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gait analysis stroke

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https://www.readbyqxmd.com/read/27917945/improvement-in-stroke-induced-motor-dysfunction-by-music-supported-therapy-a-systematic-review-and-meta-analysis
#1
Yingshi Zhang, Jiayi Cai, Yaqiong Zhang, Tianshu Ren, Mingyi Zhao, Qingchun Zhao
To conduct a meta-analysis of clinical trials that examined the effect of music-supported therapy on stroke-induced motor dysfunction, comprehensive literature searches of PubMed, Embase and the Cochrane Library from their inception to April 2016 were performed. A total of 10 studies (13 analyses, 358 subjects) were included; all had acceptable quality according to PEDro scale score. The baseline differences between the two groups were confirmed to be comparable. Compared with the control group, the standardized mean difference of 9-Hole Peg Test was 0...
December 5, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27916248/analysis-of-consistency-between-temporospatial-gait-parameters-and-gait-assessment-with-the-use-of-wisconsin-gait-scale-in-post-stroke-patients
#2
Agnieszka Guzik, Mariusz Drużbicki, Grzegorz Przysada, Andrzej Kwolek, Agnieszka Brzozowska-Magoń, Andżelina Wolan-Nieroda
INTRODUCTION: Due to the increasing incidence and social effects of stroke there is a growing interest in finding methods enabling gait analysis in this group of patients. Observational techniques are predominantly applied in clinical practice; on the other hand advanced quantitative methods allow in-depth multidimensional gait assessment. The present study was designed to assess the consistency between temporospatial gait parameters acquired through 3-dimensional gait analysis and the results of gait assessment with the use of observational WGS in post stroke hemiparetic patients...
November 18, 2016: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/27825837/effects-of-functional-electrical-stimulation-on-reducing-falls-and-improving-gait-parameters-in-multiple-sclerosis-and-stroke
#3
Elisa Gervasoni, Riccardo Parelli, Marcin Uszynski, Alessandro Crippa, Alberto Marzegan, Angelo Montesano, Davide Cattaneo
BACKGROUND: Loss of neuromuscular control of the ankle joint is a common impairment in neurologic conditions, leading to abnormal gait and a greater risk of falling. Limited information, however, is available on the effectiveness of functional electrical stimulation (FES) on reducing falls, and no studies have investigated its usefulness in improving lower limbs kinematics related to foot clearance and energy recovery. SETTING: Clinical setting. STUDY DESIGN: Prospective longitudinal study...
November 4, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27819400/-instrumental-gait-analysis-in-stroke-patients
#4
P Fernandez-Gonzalez, F Molina-Rueda, A Cuesta-Gomez, M Carratala-Tejada, J C Miangolarra-Page
INTRODUCTION: The motor control deficits after stroke affect the gait pattern. There is a significant variability between subjects. AIMS: To analyse, by using a capture motion system, the gait pattern in stroke patients with different levels of motor function, and to establish, despite the participants heterogeneity, what alterations in the gait pattern are usual in each participant. SUBJECTS AND METHODS: Nine stroke subjects with independent gait and ten control subjects participated in this study...
November 16, 2016: Revista de Neurologia
https://www.readbyqxmd.com/read/27816479/does-acupuncture-ameliorate-motor-impairment-after-stroke-an-assessment-using-the-catwalk-gait-system
#5
Yan Cao, Ning Sun, Jing-Wen Yang, Yang Zheng, Wen Zhu, Zhen-Hua Zhang, Xue-Rui Wang, Guang-Xia Shi, Cun-Zhi Liu
The effect of acupuncture on gait deficits after stroke is uncertain. This animal study was designed to determine whether acupuncture improves gait impairment following experimentally induced ischemic stroke. Ischemic stroke was induced by permanent middle cerebral artery occlusion (MCAO) in rats. After 7 days' of acupuncture treatment, assessment of gait changes using the CatWalk automated gait analysis system was performed. Comparison of the CatWalk gait parameters among the groups showed that gait function was impaired after ischemic stroke and acupuncture treatment was effective in improving a variety of gait parameters including intensity, stance and swing time, swing speed and stride length at postoperative day 8...
November 2, 2016: Neurochemistry International
https://www.readbyqxmd.com/read/27814306/treadmill-training-with-thera-band-improves-motor-function-gait-and-balance-in-stroke-patients
#6
Taesung In, Youngmi Jin, Kyoungsim Jung, Hwiyoung Cho
OBJECTIVES: The purpose of this study was to evaluate the effects of treadmill training with Thera-Band on motor function, gait and balance abilities in patients with stroke. METHODS: 30 participants with hemiparetic stroke were recruited and randomly divided into two groups: the experimental group (n = 15) and the control group (n = 15). Participants in both groups received conventional physical therapy for 30 minutes before the intervention. Additionally, subject in the experimental group performed treadmill training with Thera-Band for 30 minutes, five times a week for four weeks, while the control group conducted treadmill training only for the same amount of time...
October 31, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27799706/effects-of-8-weeks-of-mat-based-pilates-exercise-on-gait-in-chronic-stroke-patients
#7
SuYeon Roh, Ho Jong Gil, Sukhoon Yoon
[Purpose] The purpose of this study was to investigate the effects of an 8-week program of Pilates exercise on gait in chronic hemiplegia patients and to determine whether or not it can be used for rehabilitation in postsrtoke patients. [Subjects and Methods] Twenty individuals with unilateral chronic hemiparetic stroke (age, 66.1 ± 4.4 yrs; height, 162.3 ± 8.3 cm; weight, 67.4 ± 12.3 kg) participated in this study and were randomly allocated equally to either a Pilates exercise group or a control group...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27798378/associations-between-foot-placement-asymmetries-and-metabolic-cost-of-transport-in-hemiparetic-gait
#8
James M Finley, Amy J Bastian
Stroke survivors often have a slow, asymmetric walking pattern. They also walk with a higher metabolic cost than healthy, age-matched controls. It is often assumed that spatial-temporal asymmetries contribute to the increased metabolic cost of walking poststroke. However, elucidating this relationship is made challenging because of the interdependence between spatial-temporal asymmetries, walking speed, and metabolic cost. Here, we address these potential confounds by measuring speed-dependent changes in metabolic cost and implementing a recently developed approach to dissociate spatial versus temporal contributions to asymmetry in a sample of stroke survivors...
October 20, 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/27706077/assessing-walking-strategies-using-insole-pressure-sensors-for-stroke-survivors
#9
Mario Munoz-Organero, Jack Parker, Lauren Powell, Susan Mawson
Insole pressure sensors capture the different forces exercised over the different parts of the sole when performing tasks standing up such as walking. Using data analysis and machine learning techniques, common patterns and strategies from different users to achieve different tasks can be automatically extracted. In this paper, we present the results obtained for the automatic detection of different strategies used by stroke survivors when walking as integrated into an Information Communication Technology (ICT) enhanced Personalised Self-Management Rehabilitation System (PSMrS) for stroke rehabilitation...
October 1, 2016: Sensors
https://www.readbyqxmd.com/read/27695397/a-personalized-multi-channel-fes-controller-based-on-muscle-synergies-to-support-gait-rehabilitation-after-stroke
#10
Simona Ferrante, Noelia Chia Bejarano, Emilia Ambrosini, Antonio Nardone, Anna M Turcato, Marco Monticone, Giancarlo Ferrigno, Alessandra Pedrocchi
It has been largely suggested in neuroscience literature that to generate a vast variety of movements, the Central Nervous System (CNS) recruits a reduced set of coordinated patterns of muscle activities, defined as muscle synergies. Recent neurophysiological studies have recommended the analysis of muscle synergies to finely assess the patient's impairment, to design personalized interventions based on the specific nature of the impairment, and to evaluate the treatment outcomes. In this scope, the aim of this study was to design a personalized multi-channel functional electrical stimulation (FES) controller for gait training, integrating three novel aspects: (1) the FES strategy was based on healthy muscle synergies in order to mimic the neural solutions adopted by the CNS to generate locomotion; (2) the FES strategy was personalized according to an initial locomotion assessment of the patient and was designed to specifically activate the impaired biomechanical functions; (3) the FES strategy was mapped accurately on the altered gait kinematics providing a maximal synchronization between patient's volitional gait and stimulation patterns...
2016: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/27693404/therapeutic-effect-of-virtual-reality-on-post-stroke-patients-randomized-clinical-trial
#11
Erika Pedreira da Fonseca, Nildo Manoel Ribeiro da Silva, Elen Beatriz Pinto
OBJECTIVES: The study aimed to check the therapeutic effect of virtual reality associated with conventional physiotherapy on gait balance and the occurrence of falls after a stroke. METHODS: This was a randomized, blinded clinical trial conducted with post-stroke patients, randomized into two groups-treatment group and control group-and subjected to balance assessments by the Dynamic Gait Index and investigation of falls before and after 20 intervention sessions...
September 29, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27690285/individual-joint-contribution-to-body-weight-support-in-the-affected-lower-limb-during-walking-in-post-stroke-hemiplegia
#12
Woo-Sub Kim, Min Joo Kim
OBJECTIVE: Patients with post-stroke hemiplegia have difficulty with body weight support during walking. However, it is unclear which intra-limb strategy for body weight support tends to predominate, and how the intra-limb strategy is related to gait function. Support moment and individual joint contribution to support moment are the parameters that reflect intra-limb strategy for body weight supporting. The aim of this study was to test whether support moment and individual joint contributions differed between post-stroke subjects with different gait function...
August 12, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27676995/physical-activity-and-inactivity-level-of-stroke-patients-including-in-physical-activity-incitation-program
#13
David Chaparro, Justine Lacroix, Benoit Borel, Jean-Yves Salle, Benjamin Kammoun, Jean-Christophe Daviet, Stéphane Mandigout
OBJECTIVE: Physical activity (PA) and exercise are two successful approaches to reduce sedentary behavior and risk managing in stroke patients. The aims of the study are to evaluate PA and physical inactivity levels in post-stroke patients and to correlate PA parameters with gait performance, fatigue, anxiety, and anthropometry parameters in subacute phase of stroke recovery. MATERIAL/PATIENTS AND METHODS: Preliminary analysis of 24 patients in PA incitation program (mean age: 61...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676980/main-determinants-of-weight-bearing-asymmetry-in-hemiplegic-stroke-patients
#14
Jeanne Montastruc, David Amarantini, Valérie Lambert, Evelyne Castel-Lacanal, Philippe Marque, David Gasq
OBJECTIVE: Weight-bearing asymmetry (WBA) at the expense of the paretic side concerns 60% of stroke patients. WBA is associated with poor functional prognosis especially in terms of gait performance [1,2]. The primary objective was to assess the determinants of WBA in stroke patients from clinical and instrumental data. MATERIAL/PATIENTS AND METHODS: The sensitivity (EmNSA), motricity (Fugl-Meyer motor), spatial neglect and visual perception of verticality (VPV) were evaluated in 20 stroke patients (age: 53...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27671158/biomechanical-factors-behind-toe-clearance-during-the-swing-phase-in-hemiparetic-patients
#15
Fumihiro Matsuda, Masahiko Mukaino, Kei Ohtsuka, Hiroki Tanikawa, Kazuhiro Tsuchiyama, Toshio Teranishi, Yoshikiyo Kanada, Hitoshi Kagaya, Eiichi Saitoh
BACKGROUND: The toe clearance of a paretic limb in the swing phase of gait is related to tripping, which is considered a major cause of falls. The biomechanical factors for obtaining toe clearance are more complicated in hemiparetic gait than that in normal gait because of the compensatory movements during swing phase. Understanding the biomechanical factors should help in targeting the point for rehabilitative interventions. OBJECTIVE: To clarify the biomechanical factors behind toe clearance during swing phase in hemiparetic gait...
September 27, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27665088/feasibility-and-reliability-of-using-an-exoskeleton-to-emulate-muscle-contractures-during-walking
#16
M Attias, A Bonnefoy-Mazure, G De Coulon, L Cheze, S Armand
Contracture is a permanent shortening of the muscle-tendon-ligament complex that limits joint mobility. Contracture is involved in many diseases (cerebral palsy, stroke, etc.) and can impair walking and other activities of daily living. The purpose of this study was to quantify the reliability of an exoskeleton designed to emulate lower limb muscle contractures unilaterally and bilaterally during walking. An exoskeleton was built according to the following design criteria: adjustable to different morphologies; respect of the principal lines of muscular actions; placement of reflective markers on anatomical landmarks; and the ability to replicate the contractures of eight muscles of the lower limb unilaterally and bilaterally (psoas, rectus femoris, hamstring, hip adductors, gastrocnemius, soleus, tibialis posterior, and peroneus)...
September 19, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27662317/comparison-of-gait-parameters-for%C3%A2-predicting-cognitive-decline-the%C3%A2-mayo%C3%A2-clinic-study-of-aging
#17
Rodolfo Savica, Alexandra M V Wennberg, Clinton Hagen, Kelly Edwards, Rosebud O Roberts, John H Hollman, David S Knopman, Bradley F Boeve, Mary M Machulda, Ronald C Petersen, Michelle M Mielke
BACKGROUND: Previous studies reported that slower gait speed might predict cognitive impairment and dementing illnesses, supporting the role of gait speed as a possible subclinical marker of cognitive impairment. However, the predictive value of other gait parameters for cognitive decline is unclear. OBJECTIVE: To investigate and compare the association with, and prediction of, specific gait parameters for cognition in a population-based sample. METHODS: The analysis included 3,426 cognitively normal participants enrolled in the Mayo Clinic Study of Aging...
September 23, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27633021/effects-of-exercise-therapy-on-balance-capacity-in-chronic-stroke-systematic-review-and-meta-analysis
#18
Hanneke J R van Duijnhoven, Anita Heeren, Marlijn A M Peters, Janne M Veerbeek, Gert Kwakkel, Alexander C H Geurts, Vivian Weerdesteyn
BACKGROUND AND PURPOSE: The purpose of this systematic review and meta-analysis was to investigate the effects of exercise training on balance capacity in people in the chronic phase after stroke. Furthermore, we aimed to identify which training regimen was most effective. METHODS: Electronic databases were searched for randomized controlled trials evaluating the effects of exercise therapy on balance capacity in the chronic phase after stroke. Studies were included if they were of moderate or high methodological quality (PEDro score ≥4)...
October 2016: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27632078/alterations-in-aerobic-exercise-performance-and-gait-economy-following-high-intensity-dynamic-stepping-training-in-persons-with-subacute-stroke
#19
Abigail L Leddy, Mark Connolly, Carey L Holleran, Patrick W Hennessy, Jane Woodward, Ross A Arena, Elliot J Roth, T George Hornby
BACKGROUND AND PURPOSE: Impairments in metabolic capacity and economy (O2cost) are hallmark characteristics of locomotor dysfunction following stroke. High-intensity (aerobic) training has been shown to improve peak oxygen consumption in this population, with fewer reports of changes in O2cost. However, particularly in persons with subacute stroke, inconsistent gains in walking function are observed with minimal associations with gains in metabolic parameters. The purpose of this study was to evaluate changes in aerobic exercise performance in participants with subacute stroke following high-intensity variable stepping training as compared with conventional therapy...
October 2016: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/27630410/reliability-and-validity-of-the-modified-functional-ambulation-category-scale-in-patients-with-hemiparalysis
#20
Chang Sik Park, Seung Heon An
[Purpose] This study aimed to examine the inter- and intra-rater reliability and validity of the modified functional ambulation category (mFAC) scale. [Subjects and Methods] The participants were 66 stroke patients with hemiparalysis. The inter- and intra-rater validity of the mFAC was calculated using the Spearman correlation coefficient. A score comparison of the stable or maximum gait speed with regard to mFAC and modified Rivermead Mobility Index (mRMI) performances was performed as a univariate linear regression analysis to determine how the Kruskal-Wallis test affects the mRMI and stable/maximum gait speed with regard to mFAC...
August 2016: Journal of Physical Therapy Science
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