+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A comparison of gait biomechanics and metabolic requirements of overground and treadmill walking in people with stroke

A comparison of gait biomechanics and metabolic requirements of overground and treadmill walking in people with stroke

Clinical Biomechanics 24(9): 729-734

Comparisons of treadmill and overground walking following stroke indicate that symmetry in temporal-distance measures is better on the treadmill suggestive of better gait economy. We examined this issue by examining the kinematic, kinetic and metabolic demands associated with overground and treadmill walking at matched speeds and also explored the effect of increasing treadmill speed. Ten people with hemiparesis walked overground at their preferred speed which was matched on the treadmill. Belt speed was then increased 10% and 20% above preferred speed. Temporal-distance outcomes, angular kinematics and vertical ground reaction forces were recorded during steady state (stable heart rate and oxygen uptake). Step and stance times were longer when walking overground but the degree of symmetry was comparable for both surfaces. In contrast kinematic data revealed significant interlimb asymmetry with respect to all lower limb joint excursions during overground walking accompanied by higher vertical ground reaction forces at push-off. The metabolic demands, however, were lower when walking overground than on the treadmill. Increasing the belt speed increased angular displacements and the vertical forces associated with both limbs such that symmetry remained unchanged. Metabolic demands increased significantly. People with stroke adopt a more symmetrical kinematic walking pattern on the treadmill which is maintained at faster belt speeds. Surprisingly, at matched speed the metabolic cost was significantly higher with treadmill walking. We suggest further research to explore whether an increased reliance on the hip musculature to compensate lower push-off forces could explain the higher the energy cost.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 051110858

Download citation: RISBibTeXText

PMID: 19664866

DOI: 10.1016/j.clinbiomech.2009.07.004

Related references

Comparison of energy expenditure between aquatic and overground treadmill walking in people post-stroke. PhysioTherapy Research International 19(1): 55-64, 2014

A comparison of treadmill walking and overground walking in independently ambulant stroke patients: a pilot study. Disability and Rehabilitation 31(3): 202-210, 2008

Immediate effect of treadmill walking practice versus overground walking practice on overground walking pattern in ambulatory stroke patients: an experimental study. Clinical Rehabilitation 22(10-11): 931-939, 2008

A comparison of variability in spatiotemporal gait parameters between treadmill and overground walking conditions. Gait and Posture 43: 204-209, 2016

Treadmill Interface for Virtual Reality vs. Overground Walking: A Comparison of Gait in Individuals with and without Pain. Studies in Health Technology and Informatics 144: 198-203, 2016

Walking after stroke: what does treadmill training with body weight support add to overground gait training in patients early after stroke?: a single-blind, randomized, controlled trial. Stroke 40(9): 3079-3085, 2009

Gait parameters are different during treadmill walking compared to overground walking. Electroencephalography & Clinical Neurophysiology 99(4): 364, 1996

Comparison of the metabolic energy cost of overground and treadmill walking in older adults. European Journal of Applied Physiology 112(5): 1613-1620, 2013

Biomechanics of overground vs. treadmill walking in healthy individuals. Journal of Applied Physiology 104(3): 747-755, 2007

Treadmill walking with body weight support in subacute non-ambulatory stroke improves walking capacity more than overground walking: a randomised trial. Journal of PhysioTherapy 56(2): 97-103, 2010

The effect of treadmill and overground walking on preferred walking speed and gait kinematics in healthy, physically active older adults. European Journal of Applied Physiology 117(9): 1833-1843, 2017

Body weight supported treadmill vs. overground gait training for acute stroke gait rehabilitation. International Journal of Rehabilitation Research. Internationale Zeitschrift für Rehabilitationsforschung. Revue Internationale de Recherches de Readaptation 2019, 2019

Hemiparetic gait parameters in overground versus treadmill walking. Neurorehabilitation and Neural Repair 15(2): 105-112, 2002

Post-exercise hypotensive responses following an acute bout of aquatic and overground treadmill walking in people post-stroke: a pilot study. Topics in Stroke Rehabilitation 22(3): 231-238, 2015

Spatiotemporal parameters of gait during treadmill and overground walking in Parkinson's disease. Journal of Parkinson's Disease 4(1): 33-36, 2014