Effects of prosthetic gait training for stroke patients to induce use of the paretic leg

A report of three cases

Kimitaka Hase, Toshiyuki Fujiwara, Tetsuya Tsuji, Meigen Liu

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

During recovery from a stroke, body weight-bearing on a paretic leg is spontaneously avoided. In physiotherapy for hemiparetic gait, as long as the patients can use their non-paretic leg, adaptive and compensatory strategies are always used to support and move the body. We examined the effects of gait training using prosthetics to induce the use of a paretic leg during walking. The prosthesis was applied to the non-paretic leg of three right hemiparetic patients. Prosthetic gait training was performed until finishing 5 successive motor learning sessions involving walking over 200 m and the changes of asymmetric gait performances were analyzed. The ground reaction forces during the initial stance phase of the paretic leg were increased in all patients after prosthetic gait training. Simultaneously, the propulsive force produced by the paretic leg was increased in 2 patients. By contrast, another patient developed more use of his non-paretic leg for propulsion corresponding to acquiring stability on the paretic leg, resulting in an improvement in single-support-time asymmetry. Task-specific effects provided by prosthetic gait training may be able to reorganize the motor strategy for hemiparetic gait by inducing the use of the paretic leg to support and propell the body.

Original languageEnglish
Pages (from-to)162-167
Number of pages6
JournalKeio Journal of Medicine
Volume57
Issue number3
DOIs
Publication statusPublished - 2008 Sep

Fingerprint

Gait
Leg
Stroke
Walking
Weight-Bearing
Patient Rights
Prostheses and Implants
Body Weight
Learning

Keywords

  • Case report
  • Gait training
  • Prosthetics
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effects of prosthetic gait training for stroke patients to induce use of the paretic leg : A report of three cases. / Hase, Kimitaka; Fujiwara, Toshiyuki; Tsuji, Tetsuya; Liu, Meigen.

In: Keio Journal of Medicine, Vol. 57, No. 3, 09.2008, p. 162-167.

Research output: Contribution to journalArticle

@article{b6db6faea805446fbca7bce80671d234,
title = "Effects of prosthetic gait training for stroke patients to induce use of the paretic leg: A report of three cases",
abstract = "During recovery from a stroke, body weight-bearing on a paretic leg is spontaneously avoided. In physiotherapy for hemiparetic gait, as long as the patients can use their non-paretic leg, adaptive and compensatory strategies are always used to support and move the body. We examined the effects of gait training using prosthetics to induce the use of a paretic leg during walking. The prosthesis was applied to the non-paretic leg of three right hemiparetic patients. Prosthetic gait training was performed until finishing 5 successive motor learning sessions involving walking over 200 m and the changes of asymmetric gait performances were analyzed. The ground reaction forces during the initial stance phase of the paretic leg were increased in all patients after prosthetic gait training. Simultaneously, the propulsive force produced by the paretic leg was increased in 2 patients. By contrast, another patient developed more use of his non-paretic leg for propulsion corresponding to acquiring stability on the paretic leg, resulting in an improvement in single-support-time asymmetry. Task-specific effects provided by prosthetic gait training may be able to reorganize the motor strategy for hemiparetic gait by inducing the use of the paretic leg to support and propell the body.",
keywords = "Case report, Gait training, Prosthetics, Rehabilitation, Stroke",
author = "Kimitaka Hase and Toshiyuki Fujiwara and Tetsuya Tsuji and Meigen Liu",
year = "2008",
month = "9",
doi = "10.2302/kjm.57.162",
language = "English",
volume = "57",
pages = "162--167",
journal = "Keio Journal of Medicine",
issn = "0022-9717",
publisher = "Keio University School of Medicine",
number = "3",

}

TY - JOUR

T1 - Effects of prosthetic gait training for stroke patients to induce use of the paretic leg

T2 - A report of three cases

AU - Hase, Kimitaka

AU - Fujiwara, Toshiyuki

AU - Tsuji, Tetsuya

AU - Liu, Meigen

PY - 2008/9

Y1 - 2008/9

N2 - During recovery from a stroke, body weight-bearing on a paretic leg is spontaneously avoided. In physiotherapy for hemiparetic gait, as long as the patients can use their non-paretic leg, adaptive and compensatory strategies are always used to support and move the body. We examined the effects of gait training using prosthetics to induce the use of a paretic leg during walking. The prosthesis was applied to the non-paretic leg of three right hemiparetic patients. Prosthetic gait training was performed until finishing 5 successive motor learning sessions involving walking over 200 m and the changes of asymmetric gait performances were analyzed. The ground reaction forces during the initial stance phase of the paretic leg were increased in all patients after prosthetic gait training. Simultaneously, the propulsive force produced by the paretic leg was increased in 2 patients. By contrast, another patient developed more use of his non-paretic leg for propulsion corresponding to acquiring stability on the paretic leg, resulting in an improvement in single-support-time asymmetry. Task-specific effects provided by prosthetic gait training may be able to reorganize the motor strategy for hemiparetic gait by inducing the use of the paretic leg to support and propell the body.

AB - During recovery from a stroke, body weight-bearing on a paretic leg is spontaneously avoided. In physiotherapy for hemiparetic gait, as long as the patients can use their non-paretic leg, adaptive and compensatory strategies are always used to support and move the body. We examined the effects of gait training using prosthetics to induce the use of a paretic leg during walking. The prosthesis was applied to the non-paretic leg of three right hemiparetic patients. Prosthetic gait training was performed until finishing 5 successive motor learning sessions involving walking over 200 m and the changes of asymmetric gait performances were analyzed. The ground reaction forces during the initial stance phase of the paretic leg were increased in all patients after prosthetic gait training. Simultaneously, the propulsive force produced by the paretic leg was increased in 2 patients. By contrast, another patient developed more use of his non-paretic leg for propulsion corresponding to acquiring stability on the paretic leg, resulting in an improvement in single-support-time asymmetry. Task-specific effects provided by prosthetic gait training may be able to reorganize the motor strategy for hemiparetic gait by inducing the use of the paretic leg to support and propell the body.

KW - Case report

KW - Gait training

KW - Prosthetics

KW - Rehabilitation

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=56049115620&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=56049115620&partnerID=8YFLogxK

U2 - 10.2302/kjm.57.162

DO - 10.2302/kjm.57.162

M3 - Article

VL - 57

SP - 162

EP - 167

JO - Keio Journal of Medicine

JF - Keio Journal of Medicine

SN - 0022-9717

IS - 3

ER -