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Gait retraining

Hsuan-Lun Lu, Tung-Wu Lu, Hsiu-Chen Lin, Hong-Jung Hsieh, Wing P Chan
Treadmills are often used in clinical settings to improve walking balance control in patients with gait impairments. However, knowledge of the effects of belt speed on balance control remains incomplete. The current study determined such effects in terms of inclination angles (IA) and the rate of change (RCIA) of the center of mass (COM) motion relative to the center of pressure (COP) in twelve healthy adults at five belt speeds, including the subjects' preferred walking speed (PWS), as measured using a motion capture system and an instrumented treadmill...
September 29, 2016: Gait & Posture
Patricia Teran-Yengle, Kelly J Cole, H John Yack
The use of real-time biofeedback has been shown to enable individuals to make changes to their gait patterns. It remains unknown whether the short-term improvements reported in previous studies are retained in the longer term. In this study, the paradigm used to investigate the short and long-term effects of real-time biofeedback was modifying knee range of motion during gait to prevent knee hyperextension in women. The purpose of this study was to investigate the short-term (1-month follow up) and long-term (8-month follow up) effects of a gait retraining program using real-time biofeedback to correct knee hyperextension in young women...
August 21, 2016: Gait & Posture
Jenevieve L Roper, Elizabeth M Harding, Deborah Doerfler, James G Dexter, Len Kravitz, Janet S Dufek, Christine M Mermier
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Joe P Warne, Barry P Smyth, John O'C Fagan, Michelle E Hone, Chris Richter, Alan M Nevill, Kieran A Moran, Giles D Warrington
An evaluation of a six-week Combined minimal footwear transition and gait-retraining combination vs. gait retraining only on impact characteristics and leg stiffness. Twenty-four trained male runners were randomly assigned to either (1) Minimalist footwear transition Combined with gait-retraining over a six-week period ("Combined" group; n = 12) examined in both footwear, or (2) a gait-retraining group only with no minimalist footwear exposure ("Control"; n = 12). Participants were assessed for loading rate, impact peak, vertical, knee and ankle stiffness, and foot-strike using 3D and kinetic analysis...
August 29, 2016: Journal of Sports Sciences
Rosie Richards, Josien C van den Noort, Joost Dekker, Jaap Harlaar
OBJECTIVE: To review the current literature regarding methods and effects of real-time biofeedback used as a method for gait retraining to reduce knee adduction moment (KAM), with intended application for patients with knee osteoarthritis (KOA). DATA SOURCES: Searches were conducted in MEDLINE, Embase, CINAHL, SPORTDiscus, Web of Science, and Cochrane Central Register of Controlled Trials with the keywords gait, feedback, and knee osteoarthritis from inception to May 2015...
July 30, 2016: Archives of Physical Medicine and Rehabilitation
Jia C Wang, Wen H Sung, Ya L Chang, Szu H Wu, Tien Y Chuang
BACKGROUND: Treadmill training has received widespread attention to facilitate gait retraining and allow gait analysis in the stroke population in recent decades. While previous studies have used motorized treadmills for gait analysis or training, no study has investigated the use of non-motorized treadmill (NMT) in a rehabilitation setting. AIM: To compare the speed between overground (OG) and NMT walking and measure the adaptation of the gait pattern from comfortable to maximal walking speeds during NMT walking in participants with stroke and non-disabled individuals...
July 21, 2016: European Journal of Physical and Rehabilitation Medicine
Mark A Feger, Jay Hertel
BACKGROUND: Rehabilitation is ineffective at restoring normal gait in chronic ankle instability patients. Our purpose was to determine if a novel gait-training device could decrease plantar pressure on the lateral column of the foot in chronic ankle instability patients. METHODS: Ten chronic ankle instability patients completed 30s trials of baseline and gait-training walking at a self-selected pace while in-shoe plantar pressure and surface electromyography were recorded from their anterior tibialis, peroneus longus, medial gastrocnemius, and gluteus medius...
August 2016: Clinical Biomechanics
E Paul Zehr, Trevor S Barss, Katie Dragert, Alain Frigon, Erin V Vasudevan, Carlos Haridas, Sandra Hundza, Chelsea Kaupp, Taryn Klarner, Marc Klimstra, Tomoyoshi Komiyama, Pamela M Loadman, Rinaldo A Mezzarane, Tsuyoshi Nakajima, Gregory E P Pearcey, Yao Sun
During bipedal locomotor activities, humans use elements of quadrupedal neuronal limb control. Evolutionary constraints can help inform the historical ancestry for preservation of these core control elements support transfer of the huge body of quadrupedal non-human animal literature to human rehabilitation. In particular, this has translational applications for neurological rehabilitation after neurotrauma where interlimb coordination is lost or compromised. The present state of the field supports including arm activity in addition to leg activity as a component of gait retraining after neurotrauma...
July 15, 2016: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
Ivan P H Au, Winko W An, K H Ting, Irene S Davis, Roy T H Cheung
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Corina Nüesch, Dominik Laffer, Cordula Netzer, Geert Pagenstert, Annegret Mündermann
The purpose of this study was to test the hypothesis that walking with increased medio-lateral trunk sway is associated with lower external knee adduction moment and lower extremity muscle activation, and higher external ipsilateral trunk moment and trunk muscle activity than walking with normal trunk sway in healthy participants. Fifteen participants performed walking trials with normal and increased medio-lateral trunk sway. Maximum trunk sway, first maximum knee adduction moment, lateral trunk bending moment, and bilateral vastus medialis, vastus lateralis, gluteus medius, rectus abdominis, external oblique and erector spinae muscle activity were computed...
June 2016: Gait & Posture
Jenevieve L Roper, Elizabeth M Harding, Deborah Doerfler, James G Dexter, Len Kravitz, Janet S Dufek, Christine M Mermier
BACKGROUND: Running popularity has increased resulting in a concomitant increase in running-related injuries with patellofemoral pain most commonly reported. The purpose of this study was to determine whether gait retraining by modifying footstrike patterns from rearfoot strike to forefoot strike reduces patellofemoral pain and improves associated biomechanical measures, and whether the modification influences risk of ankle injuries. METHODS: Sixteen subjects (n=16) were randomly placed in the control (n=8) or experimental (n=8) group...
June 2016: Clinical Biomechanics
Abhishek Srivastava, Arun B Taly, Anupam Gupta, Sendhil Kumar, Thyloth Murali
OBJECTIVE: To evaluate the role of bodyweight-supported treadmill training (BWSTT) for chronic stroke survivors. DESIGN: Prospective, randomized controlled study. METHODS: Patients with a first episode of supratentorial arterial stroke of more than 3months' duration were randomly allocated to 3 groups: overground gait training, treadmill training without bodyweight support, and BWSTT (20 sessions, 30min/day, 5days/week for 4weeks). The primary outcome was overground walking speed and endurance and secondary outcome was improvement by the Scandinavian Stroke Scale (SSS) and locomotion by the Functional Ambulation Category (FAC)...
September 2016: Annals of Physical and Rehabilitation Medicine
Darrell J Allen, Hollie Heisler, Jennifer Mooney, Richard Kring
PURPOSE/BACKGROUND: Running gait retraining to change foot strike pattern in runners from a heel strike pattern to a non heel- strike pattern has been shown to reduce impact forces and may help to reduce running related injuries. Step rate manipulation above preferred is known to help decrease step length, foot inclination angle, and vertical mass excursion, but has not yet been evaluated as a method to change foot strike pattern. The purpose of this study was to investigate the effect of step rate manipulation on foot strike pattern in shod recreational runners who run with a heel strike pattern...
February 2016: International Journal of Sports Physical Therapy
Michele Vitacca, Luca Barbano, Fabio Vanoglio, Alberto Luisa, Palmira Bernocchi, Amerigo Giordano, Mara Paneroni
OBJECTIVE: This study aims to determine whether a 6-month home physiotherapy program can improve outcomes in critical care survivors. DESIGN: Forty-eight consecutive patients were randomized. The treatment group underwent 2 sessions/day of breathing retraining and bronchial hygiene, physical activity (mobilization, sit-to-stand gait, limb strengthening), and exercise re-conditioning whereas controls underwent standard care. Maximum inspiratory/expiratory pressures (MIP/MEP), forced volumes, blood gases, dyspnea, respiratory rate, disability, peripheral force measurements, perceived health status (Euroquol-5D), patient adherence/satisfaction, safety, and costs were assessed...
August 2016: American Journal of Physical Medicine & Rehabilitation
Julien Favre, Jennifer C Erhart-Hledik, Eric F Chehab, Thomas P Andriacchi
Reducing the knee adduction moment (KAM) is a promising treatment for medial compartment knee osteoarthritis (OA). Although several gait modifications to lower the KAM have been identified, the potential to combine modifications and individual dose-responses remain unknown. This study hypothesized that: (i) there is a general scheme consisting of modifications in trunk sway, step width, walking speed, and foot progression angle that reduces the KAM; (ii) gait modifications can be combined; and (iii) dose-responses differ among individuals...
September 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Jean-Francois Esculier, Laurent J Bouyer, Blaise Dubois, Pierre Frémont, Lynne Moore, Jean-Sébastien Roy
BACKGROUND: Patellofemoral pain (PFP) is highly prevalent in runners, and often leads to functional limitations and cessation of running. Training errors as well as decreased lower limb strength and control during running have all been associated with PFP. While strengthening and gait retraining are commonly used by clinicians, no randomised clinical trial has compared these modalities in runners with PFP. The primary objective of this randomised clinical trial will be to compare the effects of three rehabilitation programs targeting different key factors on symptoms and functional limitations of runners with PFP...
2016: BMC Musculoskeletal Disorders
HaoYuan Hsiao, Louis N Awad, Jacqueline A Palmer, Jill S Higginson, Stuart A Binder-Macleod
BACKGROUND: Recent rehabilitation efforts after stroke often focus on increasing walking speed because it is associated with quality of life. For individuals poststroke, propulsive force generated from the paretic limb has been shown to be correlated to walking speed. However, little is known about the relative contribution of the paretic versus the nonparetic propulsive forces to changes in walking speed. OBJECTIVE: The primary purpose of this study was to determine the contribution of propulsive force generated from each limb to changes in walking speed during speed modulation within a session and as a result of a 12-week training program...
September 2016: Neurorehabilitation and Neural Repair
Richard W Willy, Stacey A Meardon, André Schmidt, Nathan R Blaylock, Scott A Hadding, John D Willson
We evaluated the efficacy of an in-field gait retraining programme using mobile biofeedback to reduce cumulative and peak tibiofemoral loads during running. Thirty runners were randomised to either a retraining group or control group. Retrainers were asked to increase their step rate by 7.5% over preferred in response to real-time feedback provided by a wrist mounted running computer for 8 routine in-field runs. An inverse dynamics driven musculoskeletal model estimated total and medial tibiofemoral joint compartment contact forces...
September 2016: Journal of Sports Sciences
Irene S Davis, Erin Futrell
In terms of running, there is evidence that links mechanics with injury. This evidence provides the justification for altering these mechanics. Increased hip adduction and vertical impact loading have been most commonly associated with injury. More work is needed in order to understand the optimal way to retrain gait patterns in runners. The human body has a considerable ability to adapt. To provide individuals with the ability to alter faulty movement patterns in ways that can reduce injury risk is a powerful tool...
February 2016: Physical Medicine and Rehabilitation Clinics of North America
Simone Minto, Damiano Zanotto, Emily Boggs, Giulio Rosati, Sunil Agrawal
Quantitative gait analysis enables clinicians to evaluate patient mobility and to diagnose a number of neuromuscular disorders. The clinical application of gait analysis is currently hampered by the high operating costs of gait laboratories. The use of instrumented footwear that performs out of the lab measurements on subject's walking pattern is a promising way to overcome this limitation. Besides serving as assessment tools, such devices can also act as retraining tools that help regulate a patient's gait by means of acoustic or vibrotactile stimuli...
November 5, 2015: IEEE Transactions on Neural Systems and Rehabilitation Engineering
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