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Gait retraining post stroke.

Robert W Teasell1, Sanjit K Bhogal, Norine C Foley

  • 1Department of Physical Medicine and Rehabilitation, St. Joseph's Health Care London and University of Western Ontario, London, Ontario, Canada.

Topics in Stroke Rehabilitation
|September 19, 2003
PubMed
Summary
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This review found strong evidence supporting strength training, functional electrical stimulation, and EMG biofeedback for improving gait in stroke survivors. Other techniques showed limited or conflicting evidence for gait restoration.

Area of Science:

  • Neurorehabilitation
  • Movement Science
  • Physical Therapy

Background:

  • Gait restoration is a critical component of stroke rehabilitation.
  • Various techniques are employed to improve walking ability post-stroke.

Purpose of the Study:

  • To review the efficacy of current clinical gait retraining techniques.
  • To evaluate evidence supporting methods like strength training, FES, and treadmill training.

Main Methods:

  • Systematic review of 48 studies.
  • Evaluation of six gait enhancement techniques: strength training, functional electrical stimulation (FES), treadmill training, partial body-weight support, EMG biofeedback, and lower extremity splinting.

Main Results:

  • Strong or moderate evidence supports strength training, EMG biofeedback, and FES as adjunctive gait therapies.

Related Experiment Videos

  • Limited or conflicting evidence exists for ankle-foot orthosis, treadmill training, and partial body-weight support.

    • Conclusions:

    • Strength training, FES, and EMG biofeedback are evidence-based adjunctive therapies for stroke gait rehabilitation.
    • Further research may be needed to clarify the efficacy of other reviewed gait interventions.