000			02723nas a22002297a 4500
003			OSt
005			20210316120523.0
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007			ta
008			171219t2015 sp ||||| |||| 00| 0 spa |
022			_a1557-0584
040			_cSalus Infirmorum
245	0	0	_aPressure-Controlled Treadmill Training in Chronic Stroke: A Case Study With AlterG / _cCherise Lathan, Andrew Myler, Jennifer Bagwell, Christopher M. Powers, Beth E. Fisher
500			_aPDF en biblioteca
504			_aBibliografía: p.132-133
520	8		_aBackground and Purpose: Body-weight–supported treadmill training has been shown to be an effective intervention to improve walking characteristics for individuals who have experienced a stroke. A pressure-controlled treadmill utilizes a sealed chamber in which air pressure can be altered in a controlled manner to counteract the effects of gravity. The focus of this case study was to assess the immediate and short-term impact of a pressure-controlled treadmill to improve gait parameters, reduce fall risk, improve participation, and reduce the self-perceived negative impact of stroke in an individual with chronic stroke. Case Description: The subject was an 81-year-old man (14.5 months poststroke). He had slow walking speed, poor endurance, and multiple gait deviations. Intervention: The subject trained 4 times per week for 4 weeks (40 minutes per session) on a pressure-controlled treadmill (AlterG M320) to counter the influence of gravity on the lower extremities. Outcomes: Following training, self-selected gait speed increased from 0.50 m/s to 0.96 m/s, as measured by the 10-meter walk test. Stride length increased from 0.58 m to 0.95 m after training and to 1.00 m at 1-month follow-up. Peak hip flexion increased from 3.7◦ to 24.6◦ after training and to 19.4◦ at 1-month follow-up. Peak knee flexion increased from 19.4◦ to 34.3◦ after training and to 42.7◦ at 1-month follow-up. Measures of endurance, fall risk, and percentage of perceived recovery also were found to improve posttraining. Discussion: Training with a pressure-controlled treadmill may be a viable alternative to traditional body-weight-supported treadmil training for persons poststroke. Additional studies with larger sample sizes are needed to elucidate the role of pressure-controlled treadmill training in this population. Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, http://links.lww.com/JNPT/A97).
653	1	4	_astroke
653	1	4	_abody-weight-supported treadmill training
653	1	4	_agait
773			_g-- 2015, v. 39, 2, p. 127-133 _tJournal of Neurologic Physical Therapy
942			_2udc _cARTÍCULO
999			_c12959 _d12959