Visual and visual-proprioceptive training improve gait via sensory reweighting after chronic stroke: a randomized controlled trial.
Hongshuai Leng, Qinghua Meng, Chunyu Bao and 7 others
PMID 41495720WHAT IT FOUND
Visual-proprioceptive integration training improved comfortable gait speed by 0.08 m/s more than control.
It also reduced step-length asymmetry by 28.3% more than control. Oculomotor training alone did not significantly improve gait speed or symmetry compared to control.
Key findings
01Visual-proprioceptive integration (VPI) training led to a significantly greater adjusted improvement in comfortable gait speed than control (mean difference +0.08 m/s).
02VPI training produced a markedly greater adjusted improvement in step-length symmetry than control (adjusted difference -28.3%) and than oculomotor training (adjusted difference -19.7%).
03Oculomotor training (VOT) did not differ significantly from control for gait speed or step-length symmetry.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The trial was registered retrospectively after enrolment began, which may introduce a risk of selective reporting. The sample size was relatively small (45 participants) and from a single center, which may limit generalizability. Follow-up was immediate post-intervention only, so it is unknown if the gains in gait speed and symmetry were maintained over time or translated to reduced fall risk. Participants and therapists were not blinded to the intervention, which could introduce bias in performance or adherence.
Declared interests
No specific conflicts of interest or funding sources are detailed in the provided text.
The easy way to misread this
Do not assume oculomotor training (VOT) is equally effective for improving walking speed or symmetry. While VOT improved dynamic visual acuity, it did not show significant benefits over the control group for the primary gait outcomes in this trial.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →