G. Noel Squires
Background and Purpose: The use of body weight supported treadmill training (BWSTT) and overground gait training (GT) has been shown to improve bilateral coordination and gait symmetry for patients experiencing chronic stroke. Evidence to support BWSTT rather than overground GT for use following chronic stroke is mixed and does not include representation for the young stroke population. The purpose of this case report is to describe the outcomes of gait speed, efficiency of gait, and fall risk in an individual following a chronic stroke managed with intense BWSTT and overground GT. Description: 43 year old male was managed with BWSTT 5x/week for 12 weeks following a stroke. He presented with left hemiparesis, spasticity of his left upper and lower extremities, and decreased sensation on the left. He demonstrated decreased gait speed, functional strength, and range of motion. Outcomes: There was a decrease in the level of assistance needed during ambulation from baseline to discharge. Although not statistically significant, his TUG, Gait Speed, 2 Minute Walk Test, and Berg also improved. Discussion: The patient demonstrated mixed overall gains with management. Similarly, publications report various findings supporting BWSTT as well. Perhaps this can be attributed to a couple factors. One, stroke severity and symptoms vary among individual patients. Two, previous research has been performed on heterogeneous populations of patients that have had a stroke. Perhaps if a study was performed on a homogenous population of patients who have had a stroke, we may see different results. Further research is warranted in the area of BWSTT and a homogeneous patient population.
Bordignon, Stephanie, "Body Weight Supported Treadmill Training And Overground Gait Training In The In-Patient Setting For An Individual With Chronic Stroke: A Case Report" (2015). Case Report Papers. 27.