Within-session propulsion asymmetry changes have a limited effect on gait asymmetry post-stroke
2024

Effect of Biofeedback on Gait Asymmetry After Stroke

Sample size: 21 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kettlety Sarah A., Finley James M., Leech Kristan A.

Primary Institution: University of Southern California

Hypothesis

Decreasing propulsion asymmetry would reduce overall gait asymmetry.

Conclusion

Reducing propulsive asymmetry using biofeedback is unlikely to produce substantial reductions in overall gait asymmetry.

Supporting Evidence

  • Participants used biofeedback to increase paretic propulsion and reduce propulsion asymmetry.
  • Changes in propulsion asymmetry were associated with small changes in overall gait asymmetry.
  • On average, a reduction in propulsion asymmetry resulted in a minimal change in overall gait symmetry.

Takeaway

The study looked at how helping people walk better after a stroke by changing how they push off with their legs didn't really help them walk more evenly overall.

Methodology

Participants completed biofeedback training to increase paretic propulsion, and changes in propulsion asymmetry and overall gait asymmetry were measured.

Potential Biases

Participants may have varied in their ability to use biofeedback effectively, leading to inconsistent results.

Limitations

The study only included a single session of biofeedback training, which may not reflect long-term effects.

Participant Demographics

Participants were individuals at least six months post-stroke, aged 18-80, with unilateral paresis.

Statistical Information

P-Value

0.002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5053605

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