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Preliminary Trial to Increase Gait Velocity with High Speed Treadmill Training for Patients with Hemiplegia

Wada, Yosuke, RPT, BA; Kondo, Izumi, MD, PhD; Sonoda, Shigeru, MD, PhD; Miyasaka, Hiroyuki, ROT, BA; Teranishi, Toshio, RPT, BA; Nagai, Shota, RPT, BA; Saitoh, Eiichi, MD, PhD

American Journal of Physical Medicine & Rehabilitation: August 2010 - Volume 89 - Issue 8 - p 683-687
doi: 10.1097/PHM.0b013e3181e29d27
Brief Report: Gait

Wada Y, Kondo I, Sonoda S, Miyasaka H, Teranishi T, Nagai S, Saitoh E: Preliminary trial to increase gait velocity with high speed treadmill training for patients with hemiplegia.

The purpose of this study was to determine whether high-speed treadmill training improved the gait velocity of patients whose maximum walking speed was assumed to have reached a plateau level. The subjects included seven patients with hemiplegia after stroke. The high-speed treadmill training was performed as the maximum gait velocity of each patient was presumed to have reached a plateau level. The patients walked 20% faster than their maximum gait velocity of the day for 5 days (phase I). Then they walked 20% slower than maximum gait velocity of the day for 5 days, and they repeated the fast treadmill walking for further 5 days (phase II). Before phase I, mean maximum gait velocity of the day was 0.84 m/sec before phase I, 1.08 m/sec after phase I, and 1.24 m/sec after phase II. These results demonstrated that training at a speed 20% faster than the maximum gait velocity of the day on the treadmill for 5 days could further increase a patient's gait velocity.

From the Division of Rehabilitation (YW, IK, HM, TT), Fujita Memorial Nanakuri Institute, Fujita Health University, Tsu, Mie, Japan; Fujita Health University Nanakuri Sanatorium (SS), Tsu, Mie, Japan; Faculty of Health Sciences (SN), Kinjo University, Hakusan, Ishikawa, Japan; and Department of Rehabilitation Medicine (ES), School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.

All correspondence and requests for reprints should be addressed to Yosuke Wada, RPT, BA, Division of Rehabilitation, Fujita Memorial Nanakuri Institute, Fujita Health University, 1865, Hisai-ishikichou, Tsu, Mie 514-1296, Japan.

The study was presented at the Third World Congress of the International Society of Physical and Rehabilitation Medicine, Sao Paulo, April 10–15, 2005. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2010 Lippincott Williams & Wilkins, Inc.