Novel gait training alters functional brain connectivity during walking in chronic stroke patients: a randomized controlled pilot trial.
I-Hsuan Chen, Yea-Ru Yang, Chia-Feng Lu and 1 others
PMID 30819259WHAT IT FOUND
Walking speed and temporal symmetry improved more with turning treadmill plus ambulation than regular treadmill plus ambulation in chronic stroke.
Gamma brain-to-muscle connectivity also increased. This was a small pilot.
Key findings
01The turning treadmill plus ambulation group improved walking speed and temporal asymmetry ratio more than the regular treadmill plus ambulation group.
02The turning treadmill plus ambulation group showed greater increases in EEG-EEG connectivity than the regular treadmill plus ambulation group.
03The turning treadmill plus ambulation group showed greater increases in EEG-EMG connectivity than the regular treadmill plus ambulation group.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only nine participants in each group completed the study. Participants were ambulatory people with chronic stroke who could walk independently for at least 6 m, so results may not extend to acute stroke or more severe motor deficits. Both groups also received ambulation training, so the contribution of each component cannot be separated. The neurophysiological assessment was done during regular treadmill walking, which may have been more familiar to the regular treadmill group than the turning treadmill group. The study used 32 EEG channels and one muscle signal, so it cannot fully describe brain network spatial patterns. The supplied text does not identify a single primary outcome, and it reports multiple connectivity comparisons. The paper says follow-up gait maintenance is known from previous work, but brain network changes at follow-up were not measured.
Declared interests
The supplied metadata lists non-U.S. government research support, but the article text does not include a funding statement or author conflict declaration.
The easy way to misread this
Do not conclude that turning treadmill training alone caused the brain and gait changes. Participants also received ambulation training, and the study cannot separate the contribution of each component. Only nine participants in each group completed this pilot.