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PHYS THER
Vol. 71, No. 11, November 1991, pp. 842-855

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Influence of Body Weight Support on Normal Human Gait: Development of a Gait Retraining Strategy

Lois Finch, Hugues Barbeau and Bertrand Arsenault

L Finch, MSc(Rehab), is Neuro-coordinator, Department of Physiotherapy, Montreal Neurological Institute.
H Barbeau, PhD, PT, is Associate Professor, School of Physical and Occupational Therapy, McGill University, 3654 Drummond St, Montreal, Quebec, Canada H3G 1Y5. He is also Chercheur Boursier of the Fonds de la Recherche en Santé du Québec.
B Arsenault, PhD, PT, is Associate Professor, Ecole de Réadaption, Faculté de Médicine, Université de Montréal, and Research Center, Montreal Rehabilitation Institute, 6300 Darlington Ave, Montreal, Quebec, Canada H3S 2J4.

The recovery of locomotion, following interactive training with graded weight support, in the adult spinal cat has led to the proposal that removal of body weight may be a therapeutic tool in human gait retraining. There would be benefits, however, in knowing normal responses of humans to partial weight bearing before applying this strategy to patients. In this study, 10 nondisabled male subjects walked on a treadmill while 0%, 30%, 50%, and 70% of their body weight was supported by a modified climbing harness. To dissociate the changes attributable to walking speed from those attributable to body weight, each subject walked at the specified body-weight-support (BWS) levels and at full weight bearing (FWB) at the same speed. Simultaneously, electromyographic data from the right leg muscles, footswitch signals, and video recording of joint motion were collected. The FWB and BWS gaits appeared similar, except at the highest level of BWS studied (ie, 70% of BWS). Significant differences among other BWS and FWB trials at comparable speeds included decreases in percentage of stance, percentage of total double-limb support time, and maximum hip and knee flexor swing angle. Other adaptations to BWS were a reduction in the mean burst amplitude of the muscles that are active during stance and an increase in the mean burst amplitude of the tibialis anterior muscle. The possible implications of this new gait retraining strategy for patients with neurological impairment are discussed.

Key Words: Body weight support • Electromyography • Gait • Kinematics


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