Purpose: Increased gait variability in stroke survivors indicates poor dynamic balance and poses a heightened risk of falling.Two primary motor impairments linked with impaired gait are declines in movement precision and strength.The purpose of the study is to determine whether force-control training or strength training is more effective in reducing gait variability in chronic stroke survivors.Methods: Twenty-two chronic stroke survivors were randomized to force-control training or strength training.
Participants moen finney completed four training sessions over 2 weeks with increasing intensity.The force-control group practiced increasing and decreasing ankle forces while tracking a sinusoid.The strength group practiced fast ankle motor contractions at a percentage of their maximal force.Both forms of training involved unilateral, isometric contraction of the paretic, and non-paretic ankles in plantarflexion and dorsiflexion.
Before and after the training, we assessed gait variability as stride length and stride time variability, and gait speed.To determine the task-specific effects of training, we measured strength, accuracy, and steadiness of ankle movements.Results: Stride length variability and stride time variability reduced significantly after force-control training, but not after strength training.Both groups showed modest improvements in gait speed.
We found task-specific effects with strength training improving plantarflexion and dorsiflexion strength and force control training improving motor accuracy and steadiness.Conclusion: Force-control training is superior to strength training in reducing gait variability in chronic stroke survivors.Improving ankle force better waters xl7000 control may be a promising approach to rehabilitate gait variability and improve safe mobility post-stroke.