Body weight supported treadmill
Body weight supported treadmill training(BWSTT) is a new form of therapy used to train a neurological patient to walk. It is usually done using an overhead suspension system attached to the harness. The patient is suspended over hareness and the hareness supports the patient’s trunk and weight over a treadmill. While supported the person walks with or without assistance on treadmill
The amount of support is usually between 35 to 50% of body weight and It depends on patients ability to stand.As patient’s gait pattern improves, amount of support provided is reduced and the speed can be increased. Thus , sensory input from the lower limb to the brain improves walking , enhances confidence in walking and improves Gait pattern.
Body weight supported treadmill training should start as early as possible after stroke or spinal cord injury.
Contraindication of BWSTT
People with uncontrolled blood pressure, heart rate or seizures.
Osteoporosis or recent fracture
Joint contracture which limit walking, weight bearing
In areas where harness May put pressure on open wounds
With severe and uncontrolled spasticity
Goals of BWSTT
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To improve walking and standing ability
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To improve walking quality and speed
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To improve balance and coordination
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To improve strength
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To improve confidence in walking
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To enhance motor planning for coordinated steps
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To improve endurance and fitness
