Step by step: A proof of concept study of C-Mill gait adaptability training in the chronic phase after stroke
Anita Heeren, Mariëlle van Ooijen, Alexander C.H. Geurts, Brian L. Day , Thomas W.J. Janssen, Peter J. Beek, Melvyn Roerdink, Vivian Weerdesteyn
Department of Rehabilitation, Radboud University Medical Centre, The Netherlands
Objective: To evaluate the concept of C-Mill gait adaptability training.
Design: Pre- and post-intervention assessments.
Subjects: Sixteen community-dwelling persons in the chronic phase after stroke (mean age 54. 8 years).
Methods: Participants received 10 sessions (1 h per session, for 5–6 weeks) of gait adaptability training on an instrumented treadmill augmented with visual targets and obstacles (C-Mill). Pre- and post-intervention assessments included: (i) clinical assessments of balance and gait: 10-m walking test, Timed Up-and-Go test, Berg Balance Scale, obstacle sub-task of the Emory Functional Ambulation Profile, and the Trunk Impairment Scale; (ii) physical activity level, assessed with a pedometer; (iii) success rate of accurate step adjustments towards a displacing target, assessed with an instrumented Target-Stepping Task; (iv) participant’s experience with the training.
Results: All clinical assessments improved significantly after training (all p < 0. 05), except for the Trunk Impairment Scale (p = 0. 584). Physical activity increased by 19. 6% (p < 0. 05). Improvements in Target-Stepping Task success rates depended on the specific testing condition (time × body support × step direction, χ2(1) = 3. 884, p < 0. 05). All participants appreciated the training.
Conclusion: The concept of C-Mill gait adaptability training in the chronic phase after stroke is promising and warrants future research involving a randomized controlled trial.
Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors.
You need to login/create an account to comment on articles. Click here to login/create an account