Effects of a gait training session combined with a mass on the non-paretic lower limb on locomotion of hemiparetic patients: a randomized controlled clinical trial.

Abstract:

BACKGROUND:Results of recent studies have suggested that restraint of non-paretic lower limb movement could improve locomotion in hemiplegic patients. The aim of this study was therefore to determine if a mass applied to the non-paretic lower limb during a single gait training session (GTS) would specifically improve spatio-temporal, kinematic and kinetic gait parameters (GP) of the paretic lower limb. METHODS:Sixty chronic hemiplegic subjects were included in this randomized study. Each participated in one of four GTS conditions: overground or on a treadmill while wearing or not wearing an ankle mass. All subjects were assessed before, immediately after and 20 min after the end of the GTS using 3D gait analysis. RESULTS:The results showed that restraining the non-paretic lower limb during a GTS had no specific effect on GP of the paretic limb, whereas it increased braking force of the non-paretic limb. CONCLUSION:Restraining the non-paretic lower limb of hemiparetic patients with a mass applied to the ankle does not seem to be an effective approach to improve paretic lower limb parameters during a single GTS.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Bonnyaud C,Pradon D,Zory R,Bussel B,Bensmail D,Vuillerme N,Roche N

doi

10.1016/j.gaitpost.2012.09.010

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

627-30

issue

4

eissn

0966-6362

issn

1879-2219

pii

S0966-6362(12)00353-0

journal_volume

37

pub_type

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