Kim Chang-Yong, Lee Jung-Sun, Kim Hyeong-Dong
From the Department of Health Science, The Graduate School (C-YK), Department of Epidemiology and Health Informatics, The Graduate School of Public Health (J-SL), and Department of Physical Therapy, College of Health Science (H-DK), Korea University, Seoul, Korea.
Am J Phys Med Rehabil. 2017 Feb;96(2):61-67. doi: 10.1097/PHM.0000000000000541.
The purposes of the present study were to compare the effects of backward and lateral walking training and to identify whether additional backward or lateral walking training would be more effective in increasing the walking function of poststroke patients.
Fifty-one subjects with hemiplegic stroke were randomly allocated to 3 groups, each containing 17 subjects: the control group, the backward walking training group, and the lateral walking training group. The walking abilities of each group were assessed using a 10-m walk test and the GAITRite system for spatiotemporal gait.
The results show that there were significantly greater posttest increases in gait velocity (F = -12.09, P = 0.02) and stride length (F = -11.50, P = 0.02), decreases in the values of the 10-m walk test (F = -7.10, P = 0.03) (P < 0.05) and double-limb support period (F = 40.15, P = 0.000), and improvements in gait asymmetry (F = 13.88, P = 0.002) (P < 0.01) in subjects in the lateral walking training group compared with those in the other 2 groups.
These findings demonstrate that asymmetric gait patterns in poststroke patients could be improved by receiving additional lateral walking training therapy rather than backward walking training.
Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon completion of this article, the reader should be able to: (1) understand the potential benefits of backward walking (BW) and lateral walking (LW) training on improving muscle strength and gait; (2) appreciate the potential value of backward and lateral walking gait training in the treatment of hemiplegic stroke patients; and (3) appropriately incorporate backward and lateral walking gait training into the treatment plan of hemiplegic stroke patients.
Advanced ACCREDITATION: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
本研究旨在比较向后行走训练和侧向行走训练的效果，并确定额外的向后或侧向行走训练对提高中风后患者行走功能是否更有效。
51名偏瘫中风患者被随机分为3组，每组17名：对照组、向后行走训练组和侧向行走训练组。使用10米步行测试和GAITRite时空步态系统评估每组的行走能力。
结果显示，与其他两组相比，侧向行走训练组患者的步态速度（F = -12.09，P = 0.02）和步长（F = -11.50，P = 0.02）在测试后显著增加，10米步行测试值（F = -7.10，P = 0.03）（P < 0.05）和双支撑期（F = 40.15，P = 0.000）降低，步态不对称性改善（F = 13.88，P = 0.002）（P < 0.01）。
这些发现表明，中风后患者的不对称步态模式可以通过接受额外的侧向行走训练治疗而不是向后行走训练得到改善。
高级。认证：学术物理治疗师协会经继续医学教育认证委员会认证，可为医生提供继续医学教育。学术物理治疗师协会将此活动指定为最多1.5个AMA PRA第1类学分™。医生应仅根据其参与活动的程度索取学分。
