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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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European Journal of Physical and Rehabilitation Medicine 2011 September;47(3):427-33

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Effects of Thera-Band® elastic resistance-assisted gait training in stroke patients: a pilot study

Patil P. 1, Rao S. A. 2

1 Occupational Therapy Department, Lakshya Rehab Center, Mumbai, India; 2 Occupational Therapy Department, T.N. Medical College and B.Y.L. Nair Charitable Hospital, Mumbai Central, Mumbai, Maharashtra, India


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BACKGROUND: In stroke patients, it is difficult to manually assist dorsi-flexion during the normal gait cycle as it is a distal component. Furthermore, it is nearly impossible to simultaneously guard the patient and manually assist dorsi-flexion during the swing phase of gait. However, one of the key benefits of Thera-Band® Elastic Resistance-Assisted Gait Training is that it offers distal control of lower extremity during the normal gait sequence without jeopardizing patient safety.
AIM: Aim of this study was to compare and measure the effects of Thera-Band® Elastic Resistance-Assisted Gait Training in stroke patients with respect to quality of gait and functional mobility.
DESIGN:This was a pilot study.
SETTING: The study was carried out at the Occupational Therapy Department, Mumbai, India.
POPULATION: The study included 16 patients aged between 30-60 years with first episode of stroke or subacute stroke.
METHODS: Following informed consent, as per inclusion criteria patients were randomly assigned in two groups: 1) control group: Conventional Occupational Therapy Intervention and Conventional Gait Training; 2) experimental group: Conventional Occupational Therapy and Thera-Band® Elastic Resistance Assisted Gait Training. Patients were assessed on: 1) Wisconsin Gait Scale; 2) Rivermead Mobility Index. Patients were reassessed as done initially at the end of third and sixth week. Patients received therapy three times a week for six weeks.
RESULTS: Each group separately was associated with statistically significant improvement in quality of gait (P<0.001) as well as functional mobility (P<0.001). Thera-Band® Elastic Resistance-Assisted Gait Training had a more positive effect on improving the quality of gait, functional mobility in a short duration as compared to the conventional gait training.
CONCLUSION: The use of Thera-Band® Elastic Resistance-Assisted Gait Training contributed to faster recovery as compared to the control group. Functionally patients showed improvement as compared to conventional therapy.
CLINICAL REHABILITATION IMPACT: Thera-Band® Elastic Resistance-Assisted Gait Training facilitates dorsi-flexion during a single cycle of swing.

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dr.punampatil@gmail.com