Technological Advances in Interventions to Enhance Poststroke Gait - 17/04/13

Doi : 10.1016/j.pmr.2012.11.005

Lynne R. Sheffler, MD ^a,^⁎ , John Chae, MD ^a,^b
^a Department of Physical Medicine and Rehabilitation, MetroHealth Medical Center, Cleveland Functional Electrical Stimulation Center, Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH 44109, USA
^b Department of Biomedical Engineering, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA

Corresponding author.

Résumé

Neurologic rehabilitation interventions may be either therapeutic or compensatory. Included in this article are lower extremity functional electrical stimulation, body weight–supported treadmill training, and lower extremity robotic-assisted gait training. These poststroke gait training therapies are predicated on activity-dependent neuroplasticity. All three interventions have been trialed extensively in research and clinical settings to show a positive effect on various gait parameters and measures of walking performance. This article provides an overview of evidence-based research that supports the efficacy of these three interventions to improve gait, as well as providing perspective on future developments to enhance poststroke gait in neurologic rehabilitation.

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Keywords : Gait, Hemiparesis, Motor relearning, Neuroplasticity