Effect of treadmill training based real-world video recording on balance and gait in chronic stroke patients: a randomized controlled trial

Gait Posture. 2014;39(1):523-8. doi: 10.1016/j.gaitpost.2013.09.003. Epub 2013 Sep 14.


Objective: The purpose of this study was to determine the role of treadmill training based real-world video recording (TRWVR) for balance and gait ability in chronic stroke patients.

Design: Thirty chronic stroke patients were randomly assigned to either the TRWVR group (n=15) or the control group (n=15). Both groups participated in a standard rehabilitation program; in addition, the TRWVR group participated in TRWVR for 30 min per day, three times per week, for 6 weeks, and the control group participated in treadmill walking training for 30 min per day, three times per week, for 6 weeks. Balance ability was measured using the Berg Balance Scale (BBS), Timed Up and Go test (TUG) and the postural sway by force platform system. Gait performance was measured using a pressure sensitive walkway.

Results: Significant differences in the time factor for dynamic balance and gait (P<0.05) were observed in the TRWVR and control group, with the exception of static balance. For the group × time interaction, significant improvements in dynamic balance and gait (P<0.05). In the correlation coefficient, no significant correlation was observed between changes in postural sway and other dependent variables.

Conclusions: Findings of this study demonstrated that the real-world video recording has an effect on dynamic balance and gait in chronic stroke patients when added to treadmill walking.

Keywords: Balance; Gait; Stroke; Treadmill; Virtual reality.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Chronic Disease
  • Exercise Therapy / methods*
  • Female
  • Gait Disorders, Neurologic / etiology
  • Gait Disorders, Neurologic / physiopathology
  • Gait Disorders, Neurologic / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Postural Balance*
  • Stroke / complications
  • Stroke / physiopathology
  • Stroke Rehabilitation*
  • Treatment Outcome
  • User-Computer Interface*
  • Video Recording