Article

OBJECTIVE: To evaluate the role of bodyweight-supported treadmill training (BWSTT) for chronic stroke survivors. DESIGN: Prospective, randomized controlled study. METHODS: Patients with a first episode of supratentorial arterial stroke
of more than 3months' duration were randomly allocated to 3 groups: overground
gait training, treadmill training without bodyweight support,
and BWSTT (20
sessions, 30min/day, 5days/week for 4weeks). The primary outcome was overground
walking speed and endurance and secondary outcome was improvement by the
Scandinavian Stroke Scale (SSS) and locomotion by the Functional Ambulation
Category (FAC). We analyzed data within groups (pre-training vs post-training and
pre-training vs 3-month follow-up) and between groups (at post-training and
3-month follow-up). RESULTS: We included 45 patients (36 males, mean post-stroke
duration 16.51+/-15.14months); 40 (89.9%) completed training and 34 (75.5%) were
followed up at 3months. All primary and secondary outcome measures showed
significant improvement (P<0.05) in the 3 groups at the end of training, which
was sustained at 3-month follow-up (other than walking endurance in group I).
Outcomes were better with BWSTT but not significantly (P>0.05). CONCLUSION: BWSTT
offers improvement in gait but has no significant advantage over conventional
gait-training strategies for chronic stroke survivors.
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Langue : ANGLAIS