐妤) ； Yan-Ting Chen(陳妍婷) ； Hui-Yu Tseng(曾惠瑜) ； Chih-Hung Chen(陳志弘) ； Pei-Yun Lee(李佩紜) ； Sang-I Lin(林桑伊)

《物理治療》 48卷2期 (2023/06) Pp. 150-151

https://doi.org/10.6215/FJPT.202306.P33

摘要

Background and Purpose: Walking speed is an indicator that best demonstrates the walking ability, and often limited after stroke. Although treadmill training is commonly used in stroke patients, some patients still exhibit insufficient walking speed that affects the ability to community participation. Designing a more efficient treadmill walking training for stroke patients might provide better results. Therefore, the purpose of this study was to examine the effects of Thera-band resistance treadmill training and treadmill training alone on walking speed and gait characteristics in patients with chronic stroke. Methods: Seventeen community ambulatory patients with chronic stroke were recruited and randomly assigned to Thera-and resisted treadmill training (experimental group, n = 8) and treadmill training (control group, n = 9), receiving a 30-minute training session, twice a week for 8 weeks. Before and after training, patients were instructed to walk 8 meters with preferred and maximum speed on a GAITRite pressure-sensor mat to measure walking speed and gait characteristics. The lower limb motor function was assessed by FuglMeyer assessment of lower extremity. Mann-Whitney U test and Wilcoxon signed rank tests were used to compare the outcome measures between and within groups respectively. Results: In preferred walking speed, all the outcome measures showed insignificant change after training in both groups. In maximum walking speed, the experimental group demonstrated significantly faster walking speed (p = 0.02), shorter step time (p = 0.03), and longer single support time (p = 0.01) than the control group after training, whereas the step length and stance time did not show significant between-group difference. Conclusion: After Thera-band resistance treadmill training, the chronic stroke patients showed improvement in maximum walking speed. Using a Thera-band to provide resistance during treadmill training might be a new way to improve walking performance for chronic stroke patients. Clinical Relevance: This study suggests that Thera-band resisted treadmill training could be an alternate training to increase maximum walking speed for chronic stroke patients, which is associated with long walking distance.