Effects of treadmill inclination on hemiparetic gait: controlled and randomized clinical trial

Am J Phys Med Rehabil. 2015 Sep;94(9):718-27. doi: 10.1097/PHM.0000000000000240.

Abstract

Objective: The aim of this study was to analyze the effects of inclined treadmill training on the kinematic characteristics of gait in subjects with hemiparesis.

Design: A blind, randomized, controlled study was conducted with 28 subjects divided into two groups: the control group, submitted to partial body weight-support treadmill gait training with no inclination, and the experimental group, which underwent partial body weight-support treadmill training at 10% of inclination. All volunteers were assessed for functional independence, motor function, balance, and gait before and after the 12 training sessions.

Results: Both groups showed posttraining alterations in balance (P < 0.001), motor function (P < 0.001), and functional independence (P = 0.002). Intergroup differences in spatiotemporal differences were observed, where only the experimental group showed posttraining alterations in velocity (P = 0.02) and paretic step length (P = 0.03). Angular variables showed no significant differences in either group.

Conclusions: In subjects with hemiparesis, the addition of inclination is a stimulus capable of enhancing the effects of partial body weight-support treadmill gait training.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Biomechanical Phenomena
  • Body Weight
  • Exercise Test / methods*
  • Exercise Therapy / instrumentation*
  • Exercise Therapy / methods
  • Female
  • Follow-Up Studies
  • Gait / physiology
  • Gait Disorders, Neurologic / etiology
  • Gait Disorders, Neurologic / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Paresis / etiology
  • Paresis / rehabilitation*
  • Reference Values
  • Risk Assessment
  • Severity of Illness Index
  • Single-Blind Method
  • Stroke / complications
  • Stroke Rehabilitation
  • Task Performance and Analysis
  • Time Factors
  • Treatment Outcome