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Gait Training in Chronic Stroke Using Walk-Even Feedback Device: A Pilot Study.

V Krishnan1, I Khoo2, P Marayong3

  • 1Department of Physical Therapy, California State University, Long Beach, CA 90840, USA.

Neuroscience Journal
|December 23, 2016
PubMed
Summary
This summary is machine-generated.

This pilot study found that the Walk-Even shoe insole, combined with gait and strength training, improved gait symmetry and weight-bearing in chronic stroke survivors. Further research is needed to confirm these promising results.

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Area of Science:

  • Neurorehabilitation
  • Biomechanics
  • Assistive Technology

Background:

  • Chronic stroke survivors often exhibit asymmetrical gait and reduced weight-bearing on the affected limb.
  • Gait asymmetry significantly impacts mobility and quality of life post-stroke.

Purpose of the Study:

  • To evaluate the effectiveness of a novel shoe insole device, Walk-Even, in correcting gait asymmetry in chronic stroke survivors.
  • To assess the impact of the Walk-Even device on weight-bearing distribution and gait parameters.

Main Methods:

  • A pilot study involving chronic stroke survivors (>6 months post-stroke).
  • Participants engaged in 8 weeks of combined gait and lower-extremity strength training.
  • Intervention groups included conventional gait training (control) and gait training with the Walk-Even device.

Main Results:

  • All participants showed improvements in various gait measures, including foot pressure, weight transfer, center of pressure (COP) trajectory and velocity, and stance asymmetry.
  • Participants using the Walk-Even device demonstrated more pronounced improvements compared to the control group.
  • Significant enhancements were observed in measures like Timed "Up and Go" and the Activities-specific Balance Scale.

Conclusions:

  • Combining strength and gait training with real-time feedback from the Walk-Even device shows potential for reducing temporal asymmetry and improving weight-bearing in chronic stroke survivors.
  • The findings suggest the Walk-Even device is a promising intervention for stroke rehabilitation.
  • A larger randomized controlled trial is recommended to validate the efficacy of the Walk-Even device.