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Related Experiment Video

Updated: Jun 6, 2026

Using a Split-belt Treadmill to Evaluate Generalization of Human Locomotor Adaptation

Using a Split-belt Treadmill to Evaluate Generalization of Human Locomotor Adaptation

Published on: August 23, 2017

Split-belt treadmill training poststroke: a case study.

Darcy S Reisman¹, Heather McLean, Amy J Bastian

¹Department of Physical Therapy, University of Delaware, Newark, Delaware 19716, USA. dreisman@udel.edu

Journal of Neurologic Physical Therapy : JNPT

|November 19, 2010

Summary

This summary is machine-generated.

Split-belt treadmill training improved gait symmetry and walking speed in a stroke survivor, with gains maintained one month later. This suggests motor adaptation can lead to long-term recovery after stroke.

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Area of Science:

Neurorehabilitation
Motor adaptation
Gait analysis

Background:

Stroke survivors often experience persistent gait deviations and functional walking limitations post-rehabilitation.
Split-belt treadmill training shows potential for short-term gait improvements through motor adaptation.

Observation:

A 36-year-old female participant, 1.6 years post-stroke, presented with slow walking speed and significant step length asymmetry.
The participant underwent 4 weeks of split-belt treadmill training, with the paretic leg on the slower belt, combined with overground walking practice.

Findings:

Step length asymmetry reduced from 21% to 9% post-training and further to 7% at one-month follow-up.
Self-selected walking speed increased from 0.71 m/s to 0.81 m/s post-training and 0.86 m/s at follow-up.
Stroke Impact Scale (SIS) recovery percentage improved from 40% to 50% post-training and 60% at follow-up.

Implications:

Split-belt treadmill training can lead to sustained improvements in gait symmetry and walking function after stroke.
Repetitive practice leveraging motor adaptation principles may facilitate longer-term recovery, even with a limited training dose.
Findings suggest a promising, albeit modest, approach for enhancing functional mobility in chronic stroke survivors.