Browse > Article
http://dx.doi.org/10.13066/kspm.2020.15.4.47

Comparison of Two Treadmill Gait Training Techniques on the Gait and Respiratory Function in Stroke Patients  

Park, Sung-Hun (Department of Physical Therapy, Davinci Hospital)
Kim, Nan-Hyang (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
Cha, Yong-Jun (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.15, no.4, 2020 , pp. 47-54 More about this Journal
Abstract
PURPOSE: This study compared two different techniques of treadmill gait training, and evaluated the outcomes on gait and respiratory function in patients with hemiplegic stroke. METHODS: This was a single-blinded, randomized, controlled, comparative study, enrolling a total of 21 stroke patients in a rehabilitation hospital. Subjects were randomly assigned to either the treadmill walking training group with gradual speed increase (GSI group, n = 10), or treadmill walking training group with random speed changing (RSC group, n = 11). All participants performed 60 min of comprehensive rehabilitation therapy (5 × / week for 6 weeks). In additional, each group received either GSI or RSC treadmill walking training for 20 min (5 × / week for 6 weeks, total 30 sessions). Gait and respiratory function were measured before and after the 6-week training. RESULTS: Both groups showed significant improvements in the 10-m walking test, 6-minute walking test, timed up and go test, forced vital capacity (FVC), forced expiratory volume in 1 second, and maximal voluntary ventilation after training (p < .05). The GSI group showed a significantly greater increase in the FVC than the RSC group (+14.8 L vs. +12.5 L, p < .05). CONCLUSION: Both training methods can be effective for improving the walking and respiratory functions of stroke patients. However, our results indicate that treadmill walking training with gradual speed increase might be a more effective method for improving the respiratory function (FVC) than treadmill walking training with random speed changing.
Keywords
Exercise; Gait; Respiration; Stroke;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Jeon GY, Choi WJ, Lee SW. The effect of acombined functional electrical stimulation with progressive speed treadmill training for gait and balance performance in stroke survivors. J Spec Edu Rehbail Sci. 2014;53(3): 365-83.
2 Wolf SL, Catlin PA, Gage K, et al. Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile. Phys Ther. 1999;79(12):1122-33.   DOI
3 Flansbjer UB, Holmback AM, Downham D, et al. Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med. 2005; 37(2):75-82.   DOI
4 Fulk GD, Echternach JL. Test-retest reliability and minimal detectable change of gait speed in individuals undergoing rehabilitation after stroke. J Neurol Phys Ther. 2008;32(1):8-13.   DOI
5 Leelarungrayub J, Puntumetakul R, Sriboonreung T, et al. Preliminary study: comparative effects of lung volume therapy between slow and fast deep-breathing techniques on pulmonary function, respiratory muscle strength, oxidative stress, cytokines, 6-minute walking distance, and quality of life in persons with COPD. Int J Chron Obstruct Pulmon Dis. 2018;13:3909-21.   DOI
6 Roth EJ, Nussbaum SB, Berkowitz M, et al. Pulmonary function testing in spinal cord injury: correlation with vital capacity. Paraplegia. 1995;33(8):454-7.
7 Ries AL. Pulmonary rehabilitation: summary of an evidence-based guideline. Respir Care. 2008;53(9):1203-7.
8 Jang GH, Ann JU, Lee SH. Comparison of brain activation according to walking speed on treadmill. Kor Soc Prec Engine. 2014;5:1255.
9 Pang MY, Eng JJ, Dawson AS. Relationship between ambulatory capacity and cardiorespiratory fitness in chronic stroke: influence of stroke-specific impairments. Chest. 2005;127(2):495-501.   DOI
10 Seethapathi N, Srinivasan M. The metabolic cost of changing walking speeds is significant, implies lower optimal speeds for shorter distances, and increases daily energy estimates. Biol Lett. 2015;11(9):20150486.   DOI
11 Park SH, Cha YJ, Choi YH. Effects of tradmill walking training with randomized walking speed on pulmonary function in persons with chronic stroke. J Korean Soc Phys Med. 2016;11(4):71-9.   DOI
12 Pierce R. Spirometry: an essential clinical measurement. Aust Fam Physician. 2005;34(7):535-9.
13 Kelly JO, Kilbreath SL, Davis GM, et al. Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil. 2003;84(12):1780-5.   DOI
14 Lanini B, Bianchi R, Romagnoli I, et al. Chest wall kinematics in patients with hemiplegia. Am J Respir Crit Care Med. 2003;168(1):109-13.   DOI
15 Duncan PW, Horner RD, Reker DM, et al. Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. Stroke. 2002;33(1):167-77.   DOI
16 Lord SE, McPherson K, McNaughton HK, et al. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil. 2004;85(2):234-9.   DOI
17 Patterson SL, Forrester LW, Rodgers MM, et al. Determinants of walking function after stroke: differences by deficit severity. Arch Phys Med Rehabil. 2007; 88(1):115-9.   DOI
18 Ada L, Dean CM, Hall JM, et al. A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys Med Rehabil. 2003;84(10):1486-91.   DOI
19 Harris-Love ML, Forrester LW, Macko RF, et al. Hemiparetic gait parameters in overground versus treadmill walking. Neurorehabil Neural Repair. 2001;15(2):105-12.   DOI
20 Hesse S, Werner C, Paul T, et al. Influence of walking speed on lower limb muscle activity and energy consumption during treadmill walking of hemiparetic patients. Arch Phys Med Rehabil. 2001;82(11):1547-50.   DOI
21 Macko RF, Ivey FM, Forrester LW, et al. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke. 2005;36(10):2206-11.   DOI
22 Lee JS, Oh DW. Effects of fast-speed treadmill training with on balance and walking ability of patients with chronic stroke. Kor J Neural Rehabil. 2011;1(2):31-9.
23 Munari D, Pedrinolla A, Smania N, et al. High-intensity treadmill training improves gait ability, VO2peak and cost of walking in stroke survivors: preliminary results of a pilot randomized controlled trial. Eur J Phys Rehabil Med. 2018;54(3):408-18.
24 Chan L, Chin LMK, Kennedy M, et al. Benefits of intensive treadmill exercise training on cardiorespiratory function and quality of life in patients with pulmonary hypertension. Chest. 2013;143(2):333-43.   DOI
25 McGregor SJ, Busa MA, Yaggie JA, et al. High resolution MEMS accelerometers to estimate VO2 and compare running mechanics between highly trained inter-collegiate and untrained runners. PLoS One. 2009;4(10):e7355.   DOI
26 Lee JM. The effects of ambulation and balance according to different velocity of treadmill ambulation training in post-stroke patient. Master's Degree. Daegu University. 2014.
27 Mehrholz J, Thomas S, Elsner B. Treadmill training and body weight support for walking after stroke. Cochrane Database Syst Rev. 2017;8(8):Cd002840.
28 Wada Y, Kondo I, Sonoda S, et al. Preliminary trial to increase gait velocity with high speed treadmill training for patients with hemiplegia. Am J Phys Med Rehabil. 2010;89(8):683-7.   DOI
29 Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153-6.   DOI
30 Alansare A, Alford K, Lee S, et al. The effects of high-Intensity interval training vs. moderate-intensity continuous training on heart rate variability in physically inactive adults. Int J Environ Res Public Health. 2018;15(7):1508.   DOI
31 Amstrong L. Guidelines for exercise testing and prescription. American college of Lippincott: Williams & Wilkins. 2006.