Gait Neurorehabilitation in Stroke Patients

Česká verzia

Authors: A. Krobot ^1,2; B. Kolářová ^1,3; P. Kolář ^1,3; B. Schusterová ^1,3; J. Tomsová ^1,3
Authors place of work: Oddělení rehabilitace, FN Olomouc ¹; Neurologická klinika LF UP a FN Olomouc ²; Ústav fyzioterapie, Fakulta zdravotnických věd UP a FN Olomouc ³
Published in the journal: Cesk Slov Neurol N 2017; 80/113(5): 521-526
Category: Review Article
doi: https://doi.org/10.14735/amcsnn2017521

Summary

Stroke is one of the leading causes of severe disability in western population. Regaining walking ability in patients after stroke to encourage their return to previous life activities, more independent living and related social participation are currently one of the key challenges in the rehabilitation. Functional gait improvement and optimization of gait mechanism are to a great extent dependent on choice of appropriate neurorehabilitation strategy. Basic essence of neurorehabilitation is neuroplasticity stimulation with respect to potentiation of multisensory processing. Multisensory afferent input is optimally provided by variable intensive task-specific training with respect to actual patient’s capabilities. The gait (as task-specific movement) should be practiced intensively and under variable conditions to restore the walking ability. Up-to-date for gait neurorehabilitation are mostly used: over ground gait training with therapist, robotic assisted gait training, treadmill gait training, and also gait training based on biofeedback or in virtual environment. Combination of more gait training modalities and conventional rehabilitation approaches seem to be the most beneficial neurorehabilitation strategy to reach the maximum of walking ability recovery in patients after stroke. The aim of this review is to focus on the basic principles of gait neurorehabilitation with respect to current state of knowledge regarding gait control mechanisms and neural plasticity accompanying motor recovery post stroke.

Key words:
gait – stroke – neurorehabilitation – neuroplasticity

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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