Purpose: Multi-modal gait training (MMGT) may improve impairments and functional limitations in individuals’ post-stroke. The purpose of this case study was to investigate effects of MMGT on gait and balance outcomes immediately post-intervention, 30-day short term (ST) and 1-year long term follow-up periods. Method: A 63-year-old patient, eight years post-stroke, participated in a MMGT program that included evidence-based gait interventions: unilateral treadmill training, inclined treadmill training at 8%, and over-ground fast walking. The eight sessions lasted 45-minutes each and consisted of the three interventions lasting 10-minutes each with rest breaks. Results: Self-selected (SS) and fastest comfortable gait speed revealed meaningful changes (post-intervention, however, only SS gait speed maintained improvements at ST measurements). The Activities Balance Confidence Scale (ABC) increased from 19% to 28% at 1-year. Conclusions: MMGT is soundly grounded in the contemporary principles of neuroplasticity. This case study confirmed that the combination of three task-specific and intense gait training interventions are safe and feasible for persons in the chronic phase of stroke. While ST results showed this MMGT improved all study outcomes from baseline to immediate post-intervention, substantial gains were retained only for SS gait speed and ABC scale at the 1-year follow-up.
Boddy A, Perry LA, Balasubramanian CK. Effects of a Multi-Modal Gait Training Program in an Individual with Chronic Stroke: a Case Study. The Internet Journal of Allied Health Sciences and Practice. 2023 Sep 21;21(4), Article 4.