Novel gait training alters functional brain connectivity during walking in chronic stroke patients: a randomized controlled pilot trial

Journal of Neuroengineering and Rehabilitation
I-Hsuan ChenRay-Yau Wang

Abstract

A recent study has demonstrated that a turning-based treadmill program yields greater improvements in gait speed and temporal symmetry than regular treadmill training in chronic stroke patients. However, it remains unknown how this novel and challenging gait training shapes the cortico-cortical network and cortico-spinal network during walking in chronic stroke patients. The purpose of this study was to examine how a novel type of gait training, which is an unfamiliar but effective task for people with chronic stroke, enhances brain reorganization. Subjects in the experimental and control groups received 30 min of turning-based treadmill training and regular treadmill training, respectively. Cortico-cortical connectivity and cortico-muscular connectivity during walking and gait performance were assessed before and after completing the 12-session training. Eighteen subjects (n = 9 per group) with a mean age of 52.5 ± 9.7 years and an overground walking speed of 0.61 ± 0.26 m/s consented and participated in this study. There were significant group by time interactions for gait speed, temporal gait symmetry, and cortico-cortical connectivity as well as cortico-muscular connectivity in walk-related frequency (24-40 Hz) over the fro...Continue Reading

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Citations

Jun 2, 2020·Physiotherapy Theory and Practice·Caroline Echavarria FortesFelipe Augusto Dos Santos Mendes
Sep 13, 2020·Annals of Biomedical Engineering·Rocco Salvatore CalabròAntonino Naro
Dec 29, 2019·Journal of Neuroengineering and Rehabilitation·Alisa BergerMichael Doppelmayr
Jan 17, 2021·Journal of Neuroengineering and Rehabilitation·Shannon B LimJanice J Eng

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