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Limb-Loaded Cycling Program for Locomotor Intervention Following Stroke

DA Brown, PT, PhD, is Assistant Professor, Department of Physical Therapy and Human Movement Sciences, The Feinberg School of Medicine, Northwestern University, 645 N Michigan Ave, Suite 1100, Chicago, IL 60601 (USA) (d-brown1{at}northwestern.edu)
S Nagpal, PT, MS, was a graduate student in the Department of Physical Therapy, School of Health and Human Services, D'Youville College, Buffalo, NY, when this work was conducted
S Chi, PT, MSPT, was Research Physical Therapist, Department of Physical Therapy and Human Movement Sciences, The Feinberg School of Medicine, Northwestern University, when this work was conducted

Address all correspondence to Dr Brown

Background and Purpose. This case report describes implementation of a limb-loaded cycling (LLC) training program as a feasible exercise for people in early phases of locomotor training following stroke. Case Description. Two individuals with early-stage poststroke hemiplegia participated in the LLC program as an adjunct to physical therapy intervention. Performance of LLC involved cycling while supporting progressive amounts of applied load and weight shifting from one lower extremity to the other lower extremity. The LLC was conducted daily during 2 to 3 weeks of inpatient rehabilitation. Outcomes. The LLC progressed with increases in weight bearing and force generation, as evidenced by larger amounts of limb loading during pedaling. The patients tolerated all loads without cardiorespiratory distress. Discussion. Limb-loaded cycling can accommodate people with little force-generating capability or weight-bearing ability as they practice locomotor skills. Gains in locomotor ability may be aided by the addition of this exercise regimen to patients' daily physical therapy.

Key Words: Cycling • Exercise • Locomotion • Stroke • Training

This article has been cited by other articles:

				K. J Sullivan, D. A Brown, T. Klassen, S. Mulroy, T. Ge, S. P Azen, C. J Winstein, and for the Physical Therapy Clinical Research Network Effects of Task-Specific Locomotor and Strength Training in Adults Who Were Ambulatory After Stroke: Results of the STEPS Randomized Clinical Trial Physical Therapy, December 1, 2007; 87(12): 1580 - 1602. [Abstract] [Full Text] [PDF]

				T. E Johnston Biomechanical Considerations for Cycling Interventions in Rehabilitation Physical Therapy, September 1, 2007; 87(9): 1243 - 1252. [Abstract] [Full Text] [PDF]