Effect of Anterioposterior Weight-Shift Training with Visual Biofeedback in Patients with Step Length Asymmetry after Subacute Stroke

Step length asymmetry is a characteristic feature of gait in post-stroke patients. A novel anterioposterior weight-shift training method with visual biofeedback (AP training) was developed to improve the forward progression of the trunk. This study aimed to investigate the effect of AP training on g...

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Bibliographic Details
Published in:Journal of personalized medicine 2023-12, Vol.13 (12), p.1726
Main Authors: Jo, Yea Jin, Kim, Dae Hyun, Kim, Seeun, Kim, Jung Hoon, Choi, Jong Hyun, Park, Jong Bum, Baek, Yoon Su, Park, Yoon Ghil, Kim, Deog Young
Format: Article
Language:English
Subjects:
Ankle
Asymmetry
Balance
Biofeedback
Energy consumption
Feedback
Gait
Patients
Posture
Precision medicine
Pressure distribution
Stroke
Walking
Weight
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Summary:Step length asymmetry is a characteristic feature of gait in post-stroke patients. A novel anterioposterior weight-shift training method with visual biofeedback (AP training) was developed to improve the forward progression of the trunk. This study aimed to investigate the effect of AP training on gait asymmetries, patterns, and gait-related function in subacute stroke patients. Forty-six subacute stroke patients were randomly assigned to the AP training group or the control group. The AP training group received conventional gait training and AP training five times per week for 4 weeks. The control group received the same intensity of conventional gait training with patient education for self-anterior weight shifting. Plantar pressure analysis, gait analysis, energy consumption, and gait-related behavioral parameters were assessed before and after training. The AP training group showed significant improvement in step length asymmetry, forefoot contact area and pressure, Berg balance scale score, and Fugl-Meyer assessment scale of lower extremity score compared to the control group ( < 0.05). However, there was no significant between-group difference with respect to energy cost and kinetic and kinematic gait parameters. In conclusion, AP training may help improve the asymmetric step length in stroke patients, and also improve anterior weight shifting, balance, and motor function in subacute stroke survivors.
ISSN:2075-4426
2075-4426
DOI:10.3390/jpm13121726