Effects of treadmill training with the eyes closed on gait and balance ability of chronic stroke patients

[Purpose] The purpose of this study was to compare the effect of treadmill walking with the eyes closed and open on the gait and balance abilities of chronic stroke patients. [Subjects and Methods] Thirty patients with chronic stroke participated in this study. The treadmill gait training for each group lasted 40 minutes, and sessions were held 3 times a week for 4 weeks. Gait ability was measured using a Biodex Gait Trainer Treadmill System. Balance ability was measured using a Biodex Balance System. [Results] After the treadmill training‚ the treadmill training with eyes closed (TEC) group showed significant improvements in walking distance‚ step length‚ coefficient of variation‚ and limit of stability (overall‚ lateral affected‚ forward lateral unaffected) compared to the treadmill training with eyes open (TEO) group. [Conclusion] The walking and balance abilities of the TEC participants showed more improvement after the treadmill walking sessions than those of the TEO participants. Therefore‚ treadmill walking with visual deprivation may be useful for the rehabilitation of patients with chronic stroke.

[1]  M. Schieppati,et al.  Quiet stance control is affected by prior treadmill but not overground locomotion , 2007, European Journal of Applied Physiology.

[2]  D M Merfeld,et al.  Humans use internal models to estimate gravity and linear acceleration , 1999, Nature.

[3]  M. Thaut,et al.  Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation , 1997, Journal of the Neurological Sciences.

[4]  H Kern,et al.  Treadmill training with partial body weight support in nonambulatory patients with cerebral palsy. , 2000, Archives of physical medicine and rehabilitation.

[5]  D. Oh,et al.  Home-Based Auditory Stimulation Training for Gait Rehabilitation of Chronic Stroke Patients , 2012 .

[6]  N. Smania,et al.  Rehabilitation of sensorimotor integration deficits in balance impairment of patients with stroke hemiparesis: a before/after pilot study , 2008, Neurological Sciences.

[7]  Yong-wook Kim,et al.  Effect of blocked vision treadmill training on knee joint proprioception of patients with chronic stroke , 2015, Journal of physical therapy science.

[8]  T. Warabi,et al.  Treadmill walking and overground walking of human subjects compared by recording sole-floor reaction force , 2005, Neuroscience Research.

[9]  D. Marigold,et al.  The relationship of asymmetric weight-bearing with postural sway and visual reliance in stroke. , 2006, Gait & posture.

[10]  C. Richards,et al.  Task-specific physical therapy for optimization of gait recovery in acute stroke patients. , 1993, Archives of physical medicine and rehabilitation.

[11]  R. Harter,et al.  Validity and reliability of limits-of-stability testing: a comparison of 2 postural stability evaluation devices. , 2011, Journal of athletic training.

[12]  H. Barbeau,et al.  A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. , 1998, Stroke.

[13]  E. Vicaut,et al.  Reliance on visual information after stroke. Part I: Balance on dynamic posturography. , 2004, Archives of physical medicine and rehabilitation.

[14]  M. Morris,et al.  Treadmill walking with body weight support in subacute non-ambulatory stroke improves walking capacity more than overground walking: a randomised trial. , 2010, Journal of physiotherapy.

[15]  E. Vicaut,et al.  Reliance on visual information after stroke. Part II: Effectiveness of a balance rehabilitation program with visual cue deprivation after stroke: a randomized controlled trial. , 2004, Archives of physical medicine and rehabilitation.

[16]  N. Gharib,et al.  Efficacy of gait trainer as an adjunct to traditional physical therapy on walking performance in hemiparetic cerebral palsied children: a randomized controlled trial , 2011, Clinical rehabilitation.

[17]  D. Sternad,et al.  Local dynamic stability versus kinematic variability of continuous overground and treadmill walking. , 2001, Journal of biomechanical engineering.

[18]  S Hesse,et al.  Treadmill walking with partial body weight support versus floor walking in hemiparetic subjects. , 1999, Archives of physical medicine and rehabilitation.

[19]  Treadmill Sideways Gait Training with Visual Blocking for Patients with Brain Lesions , 2014, Journal of physical therapy science.

[20]  S Hesse,et al.  Locomotor therapy in neurorehabilitation. , 2001, NeuroRehabilitation.

[21]  Emily Fox,et al.  Effects of Stroke Severity and Training Duration on Locomotor Recovery After Stroke: A Pilot Study , 2007, Neurorehabilitation and neural repair.

[22]  Eric Vicaut,et al.  Rehabilitation of Balance After Stroke With Multisensorial Training: A Single-Blind Randomized Controlled Study , 2008, Neurorehabilitation and neural repair.

[23]  K H Mauritz.  General rehabilitation. , 1990, Current opinion in neurology and neurosurgery.

[24]  Stefan Hesse,et al.  Treadmill training with partial body weight support after stroke: a review. , 2008, NeuroRehabilitation.