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Gait retraining

Stephen Canton, Kamyar Momeni, Arvind Ramanujam, Erica Garbarini, Gail F Forrest, Stephen Canton, Kamyar Momeni, Arvind Ramanujam, Erica Garbarini, Gail F Forrest, Arvind Ramanujam, Gail F Forrest, Stephen Canton, Kamyar Momeni, Erica Garbarini
The goal of this paper is to study the effects of supine and stand retraining (SRT) interventions with and without multi muscle neuromuscular electrical stimulation (NMES) on the neuromuscular EMG responses of the leg muscles for individuals with motor complete SCI during walking on a body-weight support (BWS) treadmill. The main outcome variables were EMG amplitude, integrated EMG and co-contraction indices (co-excitation and co-activation) collected during a 10-minute walking treadmill trial. Data was analyzed for the first, fifth and tenth minute of walking...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Elizabeth Russell Esposito, Harmony S Choi, Benjamin J Darter, Jason M Wilken
The metabolic demand of walking generally increases following lower extremity amputation. This study used real-time visual feedback to modify biomechanical factors linked to an elevated metabolic demand of walking in individuals with transtibial amputation. Eight persons with unilateral, traumatic transtibial amputation and 8 uninjured controls participated. Two separate bouts of real-time visual feedback were provided during a single session of gait retraining to reduce 1) center of mass sway and 2) thigh muscle activation magnitudes and duration...
2017: PloS One
Jennifer C Erhart-Hledik, Jessica L Asay, Caitlin Clancy, Constance R Chu, Thomas P Andriacchi
This study aimed to determine if active feedback gait retraining to produce a medial weight transfer at the foot significantly reduces the knee adduction moment in subjects with medial compartment knee osteoarthritis. Secondarily, changes in peak knee flexion moment, frontal plane knee and ankle kinematics, and center of pressure were investigated. Ten individuals with medial compartment knee osteoarthritis (9 males; age: 65.3 ± 9.8 years; BMI: 27.8 ± 3.0 kg/m(2) ) were tested at self-selected normal and fast speeds in two conditions: Intervention, with an active feedback device attached to the shoe of their more affected leg, and control, with the device de-activated...
January 24, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Ericka N Merriwether, Mary K Hastings, Kathryn L Bohnert, John H Hollman, Michael J Strube, David R Sinacore
AIMS: To determine if participants can reduce foot progression angle (FPA), and if FPA reduction decreases regional plantar stresses and forces in individuals with diabetes. METHODS: Design: Three-group cross-sectional design with repeated measures. subjects: twenty-eight participants either with diabetes mellitus (DM), diabetes and peripheral neuropathy with (DMPN+NPU) or without a prior history of ulceration (DMPN-NPU) were studied. Intervention: Participants were first instructed to walk over a 3...
January 2016: Edorium J Disabil Rehabil
Elizabeth Nyberg, Jordan Broadway, Christian Finetto, Jesse Dean
Bipedal gait can be stabilized through mechanically-appropriate mediolateral foot placement, although this strategy is disrupted in a subset of neurologically injured individuals with balance deficits. The goal of the present work was to develop a device to influence mediolateral foot placement during treadmill walking. We created a novel force-field using a combination of passive elasticity and active control; wires in series with extension springs run parallel to the treadmill belts and can be rapidly repositioned to exert mediolateral forces on the legs of users...
December 1, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
Andrew D Townshend, Melinda M Franettovich Smith, Mark W Creaby
OBJECTIVE: To investigate the acute effect of gait retraining aimed at reducing tibial peak positive acceleration (PPA) on energetic cost (VO2). DESIGN: Intervention with a pre/post-test design. SETTING: University biomechanics laboratory. PARTICIPANTS: 12 healthy male runners (23.4 ± 5.3 years, 179.7 ± 4.3 cm, 75.6 ± 9.2 kg). MAIN OUTCOME MEASURES: Tibial PPA and oxygen consumption (VO2) were measured after a five minute baseline run and at the end of a gait retraining session aimed at minimizing tibial PPA...
January 2017: Physical Therapy in Sport
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...
January 2017: 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...
January 2017: 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...
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
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