Publication de 4 numéros par an
ISSN Imprimer: 0896-2960
ISSN En ligne: 2162-6553
Indexed in
Determining Important Dosage Parameters to Improve Gait Speed and Distance Using Mechanical Gait Support for Persons with Stroke: A Meta-Analysis
RÉSUMÉ
Introduction: Mechanical gait support for adults with stroke includes body weight-supported treadmill training, Lokomat, and mechanical gait trainers. Studies vary with regard to purpose, training protocols, and outcome measures. The primary purpose of this study was to evaluate this literature; a secondary purpose was to examine dosage parameters and draw any available conclusions. Methods: Inclusion and exclusion criteria were established, and reviewers were trained. Search terms were identified and databases were searched. A deliberate, evaluative process reduced the initial list of 13,094 citations to 27 randomized control trials. Studies were assessed using a data extraction form, the PEDro scale, and the Sackett Level of Evidence. Effect sizes were calculated for the outcome measures of gait speed and distance. Results: Most studies reported significant improvement in outcome measures, regardless of the intervention. Studies comparing conventional physical therapy with mechanical gait support had mixed results, with some claiming conventional physical therapy being more effective and vice versa. Conclusions: Studies with higher training frequencies and cointerventions yielded better outcomes. Study durations and total training time do not appear as influential. Continued focus on dosage parameters is warranted.
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Concors Andrew, Stagliano Angela , The effects on gait speed and activity level of a novel body weight supported treadmill training program on a 39-year-old patient with right hemiparesis, International Physical Medicine & Rehabilitation Journal, 3, 3, 2018. Crossref