Treadmill Handrail-Use Increases the Anteroposterior Margin of Stability in Individuals’ Post-Stroke

Oluwaseye Odanye, Emily Steffensen, Erica Hinton, Samuel Bierner, Hao Yuan Hsiao, Brian Knarr

Research output: Contribution to journalArticlepeer-review

Abstract

Treadmills are important rehabilitation tools used with or without handrails. The handrails could be used to attain balance, prevent falls, and improve the walking biomechanics of stroke survivors, but it is yet unclear how the treadmill handrails impact their stability margins. Here, we investigated how 3 treadmill handrail-use conditions (no-hold, self-selected support, and light touch) impact stroke survivors’ margins of stability (MoS). The anteroposterior MoS significantly increased for both legs with self-selected support while the mediolateral MoS of the unaffected leg decreased significantly when the participants walked with self-selected support in comparison to no-hold in both cases. We concluded that the contextual use of the handrail should guide its prescription for fall prevention or balance training in rehabilitation programs.

Original languageEnglish (US)
Pages (from-to)253-262
Number of pages10
JournalJournal of Motor Behavior
Volume56
Issue number3
DOIs
StatePublished - 2024

Keywords

  • Treadmill handrail support
  • balance and mechanical gait stability
  • margin of stability
  • stroke rehabilitation

ASJC Scopus subject areas

  • Biophysics
  • Orthopedics and Sports Medicine
  • Experimental and Cognitive Psychology
  • Cognitive Neuroscience

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