A pilot clinical trial on a Variable Automated Speed and Sensing Treadmill (VASST) for hemiparetic gait rehabilitation in stroke patients
Introduction Impairments in walking speed and quantity are common mobility-related problems after stroke. Treadmill training is a useful and accepted method to improve endurance and gait speed. Standard treadmills currently lack variable training speed and automated safe speed progression, thus risk...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2015-07-01
|
| Series: | Frontiers in Neuroscience |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fnins.2015.00231/full |
| _version_ | 1818561998745501696 |
|---|---|
| author | Karen eChua Johnny eChee Chin Jung eWong Pang Hung eLim Wei Sheong eLim Chuan Mien eHoo Wai Sing eOng Mira Lijuan Shen Wei Shin eYu |
| author_facet | Karen eChua Johnny eChee Chin Jung eWong Pang Hung eLim Wei Sheong eLim Chuan Mien eHoo Wai Sing eOng Mira Lijuan Shen Wei Shin eYu |
| author_sort | Karen eChua |
| collection | DOAJ |
| description | Introduction Impairments in walking speed and quantity are common mobility-related problems after stroke. Treadmill training is a useful and accepted method to improve endurance and gait speed. Standard treadmills currently lack variable training speed and automated safe speed progression, thus risking backward displacement and falls. A Variable Automated Speed and Sensing Treadmill (VASST) was thus developed and tested on chronic stroke subjects in a supervised exercise programme. Materials and MethodsAn open label study with assessor blinding was conducted in 10 community-dwelling chronic hemiplegics who could ambulate at least 0.1m/s for >150 meters with contact guard or supervision. Interventions included physiotherapist-supervised training on VASST for 60 minutes 3 times per week for 4 weeks (total 12 hours). Outcome measures of gait speed, quantity, balance and adverse events were assessed at 0, 2, 4 and 8 weeks.Results Altogether 10 subjects (8 males, mean age 55.5 years, 2.1 years poststroke) completed VASST training. Mean 10-meter walk test speed was 0.69m/s (SD 0.29) and mean 6-minute walk test distance was 178.3m (84.0). After 4 weeks of training, 70% had significant positive gains in gait speed (0.06 m/s SD 0.08m/s, P =0.037); and 90% improved in walking distance. (54.3m, SD 30.9m, P = 0.005). Both gains maintained at week 8. (0.12 m/s SD 0.1, P = 0.01; 56.0m, SD 31.8, P = 0.005). There were no adverse events.Discussion and conclusion This preliminary study demonstrates the initial feasibility and short-term efficacy of VASST for walking speed and distance for chronic stroke with hemiplegia. |
| first_indexed | 2024-12-14T00:58:01Z |
| format | Article |
| id | doaj.art-f17a5a2d765747908994628ac516fe40 |
| institution | Directory Open Access Journal |
| issn | 1662-453X |
| language | English |
| last_indexed | 2024-12-14T00:58:01Z |
| publishDate | 2015-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neuroscience |
| spelling | doaj.art-f17a5a2d765747908994628ac516fe402022-12-21T23:23:26ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2015-07-01910.3389/fnins.2015.00231129518A pilot clinical trial on a Variable Automated Speed and Sensing Treadmill (VASST) for hemiparetic gait rehabilitation in stroke patientsKaren eChua0Johnny eChee1Chin Jung eWong2Pang Hung eLim3Wei Sheong eLim4Chuan Mien eHoo5Wai Sing eOng6Mira Lijuan Shen7Wei Shin eYu8Tan Tock Seng HospitalNgee Ann PolytechnicTan Tock Seng HospitalTan Tock Seng HospitalTan Tock Seng HospitalNgee Ann PolytechnicNgee Ann PolytechnicTan Tock Seng HospitalNgee Ann PolytechnicIntroduction Impairments in walking speed and quantity are common mobility-related problems after stroke. Treadmill training is a useful and accepted method to improve endurance and gait speed. Standard treadmills currently lack variable training speed and automated safe speed progression, thus risking backward displacement and falls. A Variable Automated Speed and Sensing Treadmill (VASST) was thus developed and tested on chronic stroke subjects in a supervised exercise programme. Materials and MethodsAn open label study with assessor blinding was conducted in 10 community-dwelling chronic hemiplegics who could ambulate at least 0.1m/s for >150 meters with contact guard or supervision. Interventions included physiotherapist-supervised training on VASST for 60 minutes 3 times per week for 4 weeks (total 12 hours). Outcome measures of gait speed, quantity, balance and adverse events were assessed at 0, 2, 4 and 8 weeks.Results Altogether 10 subjects (8 males, mean age 55.5 years, 2.1 years poststroke) completed VASST training. Mean 10-meter walk test speed was 0.69m/s (SD 0.29) and mean 6-minute walk test distance was 178.3m (84.0). After 4 weeks of training, 70% had significant positive gains in gait speed (0.06 m/s SD 0.08m/s, P =0.037); and 90% improved in walking distance. (54.3m, SD 30.9m, P = 0.005). Both gains maintained at week 8. (0.12 m/s SD 0.1, P = 0.01; 56.0m, SD 31.8, P = 0.005). There were no adverse events.Discussion and conclusion This preliminary study demonstrates the initial feasibility and short-term efficacy of VASST for walking speed and distance for chronic stroke with hemiplegia.http://journal.frontiersin.org/Journal/10.3389/fnins.2015.00231/fullGaitHemiplegiaStrokeSensingautomatedtreadmill |
| spellingShingle | Karen eChua Johnny eChee Chin Jung eWong Pang Hung eLim Wei Sheong eLim Chuan Mien eHoo Wai Sing eOng Mira Lijuan Shen Wei Shin eYu A pilot clinical trial on a Variable Automated Speed and Sensing Treadmill (VASST) for hemiparetic gait rehabilitation in stroke patients Frontiers in Neuroscience Gait Hemiplegia Stroke Sensing automated treadmill |
| title | A pilot clinical trial on a Variable Automated Speed and Sensing Treadmill (VASST) for hemiparetic gait rehabilitation in stroke patients |
| title_full | A pilot clinical trial on a Variable Automated Speed and Sensing Treadmill (VASST) for hemiparetic gait rehabilitation in stroke patients |
| title_fullStr | A pilot clinical trial on a Variable Automated Speed and Sensing Treadmill (VASST) for hemiparetic gait rehabilitation in stroke patients |
| title_full_unstemmed | A pilot clinical trial on a Variable Automated Speed and Sensing Treadmill (VASST) for hemiparetic gait rehabilitation in stroke patients |
| title_short | A pilot clinical trial on a Variable Automated Speed and Sensing Treadmill (VASST) for hemiparetic gait rehabilitation in stroke patients |
| title_sort | pilot clinical trial on a variable automated speed and sensing treadmill vasst for hemiparetic gait rehabilitation in stroke patients |
| topic | Gait Hemiplegia Stroke Sensing automated treadmill |
| url | http://journal.frontiersin.org/Journal/10.3389/fnins.2015.00231/full |
| work_keys_str_mv | AT karenechua apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT johnnyechee apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT chinjungewong apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT panghungelim apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT weisheongelim apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT chuanmienehoo apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT waisingeong apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT miralijuanshen apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT weishineyu apilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT karenechua pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT johnnyechee pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT chinjungewong pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT panghungelim pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT weisheongelim pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT chuanmienehoo pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT waisingeong pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT miralijuanshen pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients AT weishineyu pilotclinicaltrialonavariableautomatedspeedandsensingtreadmillvasstforhemipareticgaitrehabilitationinstrokepatients |