Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 529-535 , April 2006

Does Therapeutic Facilitation Add to Locomotor Outcome of Body Weight−Supported Treadmill Training in Nonambulatory Patients With Stroke? A Randomized Controlled Trial

  • Hajime Yagura, MD, PhD
  • ,
  • Megumi Hatakenaka, MD
  • ,
  • Ichiro Miyai, MD, PhD

      Affiliations

    • Corresponding Author InformationReprint requests to Ichiro Miyai, MD, PhD, Neurorehabilitation Research Institute, Bobath Memorial Hospital, 1-6-5, Higashinakahama, Joto-ku, Osaka, 536-0023, Japan

References 

  1. Yagura H , Miyai I , Seike Y , Suzuki T , Yanagihara T . Benefit of inpatient multidisciplinary rehabilitation up to 1 year after stroke . Arch Phys Med Rehabil . 2003;84:1687–1691
  2. Hesse S , Bertelt C , Schaffrin A , Malezic M , Mauritz KH . Restoration of gait in nonambulatory hemiparetic patients by treadmill training with partial body-weight support . Arch Phys Med Rehabil . 1994;75:1087–1093
  3. Hesse S , Bertelt C , Jahnke MT , et al.   Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients . Stroke . 1995;26:976–981
  4. Hesse S , Helm B , Krajnik J , Gregoric M , Mauritz KH . Treadmill training with partial body weight support (influence of body weight release on the gait of hemiparetic patients) . J Neuro Rehabil . 1997;11:15–20
  5. Hesse S , Konrad M , Uhlenbrock D . Treadmill walking with partial body weight support versus floor walking in hemiparetic subjects . Arch Phys Med Rehabil . 1999;80:1–7
  6. Visintin M , Barbeau H , Korner-Bitensky N , Mayo NE . A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation . Stroke . 1998;29:1122–1128
  7. Kosak MC , Reding MJ . Comparison of partial body weight-supported treadmill gait training versus aggressive bracing assisted walking post stroke . Neurorehabil Neural Repair . 2000;14:13–19
  8. Nilsson L , Carlsson J , Danielsson A , et al.   Walking training of patients with hemiparesis at an early stage after stroke (a comparison of walking training on a treadmill with body weight support and walking training on the ground) . Clin Rehabil . 2001;15:515–527
  9. Pohl M , Mehrholz J , Ritschel C , Ruckriem S . Speed-dependent treadmill training in ambulatory hemiparetic stroke patients (a randomized controlled trial) . Stroke . 2002;33:553–558
  10. da Cunha IT , Lim PA , Qureshy H , Henson H , Monga T , Protas EJ . Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training (a randomized controlled pilot study) . Arch Phys Med Rehabil . 2002;83:1258–1265
  11. Sullivan KJ , Knowlton BJ , Dobkin BH . Step training with body weight support (effect of treadmill speed and practice paradigms on poststroke locomotor recovery) . Arch Phys Med Rehabil . 2002;83:683–691
  12. Miller EW , Quinn ME , Seddon PG . Body weight support treadmill and overground ambulation training for two patients with chronic disability secondary to stroke . Phys Ther . 2002;82:53–61
  13. Moseley AM , Stark A , Cameron ID , Pollock A . Treadmill training and body weight support for walking after stroke . Cochrane Database Syst Rev . 2005;(4):CD002840
  14. Davis PM . Steps to follow . 2nd ed.. New York: Springer; 2000;
  15. Miyai I , Yagura H , Oda I , et al.   Premotor cortex is involved in restoration of gait in stroke . Ann Neurol . 2002;52:188–194
  16. Hesse S , Jahnke MT , Schaffrin A , Lucke D , Reiter F , Konrad M . Immediate effects of therapeutic facilitation on the gait of hemiparetic patients as compared with walking with and without a cane . Electroencephalogr Clin Neurophysiol . 1998;109:515–522
  17. Dietz V , Muller R , Colombo G . Locomotor activity in spinal man (significance of afferent input from joint and load receptors) . Brain . 2002;125:2626–2634
  18. Armstrong DM . The supraspinal control of mammalian locomotion . J Physiol . 1988;405:1–37
  19. Drew T , Prentice S , Schepens B . Cortical and brainstem control of locomotion . Prog Brain Res . 2004;143:251–261
  20. Debaere F , Swinnen SP , Beatse E , Sunaert S , Van Hecke P , Duysens J . Brain areas involved in interlimb coordination (a distributed network) . Neuroimage . 2001;14:947–958
  21. Miyai I , Yagura H , Hatakenaka M , Oda I , Konishi I , Kubota K . Longitudinal optical imaging study for locomotor recovery after stroke . Stroke . 2003;34:2866–2870
  22. Miyai I , Suzuki T , Kii K , Kang J , Kajiura I . Functional outcome of multidisciplinary rehabilitation in chronic stroke . J Neuro Rehabil . 1998;12:95–99
  23. Keith RA , Granger CV , Hamilton BB , Sherwin FS . The Functional Independence Measure (a new tool for rehabilitation) . In:  Eisenberg MG ,  Grzesiak RC editor. Advances in clinical rehabilitation . Vol 2: New York: Springer; 1987;p. 6–18
  24. Hulley SB , Cummings SR , Browner WS , Grady D , Hearst N , Norman TB . Designing clinical research (an epidemiologic approach) . 2nd ed.. Philadelphia: Lippincott Williams & Wilkins; 2001;
  25. Miyai I , Fujimoto Y , Ueda Y , et al.   Treadmill training with body weight support (its effect on Parkinson’s disease) . Arch Phys Med Rehabil . 2000;81:849–852
  26. Miyai I , Fujimoto Y , Yamamoto H , et al.   Long-term effect of body weight-supported treadmill training in Parkinson’s disease (a randomized controlled trial) . Arch Phys Med Rehabil . 2002;83:1370–1373
  27. Fugl-Meyer AR , Jaasko L , Leyman I , Olsson S , Steglind S . The post-stroke hemiparetic patient I. A method for evaluation of physical performance . Scand J Rehabil Med . 1975;7: 13-3
  28. Miyai I , Blau AD , Reding MJ , Volpe BT . Patients with stroke confined to basal ganglia have diminished response to rehabilitation efforts . Neurology . 1997;48:95–101
  29. Miyai I , Suzuki T , Kang J , Kubota K , Volpe BT . Middle cerebral artery stroke that includes the premotor cortex reduces mobility outcome . Stroke . 1999;30:1380–1383
  30. Davies PM . Weight-supported treadmill training . Neurorehabil Neural Repair . 1999;13:167–169
  31. Dietz V . Spinal networks involved in interlimb co-ordination and reflex regulation of locomotion . In:  Swinnen SP ,  Duysens J editor. Neurobehavioral determinants of interlimb coordination . Norwell: Kluwer Academic Publishers; 2004;p. 93–108

 Supported by the Medical Frontier Strategy Research and Funds for Research on Dementia and Fracture from the Japanese Ministry of Welfare, Health, and Labor and Takeda Science Foundation.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(05)01497-8

doi: 10.1016/j.apmr.2005.11.035

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 529-535 , April 2006