Feasibility and potential efficacy of high-intensity stepping training in variable contexts in subacute and chronic stroke

Neurorehabilitation and Neural Repair

Volumn 28, Issue 7, 2014, Pages 643-651

  Holleran, Carey L ^a   Straube, Don D ^b   Kinnaird, Catherine R ^a   Leddy, Abigail L ^a   Hornby, T George ^a,b  

^a REHABILITATION INSTITUTE OF CHICAGO   (United States)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

gait training; locomotion; rehabilitation

Indexed keywords

ADULT; AEROBIC EXERCISE; ARTICLE; CEREBROVASCULAR ACCIDENT; CLINICAL ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; DISEASE DURATION; EXERCISE INTENSITY; FEASIBILITY STUDY; FEMALE; GAIT; HUMAN; LOCOMOTION; MALE; MIDDLE AGED; PILOT STUDY; POSTSTROKE; STEPPING TRAINING; TREATMENT DURATION; TREATMENT OUTCOME; WALKING; WALKING SPEED; CHRONIC DISEASE; CONVALESCENCE; EVALUATION STUDY; KINESIOTHERAPY; PHYSIOLOGY; STROKE;

CHRONIC DISEASE; EXERCISE THERAPY; FEMALE; HUMANS; MALE; MIDDLE AGED; PILOT PROJECTS; RECOVERY OF FUNCTION; STROKE; TREATMENT OUTCOME; WALKING;

EID: 84906236924     PISSN: 15459683     EISSN: 15526844     Source Type: Journal    
DOI: 10.1177/1545968314521001     Document Type: Article

References (43)

1. Cha J, Heng C, Reinkensmeyer DJ, Roy RR, Edgerton VR, De Leon RD. Locomotor ability in spinal rats is dependent on the amount of activity imposed on the hindlimbs during treadmill training. J Neurotrauma. 2007 ; 24: 1000-1012
2. De Leon RD, Hodgson JA, Roy RR, Edgerton VR. Locomotor capacity attributable to step training versus spontaneous recovery after spinalization in adult cats. J Neurophysiol. 1998 ; 79: 1329-1340
3. Moore JL, Roth EJ, Killian C, Hornby TG. Locomotor training improves daily stepping activity and gait efficiency in individuals poststroke who have reached a "plateau" in recovery. Stroke. 2010 ; 41: 129-135
4. Plummer P, Behrman AL, Duncan PW, et al. Effects of stroke severity and training duration on locomotor recovery after stroke: a pilot study. Neurorehabil Neural Repair. 2007 ; 21: 137-151
5. Sullivan K, 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
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. 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
8. Katch VL, McArdle WD, Katch FI Essentials of Exericse Physiology. Baltimore, MD: Lippincott Williams & Williams ; 2011 :
9. Macko RF, DeSouza CA, Tretter LD, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands of hemiparetic gait in chronic stroke patients: a preliminary report. Stroke. 1997 ; 28: 326-330
10. Macko RF, Ivey FM, Forrester LW, et al. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke. 2005 ; 36: 2206-2211
11. Duncan PW, Sullivan KJ, Behrman AL, et al. Body-weight-supported treadmill rehabilitation after stroke. N Engl J Med. 2011 ; 364: 2026-2036
12. Globas C, Becker C, Cerny J, et al. Chronic stroke survivors benefit from high-intensity aerobic treadmill exercise: a randomized control trial. Neurorehabil Neural Repair. 2012 ; 26: 85-95
13. Luft AR, Macko RF, Forrester LW, et al. Treadmill exercise activates subcortical neural networks and improves walking after stroke: a randomized controlled trial. Stroke. 2008 ; 39: 3341-3350
14. Hidler J, Nichols D, Pelliccio M, et al. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. Neurorehabil Neural Repair. 2009 ; 23: 5-13
15. Cai LL, Fong AJ, Otoshi CK, et al. Implications of assist-as-needed robotic step training after a complete spinal cord injury on intrinsic strategies of motor learning. J Neurosci. 2006 ; 26: 10564-10568
16. Hornby TG, Campbell DD, Kahn JH, Demott T, Moore JL, Roth HR. Enhanced gait-related improvements after therapist-versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study. Stroke. 2008 ; 39: 1786-1792
17. Lewek MD, Cruz TH, Moore JL, Roth HR, Dhaher YY, Hornby TG. Allowing intralimb kinematic variability during locomotor training poststroke improves kinematic consistency: a subgroup analysis from a randomized clinical trial. Phys Ther. 2009 ; 89: 829-839
18. Shah PK, Gerasimenko Y, Shyu A, et al. Variability in step training enhances locomotor recovery after a spinal cord injury. Eur J Neurosci. 2012 ; 36: 2054-2062
19. van den Brand R, Heutschi J, Barraud Q, et al. Restoring voluntary control of locomotion after paralyzing spinal cord injury. Science. 2012 ; 336: 1182-1185
20. Shumway-Cook A, Patla AE, Stewart A, Ferrucci L, Ciol MA, Guralnik JM. Environmental demands associated with community mobility in older adults with and without mobility disabilities. Phys Ther. 2002 ; 82: 670-681
21. Schmidt R, Lee T Motor Control and Learning: A Behavioral Emphasis. 3 rd ed.Champaign, IL: Human Kinetics Inc; 1999. Champaign, IL: Human Kinetics Inc ; 1999 :
22. Bobath B Adult Hemiplegia: Evaluation and Treatment. 3 rd ed.Oxford, UK: Butterworth-Heinemann; 1990. Oxford, UK: Butterworth-Heinemann ; 1990 :
23. Lam T, Wirz M, Lunenburger L, Dietz V. Swing phase resistance enhances flexor muscle activity during treadmill locomotion in incomplete spinal cord injury. Neurorehabil Neural Repair. 2008 ; 22: 438-446
24. Reisman DS, Wityk R, Silver K, Bastian AJ. Locomotor adaptation on a split-belt treadmill can improve walking symmetry post-stroke. Brain. 2007 ; 130: 1861-1872
25. Reisman DS, McLean H, Keller J, Danks KA, Bastian AJ. Repeated split-belt treadmill training improves poststroke step length asymmetry. Neurorehabil Neural Repair. 2013 ; 27: 460-468
26. Functional Independence Measure: Guide for the Uniform Data Set for Medical Rehabilitation (Adult FIM). Version 4.0. Buffalo, NY: State University of New York at Buffalo ; 1993 :
27. Pang MY, Eng JJ, Dawson AS, McKay HA, Harris JE. A community-based fitness and mobility exercise program for older adults with chronic stroke: a randomized, controlled trial. J Am Geriatr Soc. 2005 ; 53: 1667-1674
28. Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001 ; 37: 153-156
29. Cohen-Solal A, Baleynaud S, Laperche T, Sebag C, Gourgon R. Cardiopulmonary response during exercise of a beta 1-selective beta-blocker (atenolol) and a calcium-channel blocker (diltiazem) in untrained subjects with hypertension. J Cardiovasc Pharmacol. 1993 ; 22: 33-38
30. Gottschall J, Kram R. Energy cost and muscular activity required for leg swing during walking. J Appl Physiol. 2005 ; 99: 23-30
31. Reisman DS, Bastian AJ, Morton SM. Neurophysiologic and rehabilitation insights from the split-belt and other locomotor adaptation paradigms. Phys Ther. 2010 ; 90: 187-195
32. Gottschall J, Kram R. Energy cost and muscular activity required for propulsion during walking. J Appl Physiol. 2003 ; 94: 1766-1772
33. Ada L, Dean CM, Hall JM, Bampton J, Crompton S. A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys Med Rehabil. 2003 ; 84: 1486-1491
34. Grabowski A, Farley CT, Kram R. Independent metabolic costs of supporting body weight and accelerating body mass during walking. J Appl Physiol. 2005 ; 98: 579-583
35. Leroux A, Fung J, Barbeau H. Adaptation of the walking pattern to uphill walking in normal and spinal-cord injured subjects. Exp Brain Res. 1999 ; 126: 359-368
36. Donelan JM, Shipman DW, Kram R, Kuo AD. Mechanical and metabolic requirements for active lateral stabilization in human walking. J Biomech. 2004 ; 37: 827-835
37. Domingo A, Ferris DP. The effects of error augmentation on learning to walk on a narrow balance beam. Exp Brain Res. 2010 ; 206: 359-370
38. Balasubramanian CK, Bowden MG, Neptune RR, Kautz SA. Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Arch Phys Med Rehabil. 2007 ; 88: 43-49
39. Lang CE, Macdonald JR, Reisman DS, et al. Observation of amounts of movement practice provided during stroke rehabilitation. Arch Phys Med Rehabil. 2009 ; 90: 1692-1698
40. Musselman KE, Fouad K, Misiaszek JE, Yang JF. Training of walking skills overground and on the treadmill: case series on individuals with incomplete spinal cord injury. Phys Ther. 2009 ; 89: 601-611
41. Tudor-Locke C, Bassett DR. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004 ; 34: 1-8
42. Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc. 2006 ; 54: 743-749
43. Sullivan KJ, Brown DA, Klassen T, et al. Effects of task-specific locomotor and strength training in adults who were ambulatory after stroke: results of the STEPS randomized clinical trial. Phys Ther. 2007 ; 87: 1580-1602 Research