Tang HF, Yang B, Lin Q, Liang JJ, Mou ZW. Dynamic biomechanical effect of lower body positive pressure treadmill training for hemiplegic gait rehabilitation after stroke: A case report. World J Clin Cases 2021; 9(3): 632-638 [PMID: 33553401 DOI: 10.12998/wjcc.v9.i3.632]
Corresponding Author of This Article
Zhi-Wei Mou, MD, PhD, Associate Chief Physician, Department of Rehabilitation Medicine, The First Affiliated Hospital of Jinan University, No. 613 West Huangpu Avenue, Guangzhou 510630, Guangdong Province, China. mouzhiwei@jnu.edu.cn
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 26, 2021; 9(3): 632-638 Published online Jan 26, 2021. doi: 10.12998/wjcc.v9.i3.632
Table 1 Scores of clinical assessments before and after intervention and at 4-wk follow-up
FMA-LE (total score)
BBS (total score)
TUGT (s)
Pre-treatment
18 (34)
39 (56)
34.1
Post-treatment
18 (34)
43 (56)
27.1
Follow-up
18 (34)
45 (56)
27.5
Table 2 Plantar pressure distributions in percentage measured on days 1 (baseline/pretreatment), 4, 7, 11, 14 (posttreatment), and 28 (follow-up) on the affected side and unaffected side
Toes area
Metatarsal area
Midfoot area
Heel area
Affected
Unaffected
Affected
Unaffected
Affected
Unaffected
Affected
Unaffected
Day 01
0
6.92
16.93
40.63
6.47
11.43
76.1
40.77
Day 04
0
12.98
25.06
47.62
9.04
9.42
64.48
30.96
Day 07
6.15
7.67
36.55
49.74
3.82
11.76
53.66
32.35
Day 11
7.71
6.75
33.17
50.13
8.15
14.84
51.32
29.02
Day 14
12.9
4.92
30.8
42.43
6.87
9.23
48.59
42.46
Day 28
11.75
5.27
22.02
53.72
15.9
11.71
50.32
28.52
Table 3 Gait spatial-temporal parameters and symmetric index before and after intervention and at 4-wk follow-up
Mean velocity (%height/s)
Cadence (steps/min)
Symmetric index (SI, %)
SIStride (%height)
SICadence
Pre-treatment
16.95
73.60
125.12
193.31
Post-treatment
18.21
81.20
126.74
193.85
Follow-up
18.39
76.40
122.40
193.69
Table 4 Mean root-mean-square values (μv) over the gait cycle computed for the tibialis anterior, gastrocnemius lateralis, and gastrocnemius medialis of the affected and unaffected lower limbs before and after intervention and at 4-wk
TA
GL
GM
Symmetric index (SI, %)
Affected
Unaffected
Affected
Unaffected
Affected
Unaffected
SITA
SIGL
SIGM
Stance phase
Pre-treatment
9.95
75.78
22.53
72.83
11.96
48.20
153.58
105.49
120.48
Post-treatment
19.46
77.74
25.95
46.85
19.00
41.24
119.92
57.42
73.84
Follow-up
25.54
55.85
23.05
58.38
20.41
43.24
74.48
86.77
71.74
Swing phase
Pre-treatment
8.11
88.40
20.27
52.73
9.93
41.19
166.39
88.93
122.30
Post-treatment
20.73
67.43
22.12
34.60
17.96
27.23
105.94
44.01
41.03
Follow-up
36.38
73.66
21.74
33.18
18.97
30.26
67.76
41.66
45.87
Citation: Tang HF, Yang B, Lin Q, Liang JJ, Mou ZW. Dynamic biomechanical effect of lower body positive pressure treadmill training for hemiplegic gait rehabilitation after stroke: A case report. World J Clin Cases 2021; 9(3): 632-638