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Gait re-education

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https://www.readbyqxmd.com/read/29748911/patient-education-and-rehabilitation-after-hip-arthroplasty-in-an-italian-spa-center-a-pilot-study-on-its-feasibility
#1
Alfredo Musumeci, Giulia Pranovi, Stefano Masiero
Nowadays, some spa centers are suitable for providing rehabilitative and preventive treatment in association with traditional spa therapy. This study aims to evaluate the feasibility and the effectiveness of an intensive rehabilitation program after hip arthroplasty in an Italian spa center. Early after total hip arthroplasty for severe osteoarthritis (≤ 10 days after the intervention), 12 consecutive patients (5 males and 7 females) aged between 50 and 85 years were enrolled for this study. All the patients performed a 2-week thermal multimodal rehabilitation program, which consisted of education and physical rehabilitative measures...
August 2018: International Journal of Biometeorology
https://www.readbyqxmd.com/read/29741134/recovery-and-compensation-after-robotic-assisted-gait-training-in-chronic-stroke-survivors
#2
Alice De Luca, Honoré Vernetti, Cristina Capra, Ivano Pisu, Cinzia Cassiano, Laura Barone, Federica Gaito, Federica Danese, Giovanni Antonio Checchia, Carmelo Lentino, Psiche Giannoni, Maura Casadio
BACKGROUND: Gait re-education is a primary rehabilitation goal after stroke. In the last decades, robots with different mechanical structures have been extensively used in the clinical practice for gait training of stroke survivors. However, the effectiveness of robotic training is still controversial, especially for chronic subjects. In this study, we investigated the short-term effects of gait training assisted by an endpoint robot in a population of chronic stroke survivors. METHODS: Subjects were evaluated before and after training with clinical scales and instrumented gait analysis...
May 9, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29601084/elder-abuse-and-chronic-pain-cross-sectional-and-longitudinal-results-from-the-preventing-elder-abuse-and-neglect-initiative
#3
Raudah M Yunus, Noran N Hairi, Wan Y Choo, Maw P Tan, Farizah Hairi, Rajini Sooryanarayana, Norliana Ismail, Shatanapriya Kandiben, Devi Peramalah, Zainudin M Ali, Sharifah N Ahmad, Inayah A Razak, Sajaratulnisah Othman, Fadzilah Hm Mydin, Karuthan Chinna, Awang Bulgiba
OBJECTIVES: To examine the cross-sectional and longitudinal relationships between elder abuse and neglect (EAN) and chronic pain in rural older Malaysians. DESIGN: Two-year prospective cohort study. SETTING: Kuala Pilah, a district in Negeri Sembilan approximately 100 km from the capital city, Kuala Lumpur. PARTICIPANTS: Community-dwelling older adults aged 60 and older. Using a multistage cluster sampling strategy, 1,927 respondents were recruited and assessed at baseline, of whom 1,189 were re-assessed 2 years later...
March 30, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29168396/intra-rater-repeatability-of-gait-parameters-in-healthy-adults-during-self-paced-treadmill-based-virtual-reality-walking
#4
Mohammad Al-Amri, Hilal Al Balushi, Abdulrhman Mashabi
Self-paced treadmill walking is becoming increasingly popular for the gait assessment and re-education, in both research and clinical settings. Its day-to-day repeatability is yet to be established. This study scrutinised the test-retest repeatability of key gait parameters, obtained from the Gait Real-time Analysis Interactive Lab (GRAIL) system. Twenty-three male able-bodied adults (age: 34.56 ± 5.12 years) completed two separate gait assessments on the GRAIL system, separated by 5 ± 3 days. Key gait kinematic, kinetic, and spatial-temporal parameters were analysed...
December 2017: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/28869903/biomechanical-differences-between-cases-with-suspected-chronic-exertional-compartment-syndrome-and-asymptomatic-controls-during-running
#5
Andrew Roberts, David Roscoe, David Hulse, Alexander N Bennett, Sharon Dixon
Chronic exertional compartment syndrome (CECS) has been hypothesised, following clinical observations, to be the result of abnormal biomechanics predominantly at the ankle. Treatment of CECS through running re-education to correct these abnormalities has been reported to improve symptoms. However no primary research has been carried out to investigate the movement patterns of those with CECS. This study aimed to compare the running kinematics and muscle activity of cases with CECS and asymptomatic controls...
October 2017: Gait & Posture
https://www.readbyqxmd.com/read/28730849/treadmill-training-to-improve-mobility-for-people-with-sub-acute-stroke-a-phase-ii-feasibility-randomized-controlled-trial
#6
Gillian D Baer, Lisa G Salisbury, Mark T Smith, Jane Pitman, Martin Dennis
OBJECTIVE: This phase II study investigated the feasibility and potential effectiveness of treadmill training versus normal gait re-education for ambulant and non-ambulant people with sub-acute stroke delivered as part of normal clinical practice. DESIGN: A single-blind, feasibility randomized controlled trial. SETTING: Four hospital-based stroke units. SUBJECTS: Participants within three months of stroke onset. INTERVENTIONS: Participants were randomized to treadmill training (minimum twice weekly) plus normal gait re-education or normal gait re-education only (control) for up to eight weeks...
February 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28229441/-robotic-systems-for-gait-re-education-in-cases-of-spinal-cord-injury-a-systematic-review
#7
REVIEW
T Gandara-Sambade, M Fernandez-Pereira, A Rodriguez-Sotillo
INTRODUCTION: The evidence underlying robotic body weight supported treadmill training in patients with spinal cord injury remains poorly characterized. AIM: To perform a qualitative systematic review on the efficacy of this therapy. PATIENTS AND METHODS: A search on PubMed, CINAHL, Cochrane Library and PEDro was performed from January 2005 to April 2016. The references in these articles were also reviewed to find papers not identified with the initial search strategy...
March 1, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/27568007/reductions-in-co-contraction-following-neuromuscular-re-education-in-people-with-knee-osteoarthritis
#8
Stephen J Preece, Richard K Jones, Christopher A Brown, Timothy W Cacciatore, Anthony K P Jones
BACKGROUND: Both increased knee muscle co-contraction and alterations in central pain processing have been suggested to play a role in knee osteoarthritis pain. However, current interventions do not target either of these mechanisms. The Alexander Technique provides neuromuscular re-education and may also influence anticipation of pain. This study therefore sought to investigate the potential clinical effectiveness of the AT intervention in the management of knee osteoarthritis and also to identify a possible mechanism of action...
August 27, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27152288/therapeutic-experience-on-stance-control-knee-ankle-foot-orthosis-with-electromagnetically-controlled-knee-joint-system-in-poliomyelitis
#9
Jung-Hwan Kim, Sang-Goo Ji, Kang-Jae Jung, Jae-Hyung Kim
A 54-year-old man with poliomyelitis had been using a conventional, passive knee-ankle-foot orthosis (KAFO) with a drop ring lock knee joint for about 40 years. A stance control KAFO (SCKAFO) with an electromagnetically controlled (E-MAG) knee joint system was prescribed. To correct his gait pattern, he also underwent rehabilitation therapy, which included muscle re-education, neuromuscular electrical stimulation, strengthening exercises for the lower extremities, and balance training twice a week for about 4 months...
April 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/25433187/mobility-and-gait-outcomes-following-intensive-rehabilitation-onabotulinumtoxin-a-and-baclofen-treatment-chronic-post-stroke-a-case-report
#10
Edward Barakatt, Bryan Coleman-Salgado, Michael McKeough, David Mandeville, Jillian Gong, Emily Mintz, Joshua Thatch, Anastasia Vourakis, Nicklesh Thakur
PURPOSE. This case report describes the effects of intensive rehabilitation with systemic antispasticity and local neurotoxin pharmacological interventions on gait and activity outcomes for a patient with chronic impairments post-stroke. CASE DESCRIPTION. The 56-year-old male patient was 13 months post-stroke with left hemiparesis and hypertonicity in the left upper and lower extremities. The patient received oral baclofen for widespread hypertonicity and intramuscular onabotulinumtoxin A injections in muscles of the left upper and lower extremities to target local areas of hypertonicity...
2014: Journal of Allied Health
https://www.readbyqxmd.com/read/25048614/natural-history-of-falls-in-a-population-based-cohort-of-patients-with-parkinson-s-disease-an-8-year-prospective-study
#11
Ylva Hivand Hiorth, Jan Petter Larsen, Kirsten Lode, Kenn Freddy Pedersen
BACKGROUND: Prospective long-term studies of falls in Parkinson's disease (PD) are scarce. OBJECTIVE: To examine the development of falls over 8 years in a population-based cohort of ambulatory patients with PD, and to investigate predictors of future falls in non-fallers at baseline. METHODS: All patients were examined at baseline and after 4 and 8 years, including the UPDRS, MMSE, Montgomery and Aaberg Depression Rating Scale, Functional Comorbidity Index, and a clinical dementia interview...
October 2014: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/24187328/functional-evaluation-of-robot-end-point-assisted-gait-re-education-in-chronic-stroke-survivors
#12
A De Luca, C Lentino, H Vernetti, G A Checchia, P Giannoni, P Morasso, M Casadio
Gait re-education is a primary rehabilitation goal after stroke. In this study, we used instrumented gait analysis for evaluating the outcomes of gait training assisted by an endpoint robot in a population of six chronic stroke survivors. The preliminary results, based on spatial-temporal and kinematic analysis, suggest that (a) self-placed walking speed increases, with an improvement of both length and duration of the stride, (b) balance increases during standing and walking, (c) the non-affected side becomes less involved in attempting to correct for the deficiencies of the affected side, thus reducing the importance of compensatory strategies...
June 2013: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/23852421/guidelines-and-pitfalls-for-the-rehabilitation-following-hip-arthroscopy
#13
Philip Malloy, Molly Malloy, Peter Draovitch
Rehabilitation guidelines following hip arthroscopy have been presented in the literature with common themes consisting of initial protection, restoration of lumbo-pelvic stability, neuromuscular re-education, and return to sport training. The purpose of this review is to present hip arthroscopy guidelines in 4 phases and to address common pitfalls that may delay the rehabilitative process. The goal of phase 1 should be to protect healing tissues through activity modifications. Phase 2 intends to return the patient to pain-free community ambulation without compensation or irritation...
September 2013: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/23559523/internal-and-external-focus-of-attention-during-gait-re-education-an-observational-study-of-physical-therapist-practice-in-stroke-rehabilitation
#14
Louise Johnson, Jane H Burridge, Sara H Demain
BACKGROUND: Focus of attention is known to play an important role in motor skill learning, yet little is known about how attention is directed within the context of stroke rehabilitation. OBJECTIVE: The aims of this study were: (1) to identify physical therapists' use of internal and external focus of attention during gait rehabilitation for individuals with hemiplegia following stroke and (2) to use the findings to design an experimental study examining the impact of focus of attention on learning poststroke...
July 2013: Physical Therapy
https://www.readbyqxmd.com/read/23538744/shell-shock-psychogenic-gait-and-other-movement-disorders-a-film-review
#15
Mariana Moscovich, Danny Estupinan, Muhammad Qureshi, Michael S Okun
BACKGROUND: The psychological pressure on soldiers during World War I (WWI) and other military conflicts has resulted in many reported cases of psychogenic gait as well as other movement disorders. In this paper, psychogenic movement disorders captured in the WWI film footage "War Neuroses" is reanalyzed. METHODS: Two movement disorders specialists re-examined film images of 21 WWI patients with various and presumed psychogenic manifestations, pre- and post treatment...
2013: Tremor and Other Hyperkinetic Movements
https://www.readbyqxmd.com/read/23422466/comparison-of-gait-training-versus-cranial-osteopathy-in-patients-with-parkinson-s-disease-a-pilot-study
#16
Thomas Müller, Angela Pietsch
BACKGROUND: A physiotherapy subtype is gait training (GT), which aims on correction of posture and gait re-education in patients with Parkinson's disease (PD). Osteopathy in the cranial field (OCF) is a gentle manual method to treat dysfunctions of the central nervous system. Therapists may employ GT and OCF to bypass deficient basal ganglia dysfunction, which causes gait disturbances in PD. OBJECTIVES: Objectives of this pilot study were to demonstrate the efficacy of both procedures on gait and to compare their effects within a cross over design...
2013: NeuroRehabilitation
https://www.readbyqxmd.com/read/23043818/motor-modules-in-robot-aided-walking
#17
RANDOMIZED CONTROLLED TRIAL
Leonardo Gizzi, Jørgen Feldbæk Nielsen, Francesco Felici, Juan C Moreno, José L Pons, Dario Farina
BACKGROUND: It is hypothesized that locomotion is achieved by means of rhythm generating networks (central pattern generators) and muscle activation generating networks. This modular organization can be partly identified from the analysis of the muscular activity by means of factorization algorithms. The activity of rhythm generating networks is described by activation signals whilst the muscle intervention generating network is represented by motor modules (muscle synergies). In this study, we extend the analysis of modular organization of walking to the case of robot-aided locomotion, at varying speed and body weight support level...
2012: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/22686120/physical-function-in-hospice-patients-and-physiotherapy-interventions-a-profile-of-hospice-physiotherapy
#18
Sinead Cobbe, Norelee Kennedy
OBJECTIVE: There is a dearth of international research on hospice physiotherapy. This study aims to profile hospice physiotherapy in an Irish setting in order to inform practice internationally. DESIGN: The study design consisted of a retrospective chart audit over 6 months. SETTING: The study took place at a specialist palliative care inpatient unit (hospice) in Limerick, Ireland. PARTICIPANTS: All patients were discharged (through death or discharge onwards) from January to June 2010...
July 2012: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/22524182/a-feasibility-study-to-investigate-the-clinical-application-of-functional-electrical-stimulation-fes-for-dropped-foot-during-the-sub-acute-phase-of-stroke-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Lisa Salisbury, Jane Shiels, Iain Todd, Martin Dennis
PURPOSE: Functional electrical stimulation (FES), for dropped foot, has been shown to have positive benefits in chronic stroke. It has been suggested that similar benefits may be seen earlier after stroke. The aim of this feasibility study was to evaluate the trial methodology of undertaking a randomized controlled trial (RCT) of FES in sub-acute stroke. METHOD: This was a randomized feasibility study with non-blinded outcomes at 6 and 12 weeks. Sixteen sub-acute stroke in-patients with dropped foot were randomized into two groups (control, n =  7; intervention, n  =  9)...
January 2013: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/22151466/fes-rehabilitative-systems-for-re-education-of-walking-in-incomplete-spinal-cord-injured-persons
#20
T Bajd, I Cikajlo, R Savrin, R Erzin, F Gider
Objective. The aim of the paper is to present various relatively simple functional electrical stimulation (FES) systems that affect neural circuits and reflex behavior by providing necessary peripheral input to the lower extremities of incomplete spinal cord injured (SCI) persons. Methods. The proposed FES re-education walking systems make use of feedback information that is transmitted from the paralyzed limb to the nonparalyzed part of the patient's body. A single gait variable can be analogously transmitted to the walking subject in a form of sensory stimulation...
August 2000: Neuromodulation: Journal of the International Neuromodulation Society
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