Body Weight-Supported Treadmill Training Versus Conventional Gait Training for People With Chronic Traumatic Brain Injury

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ObjectivesTo compare body weight support treadmill training (BWSTT) to conventional overground gait training (COGT).DesignRandomized controlled trial.SettingResidential rehabilitation center.ParticipantsTwenty subjects with chronic traumatic brain injury (TBI).InterventionThe BWSTT or COGT for 15 minutes plus 30 minutes of exercise 2 days per week, for 3 months.Main Outcome MeasuresFunctional Ambulation Category (FAC), Functional Reach (FR), Timed Up and Go; gait velocity, step width (BOS) and step length differential using instrumented gait mat.ResultsStep width approached the norm without between-group differences. Step length differential improved significantly more for the COGT.ConclusionsPhysical therapy can improve gait for patients more than 6 years post-TBI. The COGT is more effective than the BWSTT for improving gait symmetry during overground walking.

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