Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study

Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question Th...
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Autor*in:	Kim, Seok Hun [verfasserIn] Huizenga, David E. Handzic, Ismet Ditwiler, Rebecca Edgeworth Lazinski, Matthew Ramakrishnan, Tyagi Bozeman, Andrea Rose, David Z. Reed, Kyle B.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Stroke Rehabilitation Asymmetry Hemiparetic gait

Anmerkung:	© The Author(s) 2019

Übergeordnetes Werk:	Enthalten in: Journal of neuroEngineering and rehabilitation - London : BioMed Central, 2004, 16(2019), 1 vom: 28. Aug.
Übergeordnetes Werk:	volume:16 ; year:2019 ; number:1 ; day:28 ; month:08

Links:	Volltext

DOI / URN:	10.1186/s12984-019-0569-x

Katalog-ID:	SPR029230020

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allfields	10.1186/s12984-019-0569-x doi (DE-627)SPR029230020 (SPR)s12984-019-0569-x-e DE-627 ger DE-627 rakwb eng Kim, Seok Hun verfasserin aut Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2019 Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404 Stroke (dpeaa)DE-He213 Rehabilitation (dpeaa)DE-He213 Asymmetry (dpeaa)DE-He213 Hemiparetic gait (dpeaa)DE-He213 Huizenga, David E. aut Handzic, Ismet aut Ditwiler, Rebecca Edgeworth aut Lazinski, Matthew aut Ramakrishnan, Tyagi aut Bozeman, Andrea aut Rose, David Z. aut Reed, Kyle B. (orcid)0000-0003-0848-8971 aut Enthalten in Journal of neuroEngineering and rehabilitation London : BioMed Central, 2004 16(2019), 1 vom: 28. Aug. (DE-627)461907933 (DE-600)2164377-5 1743-0003 nnns volume:16 year:2019 number:1 day:28 month:08 https://dx.doi.org/10.1186/s12984-019-0569-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019 1 28 08
spelling	10.1186/s12984-019-0569-x doi (DE-627)SPR029230020 (SPR)s12984-019-0569-x-e DE-627 ger DE-627 rakwb eng Kim, Seok Hun verfasserin aut Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2019 Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404 Stroke (dpeaa)DE-He213 Rehabilitation (dpeaa)DE-He213 Asymmetry (dpeaa)DE-He213 Hemiparetic gait (dpeaa)DE-He213 Huizenga, David E. aut Handzic, Ismet aut Ditwiler, Rebecca Edgeworth aut Lazinski, Matthew aut Ramakrishnan, Tyagi aut Bozeman, Andrea aut Rose, David Z. aut Reed, Kyle B. (orcid)0000-0003-0848-8971 aut Enthalten in Journal of neuroEngineering and rehabilitation London : BioMed Central, 2004 16(2019), 1 vom: 28. Aug. (DE-627)461907933 (DE-600)2164377-5 1743-0003 nnns volume:16 year:2019 number:1 day:28 month:08 https://dx.doi.org/10.1186/s12984-019-0569-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019 1 28 08
allfields_unstemmed	10.1186/s12984-019-0569-x doi (DE-627)SPR029230020 (SPR)s12984-019-0569-x-e DE-627 ger DE-627 rakwb eng Kim, Seok Hun verfasserin aut Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2019 Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404 Stroke (dpeaa)DE-He213 Rehabilitation (dpeaa)DE-He213 Asymmetry (dpeaa)DE-He213 Hemiparetic gait (dpeaa)DE-He213 Huizenga, David E. aut Handzic, Ismet aut Ditwiler, Rebecca Edgeworth aut Lazinski, Matthew aut Ramakrishnan, Tyagi aut Bozeman, Andrea aut Rose, David Z. aut Reed, Kyle B. (orcid)0000-0003-0848-8971 aut Enthalten in Journal of neuroEngineering and rehabilitation London : BioMed Central, 2004 16(2019), 1 vom: 28. Aug. (DE-627)461907933 (DE-600)2164377-5 1743-0003 nnns volume:16 year:2019 number:1 day:28 month:08 https://dx.doi.org/10.1186/s12984-019-0569-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019 1 28 08
allfieldsGer	10.1186/s12984-019-0569-x doi (DE-627)SPR029230020 (SPR)s12984-019-0569-x-e DE-627 ger DE-627 rakwb eng Kim, Seok Hun verfasserin aut Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2019 Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404 Stroke (dpeaa)DE-He213 Rehabilitation (dpeaa)DE-He213 Asymmetry (dpeaa)DE-He213 Hemiparetic gait (dpeaa)DE-He213 Huizenga, David E. aut Handzic, Ismet aut Ditwiler, Rebecca Edgeworth aut Lazinski, Matthew aut Ramakrishnan, Tyagi aut Bozeman, Andrea aut Rose, David Z. aut Reed, Kyle B. (orcid)0000-0003-0848-8971 aut Enthalten in Journal of neuroEngineering and rehabilitation London : BioMed Central, 2004 16(2019), 1 vom: 28. Aug. (DE-627)461907933 (DE-600)2164377-5 1743-0003 nnns volume:16 year:2019 number:1 day:28 month:08 https://dx.doi.org/10.1186/s12984-019-0569-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019 1 28 08
allfieldsSound	10.1186/s12984-019-0569-x doi (DE-627)SPR029230020 (SPR)s12984-019-0569-x-e DE-627 ger DE-627 rakwb eng Kim, Seok Hun verfasserin aut Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2019 Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404 Stroke (dpeaa)DE-He213 Rehabilitation (dpeaa)DE-He213 Asymmetry (dpeaa)DE-He213 Hemiparetic gait (dpeaa)DE-He213 Huizenga, David E. aut Handzic, Ismet aut Ditwiler, Rebecca Edgeworth aut Lazinski, Matthew aut Ramakrishnan, Tyagi aut Bozeman, Andrea aut Rose, David Z. aut Reed, Kyle B. (orcid)0000-0003-0848-8971 aut Enthalten in Journal of neuroEngineering and rehabilitation London : BioMed Central, 2004 16(2019), 1 vom: 28. Aug. (DE-627)461907933 (DE-600)2164377-5 1743-0003 nnns volume:16 year:2019 number:1 day:28 month:08 https://dx.doi.org/10.1186/s12984-019-0569-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2027 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2019 1 28 08
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Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. 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author	Kim, Seok Hun
spellingShingle	Kim, Seok Hun misc Stroke misc Rehabilitation misc Asymmetry misc Hemiparetic gait Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study
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topic_title	Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study Stroke (dpeaa)DE-He213 Rehabilitation (dpeaa)DE-He213 Asymmetry (dpeaa)DE-He213 Hemiparetic gait (dpeaa)DE-He213
topic	misc Stroke misc Rehabilitation misc Asymmetry misc Hemiparetic gait
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title	Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study
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title_full	Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study
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title_sort	relearning functional and symmetric walking after stroke using a wearable device: a feasibility study
title_auth	Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study
abstract	Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404 © The Author(s) 2019
abstractGer	Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404 © The Author(s) 2019
abstract_unstemmed	Background Gait impairment is a common consequence of stroke and typically involves a hemiparetic or asymmetric walking pattern. Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. Registered July 9, 2014, https://clinicaltrials.gov/ct2/show/NCT02185404 © The Author(s) 2019
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title_short	Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study
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author2	Huizenga, David E. Handzic, Ismet Ditwiler, Rebecca Edgeworth Lazinski, Matthew Ramakrishnan, Tyagi Bozeman, Andrea Rose, David Z. Reed, Kyle B.
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Asymmetric gait patterns are correlated with decreased gait velocity and efficiency as well as increased susceptibility to serious falls and injuries. Research Question This paper presents an innovative device worn on a foot for gait rehabilitation post stroke. The device generates a backward motion to the foot, which is designed to exaggerate the existing step length asymmetry while walking over ground. We hypothesize this motion will decrease gait asymmetry and improve functional walking in individuals with chronic stroke. Methods Six participants with chronic stroke, more than one year post stroke, received four weeks of gait training with three sessions per week. Each session included 30 min of walking over ground using the wearable device. Gait symmetry and functional walking were assessed before and after training. Results All participants improved step length symmetry, and four participants improved double limb support symmetry. All participants improved on all three functional outcomes (gait velocity, Timed Up and Go Test, and 6-Minute Walk Test), and five participants improved beyond the minimal detectable change or meaningful change in at least one functional outcome. Conclusion The results indicate that the presented device may help improve stroke patients’ walking ability and warrant further study. A gait training approach using this new device may enable and expand long-term continuous gait rehabilitation outside the clinic following stroke. Trial registration NCT02185404. 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Relearning functional and symmetric walking after stroke using a wearable device: a feasibility study

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