Changes in gait parameters using two types of step training in a patient following hemiplegic stroke.

Abstract

[Purpose] We report a case of stroke hemiplegia in which two types of step training affected gait parameters. [Participant and Methods] A 50-year-old man presented with right-sided hemiplegia caused by a left putaminal hemorrhage. Four months after the onset of asymmetric gait, he practiced stepping in the anterior-posterior directions on a 20-cm platform. Step training was conducted over three 5-day periods. Gait parameters were evaluated on the day following the completion of each training period. Data on the maximum walking speed, single- and double-leg support phases, and step length were collected. Furthermore, the symmetry ratio and trailing limb angle were calculated. [Results] Post-training improvements were noted in gait symmetry, and the trailing limb angle on the affected side improved after anterior-posterior step training. [Conclusion] Anterior-posterior step training may improve gait parameters following a hemiplegic stroke.