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Abstract Details

Abstract Title

Effects of Gait Training With Body Weight Unloading on the Gait Performance of Impaired Individuals

Abstract Theme

Rehabilitation

Type Presentation

Poster

Abstract Authors

Presenter Melissa Leandro Celestino - Cruzeiro do Sul University (Institute of Physical Activity and Sport Sciences) - BR
Gabriela Lopes Gama - Cruzeiro do Sul University (Institute of Physical Activity and Sport Sciences) - BR
Dinah Santos Santana - Cruzeiro do Sul University (Institute of Physical Activity and Sport Sciences) - BR
Ana Maria Forti Barela - Cruzeiro do Sul University (Institute of Physical Activity and Sport Sciences) - BR

Presentation Details

Poster Exhibition Site (Local): Orange - 15        Date: 3 September        Time: 8am to 7pm        Presenter: Melissa Celestino

Abstract Resume

Background: Partial Body Weight Support (BWS) Systems have been Broadly Employed During Gait Rehabilitation. However, BWS is more Commonly Combined with a Treadmill, Mainly because
Treadmills might Stimulate Rhythmical Steps and can be Accommodated in a Small Place. If one takes into Account that Overground is the most Common Surface Everyone Walks, it would be Interesting to
Investigate if the Surface that BWS is Employed would Influence the Results of a Gait Training Protocol. In the Present Study, we Investigated if the Employment of BWS on a Treadmill or over the
Ground would Yield any Differences in Gait Improvement of Stroke Survivors. Although the Target Population was Stroke Survivors, the Results of this Study could be Useful for Any Population that
Present Gait Impairment or Injury that may Forbid Locomotion. Besides that, it is Important to Highlight that Stroke is a Common Disease, Affecting 33 Million of the All World Population, and
Locomotion may be Impaired due Stroke. Therefore, the Goal of this Study was to Investigate if the Surface that BWS is Employed (i.e. Treadmill vs. Overground) would Influence the Gait Performance of
Stroke Survivors.


Methods: Twenty-eight Stroke Survivors were Randomly Allocated to two Different Training Groups with BWS: Treadmill Group (TMG, n=14) and Overground Group (OGG, n=14). Except for the
Surface that BWS was Employed, Both Groups Underwent Gait Training 3 Times per Week for 6 Weeks. To Verify Any Training Effect, Steady State Walking was Assessed Before and Right After the 6-weeks
Period. Six-minutes Walking Test (6-MWT) and Gait Analysis were Employed. For the Gait Analysis, All Individuals Walked at a Self-Selected Speed with Reflective Markers Placed Over their Main
Anatomical Landmarks. Specific Cameras (Vicon) Recorded the Trajectories of those Markers and the Following Parameters were Calculated: Mean Walking Velocity and Step Length of Paretic and Nonparetic
Limbs.


Results: All Individuals Increased their Resistance, Walking Speed and Step Length of Nonparetic Limb after Gait Training Regardless the Surface BWS was Employed. On the Other Hand,
only those Individuals that over Went Gait Training with BWS Over the Ground Increased Step Length of Paretic Limb.


Conclusions: Gait Training with BWS Promotes Benefits in Terms of Endurance and Velocity. However, Only Stroke survivors that Received Gait Training Over the Ground Could Improve Step
Length of Paretic Limb. In this way, if Treadmill is Chosen to Employ BWS System, it is Important to Take Some Time to Orient Individuals with Gait Impairment During Overground Walking in Terms of
Step Execution.

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