Locomotor Training Improves Daily Stepping Activity and Gait Efficiency in Individuals Poststroke Who Have Reached a “Plateau” in Recovery | Zendy

Jennifer L. Moore | Zendy; Elliot J. Roth | Zendy; Clyde B. Killian | Zendy; T. George Hornby | Zendy

Open Access

Locomotor Training Improves Daily Stepping Activity and Gait Efficiency in Individuals Poststroke Who Have Reached a “Plateau” in Recovery

Author(s) -

Jennifer L. Moore,

Elliot J. Roth,

Clyde B. Killian,

T. George Hornby

Publication year - 2009

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.109.563247

Subject(s) - medicine , physical medicine and rehabilitation , gait , stroke (engine) , physical therapy , training (meteorology) , rehabilitation , plateau (mathematics) , mechanical engineering , engineering , mathematical analysis , physics , mathematics , meteorology

Individuals with chronic stroke often demonstrate a "plateau," or deceleration of motor recovery, which may lead to discharge from physical therapy (PT). However, numerous studies report improvements in motor function when individuals are provided intensive practice of motor tasks. We suggest that reduced task-specific walking practice during clinical PT contributes to limited gains in ambulatory function in those with a perceived plateau poststroke, and suggest that further gains can be realized if intensive stepping, or locomotor training (LT) is provided after discharge.

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