Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive Stability
Background: This study examined whether a multisession gait-slip training could enhance reactive balance control and fall-resisting skills of people with chronic stroke (PwCS). Methods: A total of 11 PwCS underwent a four-week treadmill-based gait-slip training (four sessions). Pre- and post-trainin...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-07-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/11/7/894 |
| _version_ | 1797527564103712768 |
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| author | Shamali Dusane Tanvi Bhatt |
| author_facet | Shamali Dusane Tanvi Bhatt |
| author_sort | Shamali Dusane |
| collection | DOAJ |
| description | Background: This study examined whether a multisession gait-slip training could enhance reactive balance control and fall-resisting skills of people with chronic stroke (PwCS). Methods: A total of 11 PwCS underwent a four-week treadmill-based gait-slip training (four sessions). Pre- and post-training assessment was performed on six intensities of gait-slips (levels 1–6). Training consisted of 10 blocks of each progressively increasing intensity (four trials per block) until participants fell at >2 trials per block (fall threshold). In the next session, training began at a sub-fall threshold and progressed further. Fall outcome and threshold, number of compensatory steps, multiple stepping threshold, progression to higher intensities, pre- and post-slip center of mass (CoM), state stability, clinical measures, and treadmill walking speed were analyzed. Results: Post-training, PwCS demonstrated a reduction in falls and compensatory steps on levels 5 and 6 (<i>p</i> < 0.05) compared to pre-training. While an increase in pre-slip stability was limited to level 6 (<i>p</i> < 0.05), improvement in post-slip stability at lift-off was noted on levels 2, 3, and 5 (<i>p</i> < 0.05) along with improved post-slip minimum stability on levels 5 and 6 (<i>p</i> < 0.05). Post-training demonstrated improved fall (<i>p</i> < 0.05) and multiple stepping thresholds (<i>p</i> = 0.05). While most participants could progress to level 4 between the first and last training sessions, more participants progressed to level 6 (<i>p</i> < 0.05). Participants’ treadmill walking speed increased (<i>p</i> < 0.05); however, clinical measures remained unchanged (<i>p</i> > 0.05). Conclusions: Multisession, progressively increasing intensity of treadmill-based gait-slip training appears to induce significant adaptive improvement in falls, compensatory stepping, and postural stability among PwCS. |
| first_indexed | 2024-03-10T09:45:29Z |
| format | Article |
| id | doaj.art-e9113e8e5ac5456c91703bbeab0b9e40 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T09:45:29Z |
| publishDate | 2021-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-e9113e8e5ac5456c91703bbeab0b9e402023-11-22T03:20:17ZengMDPI AGBrain Sciences2076-34252021-07-0111789410.3390/brainsci11070894Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive StabilityShamali Dusane0Tanvi Bhatt1Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USADepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL 60612, USABackground: This study examined whether a multisession gait-slip training could enhance reactive balance control and fall-resisting skills of people with chronic stroke (PwCS). Methods: A total of 11 PwCS underwent a four-week treadmill-based gait-slip training (four sessions). Pre- and post-training assessment was performed on six intensities of gait-slips (levels 1–6). Training consisted of 10 blocks of each progressively increasing intensity (four trials per block) until participants fell at >2 trials per block (fall threshold). In the next session, training began at a sub-fall threshold and progressed further. Fall outcome and threshold, number of compensatory steps, multiple stepping threshold, progression to higher intensities, pre- and post-slip center of mass (CoM), state stability, clinical measures, and treadmill walking speed were analyzed. Results: Post-training, PwCS demonstrated a reduction in falls and compensatory steps on levels 5 and 6 (<i>p</i> < 0.05) compared to pre-training. While an increase in pre-slip stability was limited to level 6 (<i>p</i> < 0.05), improvement in post-slip stability at lift-off was noted on levels 2, 3, and 5 (<i>p</i> < 0.05) along with improved post-slip minimum stability on levels 5 and 6 (<i>p</i> < 0.05). Post-training demonstrated improved fall (<i>p</i> < 0.05) and multiple stepping thresholds (<i>p</i> = 0.05). While most participants could progress to level 4 between the first and last training sessions, more participants progressed to level 6 (<i>p</i> < 0.05). Participants’ treadmill walking speed increased (<i>p</i> < 0.05); however, clinical measures remained unchanged (<i>p</i> > 0.05). Conclusions: Multisession, progressively increasing intensity of treadmill-based gait-slip training appears to induce significant adaptive improvement in falls, compensatory stepping, and postural stability among PwCS.https://www.mdpi.com/2076-3425/11/7/894multisession trainingstrokeadaptationfall-riskgait-slip |
| spellingShingle | Shamali Dusane Tanvi Bhatt Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive Stability Brain Sciences multisession training stroke adaptation fall-risk gait-slip |
| title | Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive Stability |
| title_full | Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive Stability |
| title_fullStr | Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive Stability |
| title_full_unstemmed | Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive Stability |
| title_short | Effect of Multisession Progressive Gait-Slip Training on Fall-Resisting Skills of People with Chronic Stroke: Examining Motor Adaptation in Reactive Stability |
| title_sort | effect of multisession progressive gait slip training on fall resisting skills of people with chronic stroke examining motor adaptation in reactive stability |
| topic | multisession training stroke adaptation fall-risk gait-slip |
| url | https://www.mdpi.com/2076-3425/11/7/894 |
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