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http://dx.doi.org/10.13066/kspm.2022.17.2.53

Effects of a Real-time Plantar Pressure Feedback during Gait Training on the Weight Distribution of the Paralyzed Side and Gait Function in Stroke Patients  

Kim, Tae-Wu (Dept. of Physical Therapy, Yuseung Wellness Rehabilitation Hospital)
Cha, Yong-Jun (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.17, no.2, 2022 , pp. 53-62 More about this Journal
Abstract
PURPOSE: This study was conducted to investigate the effect of a real-time pressure feedback provided during gait training on the weight weight distribution of the inner part of mid-foot in paralyzed side and gait function in stroke patients. METHODS: A total of 24 patients with hemiplegic stroke in a rehabilitation hospital were randomly assigned to the experimental and control group. All participants (n = 24) performed 15 min of comprehensive rehabilitation therapy 5 times a week for a period of 4 weeks. Additionally, the experimental group and control group underwent gait training with a real time feedback and general gait training, respectively, for 15 min five times a week for 4 weeks. Weight distribution and gait function were measured before and after the 4-week training. RESULTS: Significant increases in the weight distribution (WD), stance time (ST) and step length (SL) of the paralyzed side, and a significant decrease in the 10 m walking test (10 MWT) observed after training in the two groups (p < .05). The experimental group showed larger changes in the all variables than the control group (WD, +10.5 kg vs. +8.8 kg, p < .05; ST, 12.8 s vs. 4.9 s, p < .05; SL, 4.9 cm vs. 1.7 cm, p < .05; 10 MWT, -3.5 s vs. -1.0 s, p < .05, respectively). CONCLUSION: Gait training with a real-time feedback might be effective in improving the normalization of weight bearing of the paralyzed lower extremity and gait function of stroke patients, and be considered to be a more effective gait training for improving the abilities than the general gait training.
Keywords
Gait training; Plantar pressure; Stroke; Visual feedback;
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1 Dickstein R, Nissan M, Pillar T, Scheer D. Foot-ground pressure pattern of standing hemiplegic patients. Major characteristics and patterns of improvement. Phys Ther. 1984;64(1):19-23.   DOI
2 Rode G, Tiliket C, Boisson D. Predominance of postural imbalance in left hemiparetic patients. Scand J Rehabil Med. 1997;29(1):11-6.
3 Dettmann MA, Linder MT, Sepic SB. Relationships among walking performance, postural stability, and functional assessments of the hemiplegic patient. Am J Phys Med. 1987;66(2):77-90.
4 Little VL, Perry LA, Mercado MWV, Kautz SA, Patten C. Gait asymmetry pattern following stroke determines acute response to locomotor task. Gait Posture. 2020;77:300-7.   DOI
5 Dodd KJ Morris ME. Lateral pelvic displacement during gait: abnormalities after stroke and changes during the first month of rehabilitation. Arch Phys Med Rehabil. 2003;84(8):1200-5.   DOI
6 Serrada I, Hordacre B, Hillier SL. Does sensory retraining improve sensation and sensorimotor function following Stroke: a systemic review and meta-analysis. Front Neurosci. 2019;13:402.   DOI
7 Kim CM Eng JJ. The relationship of lower-extremity muscle torque to locomotor performance in people with stroke. Phys Ther. 2003;83(1):49-57.   DOI
8 Yang YR, Chen YH, Chang HC, Chan RC, Wei SH, Wang RY. Effects of interactive visual feedback training on post-stroke pusher syndrome: a pilot randomized controlled study. Clin Rehabil. 2015;29(10):987-93.   DOI
9 Kim JD, Yoon HJ, Cha YJ. Effects of emphasied initial contact auditory feedback gait training on balance and gait in stroke patients. J KSPM. 2015;10(4):49-57.   DOI
10 Ki K. The effect of repetitive feedback training of plantar pressure sense for weight shift during gait in chronic hemiplegia patients. Doctor's Degree. Daejeon University. 2014.
11 Winstein CJ, Gardner ER, McNeal DR, Barto PS, Nicholson DE. Standing balance training: effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil. 1989;70(10):755-62.
12 Chen G, Patten C, Kothari DH, Zajac FE. Gait differences between individuals with post-stroke hemiparesis and non-disabled controls at matched speeds. Gait Posture. 2005;22(1):51-6.   DOI
13 Yavuzer G, Eser F, Karakus D, Karaoglan B, Stam HJ. The effects of balance training on gait late after stroke: a randomized controlled trial. Clin Rehabil. 2006;20(11):960-9.   DOI
14 Franceschini M, Carda S, Agosti M, Antenucci R, Malgrati D, Cisari C. Walking after stroke: what does treadmill training with body weight support add to overground gait training in patients early after stroke?: a single-blind, randomized, controlled trial. Stroke. 2009;40(9):3079-85.   DOI
15 Li G, Shourijeh MS, Ao D, Patten C, Fregly BJ. How well do commonly used co-contraction indices approximate lower limb joint stiffness trends during gait for individuals post-stroke? Front Bioeng Biotechnol. 2020;8:588908.
16 Cleland BT, Arshad H, Madhavan S. Concurrent validity of the GAITRite electronic walkway and the 10-m walk test for measurement of walking speed after stroke. Gait Posture. 2019;68:458-60.   DOI
17 Sekiguchi Y, Honda K, Owaki D, Izumi SI. Classification of Ankle Joint Stiffness during Walking to Determine the Use of Ankle Foot Orthosis after Stroke. Brain Sci. 2021;11(11).
18 Wall JC Turnbull GI. Gait asymmetries in residual hemiplegia. Arch Phys Med Rehabil. 1986;67(8):550-3.
19 Johannsen L, Broetz D, Karnath HO. Leg orientation as a clinical sign for pusher syndrome. BMC Neurol. 2006;6:30.   DOI
20 Caprio FZ, Sorond FA. Cerebrovascular disease: primary and secondary stroke prevention. Med Clin North Am. 2019;103(2):295-308.   DOI
21 Dickstein R Abulaffio N. Postural sway of the affected and nonaffected pelvis and leg in stance of hemiparetic patients. Arch Phys Med Rehabil. 2000;81(3):364-7.   DOI
22 Yoon HW, Lee SY, Lee HY. The comparison of plantar foot pressure in normal side of normal people, affected side and less affected side of hemiplegic patients during stance phase. J KSPM. 2009;4(2):87-92.
23 Iqbal M, Arsh A, Hammad SM, Haq IU, Darain H. Comparison of dual task specific training and conventional physical therapy in ambulation of hemiplegic stroke patients: A randomized controlled trial. J Pak Med Assoc. 2020;70(1):7-10.
24 Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther. 2000;80(9):886-95.   DOI
25 Srivastava A, Taly AB, Gupta A, Kumar S, Murali T. Post-stroke balance training: role of force platform with visual feedback technique. J Neurol Sci. 2009;287(1-2):89-93.   DOI
26 Jung J, Choi W, Lee S. Immediate augmented real-time forefoot weight bearing using visual feedback improves gait symmetry in chronic stroke. Technol Health Care. 2020;28(6):733-41.   DOI
27 Winter DA. Biomechanics of human movement with applications to the study of human locomotion. Crit Rev Biomed Eng. 1984;9(4):287-314.
28 Yoshimoto Y, Tanaka M, Sakamoto A. Effective Combined Assessments of Weight Bearing Ratio and Four Square Step Test in Predicting Falls in Discharged Stroke Patients. J Stroke Cerebrovasc Dis. 2021;30(3):105582.   DOI
29 Sackley CM Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: effects on stance symmetry and function. Disabil Rehabil. 1997;19(12):536-46.   DOI