TY - JOUR
T1 - Step by step: a Proof of Concept Study of C-Mill Gait Adaptability Training in the Chronic Phase after Stroke
AU - Heeren, A.
AU - van Ooijen - Kerste, M.W.
AU - Geurts, A.C.H.
AU - Day, B.L.
AU - Janssen, T.W.J.
AU - Beek, P.J.
AU - Roerdink, M.
AU - Weerdesteyn, V.
PY - 2013
Y1 - 2013
N2 - Objective: To evaluate the concept of C-Mill gait adaptability training. Design: Pre- and post-intervention assessments. Subjects: Sixteen community-dwelling persons in the chronic phase after stroke (mean age 54.8 years). Methods: Participants received 10 sessions (1 h per session, for 5-6 weeks) of gait adaptability training on an instrumented treadmill augmented with visual targets and obstacles (C-Mill). Pre- and post-intervention assessments included: (i) clinical assessments of balance and gait: 10-m walking test, Timed Up-and-Go test, Berg Balance Scale, obstacle sub-task of the Emory Functional Ambulation Profile, and the Trunk Impairment Scale; (ii) physical activity level, assessed with a pedometer; (iii) success rate of accurate step adjustments towards a displacing target, assessed with an instrumented Target-Stepping Task; (iv) participant's experience with the training. Results: All clinical assessments improved significantly after training (all p < 0.05), except for the Trunk Impairment Scale (p=0.584). Physical activity increased by 19.6% (p < 0.05). Improvements in Target-Stepping Task success rates depended on the specific testing condition (time × body support × step direction, χ
AB - Objective: To evaluate the concept of C-Mill gait adaptability training. Design: Pre- and post-intervention assessments. Subjects: Sixteen community-dwelling persons in the chronic phase after stroke (mean age 54.8 years). Methods: Participants received 10 sessions (1 h per session, for 5-6 weeks) of gait adaptability training on an instrumented treadmill augmented with visual targets and obstacles (C-Mill). Pre- and post-intervention assessments included: (i) clinical assessments of balance and gait: 10-m walking test, Timed Up-and-Go test, Berg Balance Scale, obstacle sub-task of the Emory Functional Ambulation Profile, and the Trunk Impairment Scale; (ii) physical activity level, assessed with a pedometer; (iii) success rate of accurate step adjustments towards a displacing target, assessed with an instrumented Target-Stepping Task; (iv) participant's experience with the training. Results: All clinical assessments improved significantly after training (all p < 0.05), except for the Trunk Impairment Scale (p=0.584). Physical activity increased by 19.6% (p < 0.05). Improvements in Target-Stepping Task success rates depended on the specific testing condition (time × body support × step direction, χ
U2 - 10.2340/16501977-1180
DO - 10.2340/16501977-1180
M3 - Article
SN - 1650-1977
VL - 45
SP - 616
EP - 622
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
ER -