Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/359
Full metadata record
DC FieldValueLanguage
dc.contributor.authorWilliams, Gavin-
dc.contributor.authorMorris, Meg-
dc.contributor.otherSchache, Anthony-
dc.contributor.otherClark, Ross-
dc.contributor.otherMoore, Liz-
dc.contributor.otherFini, Natalie-
dc.contributor.otherMcCrory, Paul-
dc.date2011-
dc.date.accessioned2015-09-09T03:35:33Z-
dc.date.available2015-09-09T03:35:33Z-
dc.date.issued2011-02-
dc.identifier.citationJournal of Neurotrauma 2011 February; 28:281–287en_US
dc.identifier.issn0897-7151en_US
dc.identifier.issn1557-9042en_US
dc.identifier.urihttp://hdl.handle.net/11434/359-
dc.description.abstractGait training is a major focus of rehabilitation for many people with neurological disorders, yet systematic reviews have failed to identify the most effective form of gait training. The main objective of this study was to compare conditions for gait training for people with acquired brain injury (ABI). Seventeen people who had sustained an ABI and were unable to walk without assistance were recruited as a sample. Each participant was exposed to seven alternative gait training conditions in a randomized order. These were: (1) therapist manual facilitation; (2) the use of a gait-assistive device; (3) unsupported treadmill walking; and (4) four variations of body weight support treadmill training (BWSTT). Quantitative gait analysis was performed and Gait Profile Scores (GPS) were generated for each participant to determine which condition most closely resembled normal walking. BWSTT without additional therapist or self-support of the upper limbs was associated with more severe gait abnormality [Wilks’ lambda¼0.20, F(6, 6)¼3.99, p¼0.047]. With the exception of therapist facilitation, the gait training conditions that achieved the closest approximation of normal walking required selfsupport of the upper limbs. When participants held on to a stable handrail, self-selected gait speeds were up to three times higher than the speeds obtained for over-ground walking [Wilks’ lambda¼0.17, F(6, 7)¼5.85, p<0.05]. The provision of stable upper-limb support was associated with high self-selected gait speeds that were not sustained when walking over ground. BWSTT protocols may need to prioritize reduction in self-support of the upper limbs, instead of increasing treadmill speed and reducing body weight support, in order to improve training outcomes.en_US
dc.publisherMary Ann Liebert, Inc.en_US
dc.subjectBiomechanical Phenomenaen_US
dc.subjectLocomotor Functionen_US
dc.subjectRehabilitationen_US
dc.subjectRecovery of Functionen_US
dc.subjectBrain Injuriesen_US
dc.subjectInjuries, Brainen_US
dc.subjectTrauma, Brainen_US
dc.subjectTraumatic Brain Injuryen_US
dc.subjectTBIen_US
dc.subjectWalkingen_US
dc.subjectAmbulationen_US
dc.subjectGaiten_US
dc.subjectKinematicsen_US
dc.subjectLocomotionen_US
dc.subjectMovementen_US
dc.subjectAssistive Technologyen_US
dc.subjectOrthotic Devicesen_US
dc.subjectTraining Techniquesen_US
dc.subjectPhysiotherapy Department, Epworth Hospital, Melbourne, Victoria, Australiaen_US
dc.titleTraining conditions influence walking kinematics and self selected walking speed in patients with neurological impairments.en_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1089/neu.2010.1649en_US
dc.identifier.journaltitleJournal of Neurotraumaen_US
dc.description.pubmedurihttp://www.ncbi.nlm.nih.gov/pubmed/21174634en_US
dc.description.affiliatesCentre for Health Exercise and Sports Medicine, The University of Melbourne, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesSchool of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesSchool of Mechanical Engineering, The University of Melbourne, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesCaulfield Hospital, Alfred Healthcare, Melbourne, Victoria, Australiaen_US
dc.type.studyortrialRandomized Controlled Clinical Trial/Controlled Clinical Trialen_US
dc.type.contenttypeTexten_US
Appears in Collections:Neurosciences
Rehabilitation

Files in This Item:
There are no files associated with this item.


Items in Epworth are protected by copyright, with all rights reserved, unless otherwise indicated.