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Updated: Feb 11, 2026
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A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients
Published on: May 16, 2025
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A Challenge-Based Approach to Body Weight-Supported Treadmill Training Poststroke: Protocol for a Randomized
Avantika Naidu1, David Brown1, Elliot Roth2
1Department of Physical Therapy and Occupational Therapy, University of Alabama at Birmingham, Birmingham, AL, United States.
JMIR Research Protocols
|May 5, 2018
Summary
This study explored two body weight support treadmill training methods for stroke survivors. The hands-free + challenge walking group showed promising improvements in ambulatory function.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Biomechanics
Background:
- Conventional body weight support (BWS) treadmill training for post-stroke recovery often relies on stable conditions, handrails, or manual assistance.
- This limits the integration of dynamic balance challenges crucial for functional ambulation.
Purpose of the Study:
- To introduce and evaluate two novel BWS treadmill training paradigms with integrated dynamic balance challenges for individuals with chronic post-stroke hemiparesis.
- To compare a hands-free walking paradigm with a hands-free + challenge walking paradigm incorporating essential mobility skills.
Main Methods:
- A randomized controlled study involving 30 individuals with chronic post-stroke hemiparesis.
- Participants underwent 6 weeks of training using a robotic treadmill interface with BWS.
- Assessments included pre-, mid-, post-intervention, and 6-month follow-up, focusing on comfortable walking speed.
Main Results:
- The study enrolled 30 participants (19 in hands-free, 20 in hands-free + challenge walking).
- Primary outcome was the change in comfortable walking speed.
- Feasibility, adherence, and secondary outcomes were also assessed, along with participant feedback.
Conclusions:
- The developed treadmill training paradigms offer standardized, advanced approaches for post-stroke rehabilitation.
- These methods reduce reliance on handrails and manual assistance while incorporating progressive dynamic challenges.
- The protocol aims to enhance ambulatory function and functional mobility in stroke survivors.
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