Gait retraining after a traumatic brain injury has not been studied extensively, and the few studies that have shown success have not been integrated into clinical practice. Timing, intensity, and the type of intervention needed to successfully retrain gain after an injury is critical, and yet there are no good definitions that help guide rehabilitation specialists.
A recent pilot study of a new gait recovery program called iWalk has shown potential for significant success. By using a set of advanced technology devices such as a foot drop simulator, a body weight supporter, and a split-belt treadmill, the iWalk program can optimize the timing, repetition, and intensity of training needed to recover the ability to walk. The researchers who develop iWalk will need further research to refine the parameters needed to optimize gait recovery, but believe that the technology will soon bridge the gap between research and practice.
Wilks M & Zasler ND. The Sheltering Arms iWalk Program: A novel, evidence-based gait neurorehabilitation program. Brain Injury Professional. (November 2012).