PMID- 38274885 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240128 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 14 DP - 2023 TI - One-year retention of gait speed improvement in stroke survivors after treatment with a wearable home-use gait device. PG - 1089083 LID - 10.3389/fneur.2023.1089083 [doi] LID - 1089083 AB - BACKGROUND: Gait impairments after stroke are associated with numerous physical and psychological consequences. Treatment with the iStride((R)) gait device has been shown to facilitate improvements to gait function, including gait speed, for chronic stroke survivors with hemiparesis. This study examines the long-term gait speed changes up to 12 months after treatment with the gait device. METHODS: Eighteen individuals at least one-year post-stroke completed a target of 12, 30-minute treatment sessions with the gait device in their home environment. Gait speed was measured at baseline and five follow-up sessions after the treatment period: one week, one month, three months, six months, and 12 months. Gait speed changes were analyzed using repeated-measures ANOVA from baseline to each follow-up time frame. Additional analysis included comparison to the minimal clinically important difference (MCID), evaluation of gait speed classification changes, and review of subjective questionnaires. RESULTS: Participants retained an average gait speed improvement >0.21 m/s compared to baseline at all post-treatment time frames. Additionally, 94% of participants improved their gait speed beyond the MCID during one or more post-treatment measurements, and 88% subjectively reported a gait speed improvement. CONCLUSION: Treatment with the gait device may result in meaningful, long-term gait speed improvement for chronic stroke survivors with hemiparetic gait impairments. CLINICAL TRIAL REGISTRATION: https://clinicaltrials.gov/ct2/show/NCT03649217, identifier NCT03649217. CI - Copyright (c) 2024 Darcy, Rashford, Tsai, Huizenga, Reed and Bamberg. FAU - Darcy, Brianne AU - Darcy B AD - Moterum Technologies, Inc., Salt Lake City, UT, United States. FAU - Rashford, Lauren AU - Rashford L AD - Moterum Technologies, Inc., Salt Lake City, UT, United States. FAU - Tsai, Nancey T AU - Tsai NT AD - Moterum Technologies, Inc., Salt Lake City, UT, United States. FAU - Huizenga, David AU - Huizenga D AD - Moterum Technologies, Inc., Salt Lake City, UT, United States. FAU - Reed, Kyle B AU - Reed KB AD - Department of Mechanical Engineering, University of South Florida, Tampa, FL, United States. FAU - Bamberg, Stacy J M AU - Bamberg SJM AD - Moterum Technologies, Inc., Salt Lake City, UT, United States. LA - eng SI - ClinicalTrials.gov/NCT03649217 PT - Journal Article DEP - 20240111 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC10808505 OTO - NOTNLM OT - gait device OT - gait speed OT - iStride OT - retention OT - stroke rehabilitation OT - walking speed COIS- KR has a patent (US 9,295,302) related to this work. A management plan has been implemented and followed to reduce any effects of these conflicts of interest. The gait device is related to a commercial product by Moterum Technologies, Inc. BD, LR, DH, and SB receive a salary from Moterum Technologies. BD, LR, NT, DH, KR, and SB have stock options in Moterum Technologies, Inc. EDAT- 2024/01/26 06:44 MHDA- 2024/01/26 06:45 PMCR- 2024/01/11 CRDT- 2024/01/26 04:00 PHST- 2022/11/03 00:00 [received] PHST- 2023/12/07 00:00 [accepted] PHST- 2024/01/26 06:45 [medline] PHST- 2024/01/26 06:44 [pubmed] PHST- 2024/01/26 04:00 [entrez] PHST- 2024/01/11 00:00 [pmc-release] AID - 10.3389/fneur.2023.1089083 [doi] PST - epublish SO - Front Neurol. 2024 Jan 11;14:1089083. doi: 10.3389/fneur.2023.1089083. eCollection 2023.