The equipment for BWSTT consisted of a standard treadmill fitted with the weight supporting apparatus (Noramco Fitness and SpinoFlex, USA). The patient wore a modified mountain climber's harness with an adjustable belt around the pelvis and thigh and an adjustable belt above to support their body weight. A physiotherapist assisted with leg propulsion if the patient could not lift his/her paretic leg. At the beginning of training, some subjects needed two therapists to guide the movement of the pelvis forward and to flex and extend the hemiplegic leg during the swing and stance phases of gait. The initial body weight support was set at 30%~40%, the speed of the treadmill was set at 0.5 mph (miles per hour), and the duration of training was for 20 minutes. As treatment progressed, the body weight support was gradually decreased and the velocity was gradually increased. The two parameters were not changed simultaneously. By the third week the treadmill speed was increased to 2.5 mph and duration of training increased to 40 minutes. The training parameters were based on recommendation from previous literature [6]. Subjects were consulted throughout the training for fatigue level and tolerance of progression.
The CT group received individualized overground gait training by a physiotherapist for 30 minutes, five days a week, for three weeks. The training was based on the principles of neurodevelopmental therapy (Bobath method).
Heart rate and blood pressure were monitored in both groups before and after each session and during break using a digital sphygmomanometer.
The equipment for BWSTT consisted of a standard treadmill fitted with the weight supporting apparatus (Noramco Fitness and SpinoFlex, USA). The patient wore a modified mountain climber's harness with an adjustable belt around the pelvis and thigh and an adjustable belt above to support their body weight. A physiotherapist assisted with leg propulsion if the patient could not lift his/her paretic leg. At the beginning of training, some subjects needed two therapists to guide the movement of the pelvis forward and to flex and extend the hemiplegic leg during the swing and stance phases of gait. The initial body weight support was set at 30%~40%, the speed of the treadmill was set at 0.5 mph (miles per hour), and the duration of training was for 20 minutes. As treatment progressed, the body weight support was gradually decreased and the velocity was gradually increased. The two parameters were not changed simultaneously. By the third week the treadmill speed was increased to 2.5 mph and duration of training increased to 40 minutes. The training parameters were based on recommendation from previous literature [6]. Subjects were consulted throughout the training for fatigue level and tolerance of progression.The CT group received individualized overground gait training by a physiotherapist for 30 minutes, five days a week, for three weeks. The training was based on the principles of neurodevelopmental therapy (Bobath method).Heart rate and blood pressure were monitored in both groups before and after each session and during break using a digital sphygmomanometer.
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