Browse > Article
http://dx.doi.org/10.18857/jkpt.2018.30.2.67

Comparison of Aquatic Treadmill and Anti-Gravity Treadmill Gait Training to Improve Balance and Gait Abilities in Stroke Patients  

Park, Jae Ho (Department of Physical Therapy, The Graduate School, Sahmyook University)
Chung, Yi Jung (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
Publication Information
The Journal of Korean Physical Therapy / v.30, no.2, 2018 , pp. 67-72 More about this Journal
Abstract
Purpose: The purpose of this study was to compare to aquatic treadmill and anti-gravity treadmill gait training to improve balance and gait abilities in stroke patients. Methods: All subjects were randomly divided into three groups where nine subjects were in the aquatic treadmill group, eight subjects in the anti-gravity treadmill group, and ten subjects in the control group. Subjects in the aquatic treadmill group and the anti-gravity treadmill group received gait training during 30 minutes, with 3 sessions per week for 4 weeks, and subjects in all groups received conventional physical therapy during 30 minutes, with 5 sessions per week for 4 weeks. All subjects were assessed with the Berg balance scale (BBS), timed up and go test (TUG) and 10-meter walk test (10MWT) pre and post intervention. Results: Results showed that BBS, TUG and 10MWT scores significantly improved post-intervention (p<0.05), and the control group also had significantly improved in all areas pre-post intervention (p<0.05). In addition, it has been confirmed that aquatic treadmill group and anti-gravity treadmill group had significantly improved in BBS, TUG and 10MWT scores compared with the control group (p<0.05). However, no significant difference was found in the comparison between the aquatic treadmill and the anti-gravity treadmill group. Conclusion: Finding of this study suggested that aquatic treadmill and anti-gravity treadmill improves balance and gait abilities in stroke patients.
Keywords
Balance; Gait; Rehabilitation; Stroke;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Chen G, Patten C. Treadmill training with harness support: selection of parameters for individuals with poststroke hemiparesis. J Rehabil Res Dev. 2006;43(4):485-98.   DOI
2 Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM R. 2009;1(9):859-72.   DOI
3 Patterson SL, Rodgers MM, Macko RF et al. Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke: a preliminary report. J Rehabil Res Dev. 2008;45(2):221-8.   DOI
4 Jung T, Lee D, Charalambous C et al. The influence of applying additional weight to the affected leg on gait patterns during aquatic treadmill walking in people poststroke. Arch Phys Med Rehabil. 2010;91(1):129-36.   DOI
5 Lathan C, Myler A, Bagwell J et al. Pressure-controlled treadmill training in chronic stroke: a case study with AlterG. J Neurol Phys Ther. 2015; 39(2):127-33.   DOI
6 Berthelsen MP, Husu E, Christensen SB et al. Anti-gravity training improves walking capacity and postural balance in patients with muscular dystrophy. Neuromuscul Disord. 2014;24(6):492-8.   DOI
7 Mercer JA, Applequist B, Masumoto K et al. Muscle activity during running with different body weight support mechanisms: aquatic environment versus body weight support treadmill. J Sport Rehabil. 2014;23(4): 300-6.   DOI
8 Geiger RA, Allen JB, O'Keefe J et al. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005
9 Chang J, Lee S, Lee M et al. The correlations between gait speed and muscle activation or foot pressure in stroke patients. J Kor Soc Phys Ther. 2009;21(3):47-52.
10 Lee MS, Lee JH, Park SG et al. The effect of ankle joint taping applied to patients with hemiplegia on their gait velocity and joint angles. J Korean Soc Phys Ther. 2012;24(2):157-62.
11 Yang DJ, Park SK, Kang JI et al. Effects of changes in postural alignment on foot pressure and balance of patients with stroke. J Kor Phys Ther. 2014;26(4):226-33.
12 Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006; 35(Suppl 2):7-11.
13 Belda-Lois JM, Mena-del Horno S, Bermejo-Bosch I et al. Rehabilitation of gait after stroke: a review towards a top-down approach. J Neuroeng Rehabil. 2011;8:66.   DOI
14 Nam SH, Kang KW, Kwon JW et al. The effects of handrails during treadmill gait training in stroke patients. J Korean Soc Phys Ther. 2013; 25(1):25-8.
15 Miyoshi T, Shirota T, Yamamoto S. Functional roles of lower-limb joint moments while walking in water. Clin Biomech. 2005;20(2):194-201.   DOI
16 Srivastava A, Taly AB, Gupta A et al. Post-stroke balance training: role of force platform with visual feedback technique. J Neurol Sci. 2009;287(1-2):89-93.   DOI
17 Hesse S. Treadmill training with partial body weight support after stroke: a review. Neuro Rehabilitation. 2008;23(1):55-65.
18 Chevutschi A, Alberty M, Lensel G et al. Comparison of maximal and spontaneous speeds during walking on dry land and water. Gait Posture. 2009;29:403-7.   DOI
19 Masumoto K, Takasugi S, Hotta N et al. Electromyographic analysis of walking in water in healthy humans. J Physiol Anthropol Appl Human Sci. 2004;23(4):119-27.   DOI
20 Barela AM, Stolf SF, Duarte M. Biomechanical characteristics of adults walking in shallow water and on land. J Electromyogr Kinesiol. 2006; 16(3):250-6.   DOI
21 Kim SH, Lee DK, Kim EK. Effect of aquatic exercise on balance and depression of stroke patients. J Kor Phys Ther. 2014:26(2):104-9.
22 Kim CM, Eng JJ. Symmetry in vertical ground reaction force is accompanied by symmetry in temporal but not distance variables of gait in persons with stroke. Gait Posture. 2003;18(1):23-8.   DOI
23 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
24 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.
25 Arnold CM, Busch AJ, Schachter CL et al. A randomized clinical trial of aquatic versus land exercise to improve balance, function, and quality of life in older women with osteoporosis. Physiother Can. 2008;60(4):296-306.   DOI
26 Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Phys Ther. 2007;87(1):32-43.   DOI
27 Tyson SF, Hanley M, Chillala J et al. Balance disability after stroke. Phys Ther. 2006;86(1):30-8.   DOI
28 Park RJ, Kim SS, Kim YG et al. The effects of aqua-exercise on the balance of one leg stance in the elderly women. J Korean Soc Phys Ther. 2002;14(1):89-98.
29 Vivas J, Arias P, Cudeiro J. Aquatic therapy versus conventional landbased therapy for Parkinson's disease: an open-label pilot study. Arch Phys Med Rehabil. 2011; 92(8):1202-10.   DOI
30 Melzer I, Elbar O, Tsedek I et al. A water-based training program that include perturbation exercises to improve stepping responses in older adults: study protocol for a randomize. BMC Geriatrics. 2008;8:19.   DOI
31 Masumoto K, Shono T, Hotta N et al. Muscle activation, cardiorespiratory response, and rating of perceived exertion in older subjects while walking in water and on dry land. J Electromyogr Kinesiol. 2008;18(4):581-90.   DOI
32 Park J, Lee D, Lee S et al. Comparison of the effects of exercise by chronic stroke patients in aquatic and land environments. J Kor Phys Ther. 2011; 23(5):821-4.   DOI