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Stefan Hesse - One of the best experts on this subject based on the ideXlab platform.
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Treadmill training with partial body weight support and physiotherapy in stroke patients: a preliminary comparison.
European journal of neurology, 2002Co-Authors: Cordula Werner, Anita Bardeleben, K.-h. Mauritz, S.g.b. Kirker, Stefan HesseAbstract:Treadmill training with partial body weight support can restore the Gait Ability of chronic non-ambulatory hemiparetic subjects. A combination of physiotherapy and treadmill training may accelerate the rate of recovery. Therefore a randomized study was planned. Twenty-eight non-ambulatory hemiparetic patients were randomly assigned to group A or B. A 3-week baseline of conventional therapy was followed by 15 sessions of physiotherapy and treadmill training in patients of group A and by 15 sessions of treadmill training in patients of group B over a period of 3 weeks. Follow-up was 4 months later. The major outcome variables were Gait Ability and ground level walking velocity. Gait Ability and velocity did not change during the baseline. In group B, five patients became independent walkers after the specific intervention, whereas 10 patients of group A regained independent walking Ability in the same period (P < 0.05). Four months later group differences had waned. Three weeks of treadmill training plus physiotherapy accelerated the restoration of Gait Ability in hemiparetic subjects, however, the double amount of therapy in group A does not exclude a simple dose-response phenomenon.
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An electromechanical Gait trainer for restoration of Gait in hemiparetic stroke patients: preliminary results.
Neurorehabilitation and neural repair, 2001Co-Authors: Stefan Hesse, Cordula Werner, Anita Bardeleben, Dietmar Uhlenbrock, S. Von Frankenberg, B Brandl-hesseAbstract:Modern concepts of Gait rehabilitation after stroke favor a task-specific repetitive approach. In practice, the required physical effort of the therapists limits the realization of this approach. Therefore, a mechanized Gait trainer enabling nonambulatory patients to have the repetitive practice of a Gait-like movement without overstraining therapists was constructed. This preliminary study investigated whether an additional 4-week daily therapy on the Gait trainer could improve Gait Ability in 14 chronic wheelchair-bound hemiparetic subjects. The 4 weeks of physiotherapy and Gait-trainer therapy resulted in a relevant improvement of Gait Ability in all subjects. Velocity, cadence, and stride length improved significantly (p < 0.01). The kinesiologic electromyogram of selected lower-limb muscles revealed a more physiologic pattern. The confounding influence of spontaneous recovery, the lack of a control group, and the double amount of therapy limit the clinical relevance of this study. Nevertheless, the Gait trainer seems feasible as an adjunctive tool in Gait rehabilitation after stroke; further studies are needed.
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treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P<.05) and walking velocity (P<.05). Other motor functio...
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Treadmill Training With Partial Body Weight Support Compared With Physiotherapy in Nonambulatory Hemiparetic Patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P
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restoration of Gait in nonambulatory hemiparetic patients by treadmill training with partial body weight support
Archives of Physical Medicine and Rehabilitation, 1994Co-Authors: Stefan Hesse, C. Bertelt, Antje Schaffrin, M. Malezic, Karlheinz MauritzAbstract:The effect of a treadmill training with partial body-weight support was investigated in nine nonambulatory hemiparetic patients with a mean poststroke interval of 129 days. They had received regular physiotherapy within a comprehensive stroke rehabilitation program at least 3 weeks before the treadmill training without marked improvement of their Gait Ability. After 25 additional treadmill training sessions scoring of functional performance and conventional Gait analysis showed a definite improvement: Gait Ability, assessed by the Functional Ambulation Category (0 to 5) improved with a mean of 2.2 points, other motor functions, assessed by the Rivermead Motor Assessment Score with a mean of +3.9 points for gross function (range 0 to 13) and of +3.2 points for leg and trunk section (range 0 to 10)] and Gait cycle parameters (p < .01). Muscle tone and strength of the paretic lower limb remained stable. We suggest that treadmill training with partial body-weight support could augment restoration of ambulation and other motor functions in hemiparetic patients by active and repetitive training.
K.-h. Mauritz - One of the best experts on this subject based on the ideXlab platform.
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Treadmill training with partial body weight support and physiotherapy in stroke patients: a preliminary comparison.
European journal of neurology, 2002Co-Authors: Cordula Werner, Anita Bardeleben, K.-h. Mauritz, S.g.b. Kirker, Stefan HesseAbstract:Treadmill training with partial body weight support can restore the Gait Ability of chronic non-ambulatory hemiparetic subjects. A combination of physiotherapy and treadmill training may accelerate the rate of recovery. Therefore a randomized study was planned. Twenty-eight non-ambulatory hemiparetic patients were randomly assigned to group A or B. A 3-week baseline of conventional therapy was followed by 15 sessions of physiotherapy and treadmill training in patients of group A and by 15 sessions of treadmill training in patients of group B over a period of 3 weeks. Follow-up was 4 months later. The major outcome variables were Gait Ability and ground level walking velocity. Gait Ability and velocity did not change during the baseline. In group B, five patients became independent walkers after the specific intervention, whereas 10 patients of group A regained independent walking Ability in the same period (P < 0.05). Four months later group differences had waned. Three weeks of treadmill training plus physiotherapy accelerated the restoration of Gait Ability in hemiparetic subjects, however, the double amount of therapy in group A does not exclude a simple dose-response phenomenon.
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treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P<.05) and walking velocity (P<.05). Other motor functio...
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Treadmill Training With Partial Body Weight Support Compared With Physiotherapy in Nonambulatory Hemiparetic Patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P
M. Malezic - One of the best experts on this subject based on the ideXlab platform.
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treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P<.05) and walking velocity (P<.05). Other motor functio...
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Treadmill Training With Partial Body Weight Support Compared With Physiotherapy in Nonambulatory Hemiparetic Patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P
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restoration of Gait in nonambulatory hemiparetic patients by treadmill training with partial body weight support
Archives of Physical Medicine and Rehabilitation, 1994Co-Authors: Stefan Hesse, C. Bertelt, Antje Schaffrin, M. Malezic, Karlheinz MauritzAbstract:The effect of a treadmill training with partial body-weight support was investigated in nine nonambulatory hemiparetic patients with a mean poststroke interval of 129 days. They had received regular physiotherapy within a comprehensive stroke rehabilitation program at least 3 weeks before the treadmill training without marked improvement of their Gait Ability. After 25 additional treadmill training sessions scoring of functional performance and conventional Gait analysis showed a definite improvement: Gait Ability, assessed by the Functional Ambulation Category (0 to 5) improved with a mean of 2.2 points, other motor functions, assessed by the Rivermead Motor Assessment Score with a mean of +3.9 points for gross function (range 0 to 13) and of +3.2 points for leg and trunk section (range 0 to 10)] and Gait cycle parameters (p < .01). Muscle tone and strength of the paretic lower limb remained stable. We suggest that treadmill training with partial body-weight support could augment restoration of ambulation and other motor functions in hemiparetic patients by active and repetitive training.
Antje Schaffrin - One of the best experts on this subject based on the ideXlab platform.
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treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P<.05) and walking velocity (P<.05). Other motor functio...
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Treadmill Training With Partial Body Weight Support Compared With Physiotherapy in Nonambulatory Hemiparetic Patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P
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restoration of Gait in nonambulatory hemiparetic patients by treadmill training with partial body weight support
Archives of Physical Medicine and Rehabilitation, 1994Co-Authors: Stefan Hesse, C. Bertelt, Antje Schaffrin, M. Malezic, Karlheinz MauritzAbstract:The effect of a treadmill training with partial body-weight support was investigated in nine nonambulatory hemiparetic patients with a mean poststroke interval of 129 days. They had received regular physiotherapy within a comprehensive stroke rehabilitation program at least 3 weeks before the treadmill training without marked improvement of their Gait Ability. After 25 additional treadmill training sessions scoring of functional performance and conventional Gait analysis showed a definite improvement: Gait Ability, assessed by the Functional Ambulation Category (0 to 5) improved with a mean of 2.2 points, other motor functions, assessed by the Rivermead Motor Assessment Score with a mean of +3.9 points for gross function (range 0 to 13) and of +3.2 points for leg and trunk section (range 0 to 10)] and Gait cycle parameters (p < .01). Muscle tone and strength of the paretic lower limb remained stable. We suggest that treadmill training with partial body-weight support could augment restoration of ambulation and other motor functions in hemiparetic patients by active and repetitive training.
C. Bertelt - One of the best experts on this subject based on the ideXlab platform.
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treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P<.05) and walking velocity (P<.05). Other motor functio...
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Treadmill Training With Partial Body Weight Support Compared With Physiotherapy in Nonambulatory Hemiparetic Patients
Stroke, 1995Co-Authors: Stefan Hesse, C. Bertelt, Mt Jahnke, Antje Schaffrin, P. Baake, M. Malezic, K.-h. MauritzAbstract:Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in Gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with Gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis. Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were Gait Ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and Gait cycle parameters. Results Treadmill training was more effective with regard to restoration of Gait Ability (P
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restoration of Gait in nonambulatory hemiparetic patients by treadmill training with partial body weight support
Archives of Physical Medicine and Rehabilitation, 1994Co-Authors: Stefan Hesse, C. Bertelt, Antje Schaffrin, M. Malezic, Karlheinz MauritzAbstract:The effect of a treadmill training with partial body-weight support was investigated in nine nonambulatory hemiparetic patients with a mean poststroke interval of 129 days. They had received regular physiotherapy within a comprehensive stroke rehabilitation program at least 3 weeks before the treadmill training without marked improvement of their Gait Ability. After 25 additional treadmill training sessions scoring of functional performance and conventional Gait analysis showed a definite improvement: Gait Ability, assessed by the Functional Ambulation Category (0 to 5) improved with a mean of 2.2 points, other motor functions, assessed by the Rivermead Motor Assessment Score with a mean of +3.9 points for gross function (range 0 to 13) and of +3.2 points for leg and trunk section (range 0 to 10)] and Gait cycle parameters (p < .01). Muscle tone and strength of the paretic lower limb remained stable. We suggest that treadmill training with partial body-weight support could augment restoration of ambulation and other motor functions in hemiparetic patients by active and repetitive training.
