Application of Computer-Assisted Gait Training (CAGT) Program for Hemiparetic Stroke Patients: A Preliminary Report

RYUICHI NAKAMURA; TORU HOSOKAWA; YOSHIAKI YAMADA; JOSE ALVIN; P. MOJICA

doi:10.1620/tjem.156.101

RYUICHI NAKAMURA, TORU HOSOKAWA, YOSHIAKI YAMADA, JOSE ALVIN, P. MOJICA

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Keywords: computer-assisted gait training, programmed learning, stroke, walking cycle

JOURNAL FREE ACCESS

1988 Volume 156 Issue 2 Pages 101-107

DOI https://doi.org/10.1620/tjem.156.101

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Published: 1988 Received: July 20, 1988 Available on J-STAGE: August 31, 2006 Accepted: August 22, 1988 Advance online publication: - Revised: -
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Date of correction: August 31, 2006 Reason for correction: - Correction: ABSTRACT Details: Wrong : NAKAMURA, R., HOSOKAWA, T., YAMADA, Y. and MOJICA, J.A.P. Application of Computer-Assisted Gait Training (CAGT) Program for Hemiparetic Stroke Patients: A Preliminary Report. Tohoku J. exp. Med., 1988, 156 (2), 101-107-Thirteen hemiparetic stroke patients (experimental group) underwent the recently developed CAGT program during the early recovery phase, and their functional gain in walking capacity was compared with 17 other stroke patients (control group) being prescribed the conventional gait training program. Results showed that the recovery process of maximum walking speed after a stroke fitted the hyperbolic function in the experimental group and furthermore, the maximum walking speed that might be attained could be higher in the experimental than the control group. The CAGT program makes it possible to analyze and predict gait capacity, i.e., maximum walking speed, and to increase the functional gain of patients during early intensive physical therapy.
Right : Thirteen hemiparetic stroke patients (experimental group) underwent the recently developed CAGT program during the early recovery phase, and their functional gain in walking capacity was compared with 17 other stroke patients (control group) being prescribed the conventional gait training program. Results showed that the recovery process of maximum walking speed after a stroke fitted the hyperbolic function in the experimental group and furthermore, the maximum walking speed that might be attained could be higher in the experimental than the control group. The CAGT program makes it possible to analyze and predict gait capacity, i.e., maximum walking speed, and to increase the functional gain of patients during early intensive physical therapy.

Date of correction: August 31, 2006 Reason for correction: - Correction: AUTHOR Details: Wrong : RYUICHI NAKAMURA¹⁾, TORU HOSOKAWA¹⁾, YOSHIAKI YAMADA¹⁾, JOSE ALVIN P. MOJICA¹⁾
Right : RYUICHI NAKAMURA¹⁾, TORU HOSOKAWA¹⁾, YOSHIAKI YAMADA¹⁾, JOSE ALVIN¹⁾, P. MOJICA¹⁾

Date of correction: August 31, 2006 Reason for correction: - Correction: CITATION Details: Wrong : 1) Andrews, K., Brocklehurst, J.C., Richards, B. & Laycock, P.J. (1981) The rate of recovery from stroke and its measurement. Int. Rehabil. Med., 3, 155-161.
2) Bobath, B. (1978) Adult Hemiplegia: Evaluation and Treatment. 2nd ed., William Heinemann, London.
3) Bohannon, R.W. (1987) Gait performance of hemiparetic stroke patients: Selected variables. Arch. phys. Med. Rehabil., 68, 777-781.
4) Brunnstrom, S. (1970) Movement Therapy in Hemiplegia: Neurophysiological Approach. Harper and Row, New York.
5) Carr, J.H. & Shepherd, R.B. (1987) A Motor Relearning Programme for Stroke. 2nd ed., William Heinemann, London.
6) Holden, M.K., Gill, K.M. & Magliozzi, M.R. (1986) Gait assessment for neurologically impaired patients: Standards for outcome assessment. Phys. Ther., 66,1530-1539.
7) Knott, M. & Voss, D.E. (1968) Proprioceptive Neuromuscular Facilitation: Patterns and Techniques. 2nd ed., Hoeber, New York.
8) Nakamura, R. (1977) Physical Therapy for Patients with Neurological Disorders, edited by R. Nakamura, Ishiyaku-Publisher, Tokyo. (Japanese)
9) Nakamura, R. & Hosokawa, T. (1988) Motor learning: Programmed learning 2. Jap. J. phys. Ther. occup. Ther., 22, 523-527. (Japanese)
10) Nakamura, R., Hosokawa, T. & Tsuji, I. (1985) Relationship of muscle strength for knee extension to walking capacity in patients with spastic hemiparesis. Tohoku J. exp. Med., 145, 335-340.
11) Nakamura, R., Handa, T., Watanabe, S. & Morohashi, I. (1988a) Walking cycle after a stroke. Tohoku J. exp. Med., 154, 241-244.
12) Nakamura, R., Watanabe, S., Handa, T. & Morohashi, I. (1988b) The relationship between walking speed and muscle strength for knee extension in hemiparetic stroke patients: A follow-up study. Tohoku J. exp. Med., 154, 111-113.
13) Partridge, C.J., Johnston, M. & Edwards, S. (1987) Recovery from physical disability after stroke: Normal patterns as a basis for evaluation. Lancet, 1, 373-375.
14) Skilbeck, C.E., Wade, D.T., Hewer, R.L. & Wood, V.A. (1983) Recovery after stroke. J. Neurol. Neurosurg. Psychiat., 46, 5-8.

Right : 1) Andrews, K., Brocklehurst, J. C., Richards, B. & Laycock, P. J. (1981) The rate of recovery from stroke and its measurement. Int. Rehabil. Med., 3, 155-161.
2) Bobath, B. (1978). Adult Hemiplegia: Evaluation and Treatment. 2nd ed., William Heinemann, London.
3) Bohannon, R. W. (1987) Gait performance of hemiparetic stroke patients: Selected variables. Arch. phys. Med. Rehabil., 68, 777-781.
4) Brunnstrom, S. (1970) Movement Therapy in Hemiplegia: Neurophysiological Approach. Harper and Row, New York.
5) Carr, J. H. & Shepherd, R. B. (1987) A Motor Relearning Programme for Stroke. 2nd ed., William Heinemann, London.
6) Holden, M. K., Gill, K. M. & Magliozzi, M. R. (1986) Gait assessment for neurologically impaired patients: Standards for outcome assessment. Phys. Ther., 66, 1530-1539.
7) Knott, M. & Voss, D. E. (1968) Proprioceptive Neuromuscular Facilitation: Patterns and Techniques. 2nd ed., Hoeber, New York.
8) Nakamura, R. (1977) Physical Therapy for Patients with Neurological Disorders, edited by R. Nakamura, Ishiyaku-Publisher, Tokyo. (Japanese)
9) Nakamura, R. & Hosokawa, T. (1988) Motor learning: Programmed learning 2. Jap. J. phys. Ther. occup. Ther., 22, 523-527. (Japanese)
10) Nakamura, R., Hosokawa, T. & Tsuji, I. (1985) Relationship of muscle strength for knee extension to walking capacity in patients with spastic hemiparesis. Tohoku J. exp. Med., 145, 335-340.
11) Nakamura, R., Handa, T., Watanabe, S. & Morohashi, I. (1988a) Walking cycle after a stroke. Tohoku J. exp. Med., 154, 241-244.
12) Nakamura, R., Watanabe, S., Handa, T. & Morohashi, I. (1988b) The relationship between walking speed and muscle strength for knee extension in hemiparetic stroke patients: A follow-up study. Tohoku J. exp. Med., 154, 111-113.
13) Partridge, C. J., Johnston, M. & Edwards, S. (1987) Recovery from physical disability after stroke: Normal patterns as a basis for evaluation. Lancet, 1, 373-375.
14) Skilbeck, C. E., Wade, D. T., Hewer, R. L. & Wood, V. A. (1983) Recovery after stroke. J. Neurol. Neurosurg. Psychiat., 46, 5-8.

Date of correction: August 31, 2006 Reason for correction: - Correction: PDF FILE Details: -

Abstract

Thirteen hemiparetic stroke patients (experimental group) underwent the recently developed CAGT program during the early recovery phase, and their functional gain in walking capacity was compared with 17 other stroke patients (control group) being prescribed the conventional gait training program. Results showed that the recovery process of maximum walking speed after a stroke fitted the hyperbolic function in the experimental group and furthermore, the maximum walking speed that might be attained could be higher in the experimental than the control group. The CAGT program makes it possible to analyze and predict gait capacity, i.e., maximum walking speed, and to increase the functional gain of patients during early intensive physical therapy.

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