Sheikh Mania, Azarpazhooh Mahmoud Reza, Hosseini Hossein Asghar
1 Department of Physical Therapy, School of Paramedical Sciences, Campus of Mashhad University of Medical Sciences, Azadi square, Mashhad, Iran.
2 Department of Neurology, Quaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Clin Rehabil. 2016 Nov;30(11):1088-1096. doi: 10.1177/0269215515611467. Epub 2016 Jul 11.
To compare the effects of gait training combined with compelled weight-shift therapy and gait training alone on velocity and gait symmetry in patients with chronic stroke.
Single-blind randomized controlled trial.
Patients ( N=28) with chronic stroke and stance asymmetry toward the non-paretic side.
Six weeks of gait training combined with compelled weight-shift therapy via a shoe lift applied under the non-paretic leg (experimental group, n=14) or gait training alone (control group, n=14).
Percentage of total body weight carried by the paretic limb, gait velocity and gait spatiotemporal symmetry ratios including step symmetry, stance symmetry, swing symmetry and overall temporal symmetry.
When comparing the two groups, weight bearing on the affected side increased more significantly in experimental group than in control group (40.14±3.77, 38.28±4.06) after the end of treatment and also after a three-month follow-up (44.42±3.5, 38.5±3.77) (P<0.05). Among the experimental and control groups, there were no significant differences of gait velocity (cm/s) after six weeks of treatment (49.82±16.82, 42.66±18.75) and also after a three-month follow-up (50.94±16.27, 41.66±17.58) ( P>0.05). There were no significant differences of gait spatiotemporal symmetry ratios including step symmetry, stance symmetry, swing symmetry and overall temporal symmetry between the two groups after six weeks of treatment and also at three-month follow-up ( P>0.05).
This study did not confirm that the effect of gait training combined with compelled body weight shift therapy was better than gait training alone on improving velocity and gait symmetry in patients with chronic stroke.
比较步态训练联合强制性体重转移疗法与单纯步态训练对慢性卒中患者步行速度和步态对称性的影响。
单盲随机对照试验。
28例慢性卒中且向非患侧存在站立不对称的患者。
为期六周的步态训练，实验组（n = 14）在非患侧腿下应用鞋垫进行强制性体重转移疗法，对照组（n = 14）仅进行步态训练。
患侧肢体承载的体重占总体重的百分比、步行速度以及步态时空对称率，包括步长对称率、站立对称率、摆动对称率和整体时间对称率。
两组比较，治疗结束时及三个月随访后，实验组患侧负重增加幅度显著大于对照组（治疗结束时：40.14±3.77，38.28±4.06；随访后：44.42±3.5，38.5±3.77）（P<0.05）。治疗六周后及三个月随访时，实验组和对照组的步行速度（cm/s）无显著差异（治疗六周后：49.82±16.82，42.66±18.75；随访后：50.94±16.27，41.66±17.58）（P>0.05）。治疗六周后及三个月随访时，两组在步长对称率、站立对称率、摆动对称率和整体时间对称率等步态时空对称率方面无显著差异（P>0.05）。
本研究未证实步态训练联合强制性体重转移疗法在改善慢性卒中患者步行速度和步态对称性方面优于单纯步态训练。
