EFFECTS OF BACKWARD WALKING ON GAIT PARAMETERS IN PEOPLE WITH STROKE: A SYSTEMATIC REVIEW

Brian P. Kramer, Taytum M. Reid, Alex T. Shepard, Madeline O. Tisdale, K. C. Wilcox
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Abstract

According to the Centers for Disease Control, roughly 795,000 people in the United States experience a stroke each year. A common result of a stroke is the negative impact on the person’s gait, including an asymmetrical gait pattern, a slower cadence, and decreased stride and step lengths. A well-structured, comprehensive rehabilitation program is necessary to address the gait deficits and reduce the risk of falls in people following stroke. Backward walking training has been reported as an appropriate therapeutic intervention to address these deficits for people following a stroke. Due to the range of benefits reported, the purpose of this systematic review was to examine the effects of backward walking training on gait parameters in people following stroke. A search of Embase, CINAHL, and PubMed databases was performed using specific search terms related to backward walking, stroke, and gait parameters. Following a defined process of title screen, abstract screen, full text screen, and application of inclusion/exclusion criteria, six articles were included in the final systematic review. Study results indicate significant evidence within the experimental groups for improvement in gait speed, step length, stride length, endurance, and balance. The findings from this systematic review indicate that backward walking training is an effective therapeutic intervention to improve gait parameters in people following stroke.
倒走对中风患者步态参数的影响:一项系统综述
根据疾病控制中心的数据,美国每年大约有79.5万人中风。中风的一个常见结果是对人的步态产生负面影响,包括步态不对称,节奏变慢,步幅和步长减少。一个结构良好,全面的康复计划对于解决步态缺陷和减少中风后跌倒的风险是必要的。据报道,向后行走训练是一种适当的治疗干预措施,可以解决中风后患者的这些缺陷。由于所报道的益处范围广泛,本系统综述的目的是检查向后行走训练对中风后患者步态参数的影响。对Embase、CINAHL和PubMed数据库进行搜索,使用与倒走、中风和步态参数相关的特定搜索词。经过标题筛选、摘要筛选、全文筛选和纳入/排除标准的筛选,6篇文章被纳入最终的系统评价。研究结果表明,实验组在步态速度、步长、步幅、耐力和平衡方面有显著的改善。本系统综述的研究结果表明,向后行走训练是一种有效的治疗干预措施,可以改善中风后患者的步态参数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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