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User-driven treadmill walking promotes healthy step width after stroke.

Margo C Donlin1, Nicole T Ray2, Jill S Higginson3

  • 1Department of Biomedical Engineering, University of Delaware, Newark, DE, USA.

Gait & Posture
|April 3, 2021
PubMed
Summary
This summary is machine-generated.

User-driven treadmill walking promotes healthier gait biomechanics in post-stroke individuals compared to fixed-speed treadmills. This user-driven approach may enhance balance and improve post-stroke gait rehabilitation programs.

Keywords:
Self-paced treadmillSpatiotemporal parametersStep widthStrokeUser-driven treadmill control

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Science
  • Neuroscience

Background:

  • User-driven treadmill walking is hypothesized to mimic overground walking more closely than fixed-speed treadmill walking.
  • Previous research indicates differences in walking speed and ground reaction forces between overground and fixed-speed treadmill walking, but not between overground and user-driven treadmill walking.
  • Limited studies have investigated spatiotemporal gait parameters during user-driven treadmill walking, particularly in post-stroke populations.

Purpose of the Study:

  • To investigate the differences in spatiotemporal gait parameters between fixed-speed and user-driven treadmill walking in individuals post-stroke.
  • To determine if user-driven treadmill control offers a more naturalistic gait pattern compared to fixed-speed control for stroke survivors.
  • To provide evidence that can inform the development of more effective post-stroke gait rehabilitation strategies.

Main Methods:

  • Eighteen participants with chronic post-stroke hemiparesis walked on an instrumented treadmill in both fixed-speed and user-driven modes.
  • Participants completed trials at self-selected and fastest comfortable walking speeds.
  • Spatiotemporal gait parameters were measured using motion capture, and statistical analyses (Shapiro-Wilk, repeated measures ANOVA, Bonferroni correction) were employed to compare conditions.

Main Results:

  • Step width was significantly smaller during user-driven treadmill walking (13.7 cm) compared to fixed-speed treadmill walking (16.8 cm).
  • No significant differences were found in step length or step time between the user-driven and fixed-speed treadmill conditions.
  • While step length and step time varied with walking speed (self-selected vs. fast), they were not influenced by the treadmill control mode.

Conclusions:

  • User-driven treadmill control promotes healthier gait biomechanics, specifically a reduced step width, in individuals post-stroke.
  • The reduced step width observed with user-driven control is associated with improved balance, suggesting enhanced stability.
  • Incorporating user-driven treadmill training paradigms into post-stroke gait rehabilitation programs may be beneficial for improving patient mobility and functional outcomes.