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https://www.readbyqxmd.com/read/28549648/characterization-of-long-term-gait-deficits-in-mouse-dmcao-using-the-catwalk-system
#1
E Caballero-Garrido, J C Pena-Philippides, Z Galochkina, E Erhardt, T Roitbak
Evaluation of functional outcome is widely used across species to assess the recovery process following various pathological conditions, including spinal cord injury, musculo-skeletal injury, mithochondrial disease, neuropathic cancer, Huntington's disease, chronic pain, cortical lesion, and olivocerebellar degeneration among others. The Stroke Therapy Academic Industry Roundtable (STAIR) recommends multiple endpoints for behavioral studies in pre-clinical stroke research, to demonstrate their clinical relevance...
May 23, 2017: Behavioural Brain Research
https://www.readbyqxmd.com/read/28546137/activity-recognition-for-persons-with-stroke-using-mobile-phone-technology-toward-improved-performance-in-a-home-setting
#2
Megan K O'Brien, Nicholas Shawen, Chaithanya K Mummidisetty, Saninder Kaur, Xiao Bo, Christian Poellabauer, Konrad Kording, Arun Jayaraman
BACKGROUND: Smartphones contain sensors that measure movement-related data, making them promising tools for monitoring physical activity after a stroke. Activity recognition (AR) systems are typically trained on movement data from healthy individuals collected in a laboratory setting. However, movement patterns change after a stroke (eg, gait impairment), and activities may be performed differently at home than in a lab. Thus, it is important to validate AR for gait-impaired stroke patients in a home setting for accurate clinical predictions...
May 25, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28542281/gait-asymmetry-ankle-spasticity-and-depression-as-independent-predictors-of-falls-in-ambulatory-stroke-patients
#3
Ta-Sen Wei, Peng-Ta Liu, Liang-Wey Chang, Sen-Yung Liu
BACKGROUND: Falls are the leading cause of injury in stroke patients. However, the cause of a fall is complicated, and several types of risk factors are involved. Therefore, a comprehensive model to predict falls with high sensitivity and specificity is needed. METHODS: This study was a prospective study of 112 inpatients in a rehabilitation ward with follow-up interviews in patients' homes. Evaluations were performed 1 month after stroke and included the following factors: (1) status of cognition, depression, fear of fall and limb spasticity; (2) functional assessments [walking velocity and the Functional Independence Measure (FIM)]; and (3) objective, computerized gait and balance analyses...
2017: PloS One
https://www.readbyqxmd.com/read/28542112/effects-of-vestibular-rehabilitation-on-gait-performance-in-poststroke-patients-a-pilot-randomized-controlled-trial
#4
Tsubasa Mitsutake, Maiko Sakamoto, Kozo Ueta, Shinichiro Oka, Etsuo Horikawa
The effects of vestibular rehabilitation on poststroke patients are unknown. This study aimed to investigate whether or not vestibular rehabilitation would improve both the vestibulo-ocular reflex and gait performance of patients with poststroke hemiparesis. Twenty-eight patients with stroke were assigned randomly to either an experimental group (N=14) or a control group (N=14). The experimental group performed the conventional physical therapy for 40 min and vestibular rehabilitation for 20 min, as a 60 min session, during the first 3 weeks and then completed only the conventional intervention for 60 min for the following 3 weeks...
May 24, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/28537343/practice-patterns-for-spasticity-management-with-phenol-neurolysis
#5
Jay Karri, Manuel F Mas, Gerard E Francisco, Sheng Li
OBJECTIVE: To present practice patterns for phenol neurolysis procedures conducted for spasticity management. DESIGN: A retrospective review of 185 persons with spasticity who underwent phenol neurolysis procedures (n = 293) at an academic rehabilitation hospital and clinic. Patient demographics, concomitant spasticity treatments, and procedure relevant information were collected. RESULTS: The cohort included 71.9% males and 61.6% inpatient procedures...
May 24, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28533608/changes-of-gait-parameters-following-constrained-weight-shift-training-in-patients-with-stroke
#6
Seok Hyun Nam, Sung Min Son, Kyoung Kim
[Purpose] This study aimed to investigate the effects of training involving compelled weight shift on the paretic lower limb on gait parameters and plantar pressure distribution in patients with stroke. [Subjects and Methods] Forty-five stroke patients participated in the study and were randomly divided into: group with a 5-mm lift on the non-paretic side for constrained weight shift training (5: constrained weight shift training) (n=15); group with a 10-mm lift on the non-paretic side for constrained weight shift training (10: constrained weight shift training) (n=15); or the control group (n=15)...
April 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28532887/the-influence-of-walking-aids-on-the-plasticity-of-spinal-interneuronal-networks-central-pattern-generators-and-the-recovery-of-gait-post-stroke-a-literature-review-and-scholarly-discussion
#7
REVIEW
Clare C Maguire, Judith M Sieben, Robert A de Bie
BACKGROUND: Many aspects of post-stroke gait-rehabilitation are based on low-level evidence or expert opinion. Neuroscientific principles are often not considered when evaluating the impact of interventions. The use of walking-aids including canes and rollators, although widely used for long periods, has primarily been investigated to assess the immediate kinetic, kinematic or physiological effects. The long-term impact on neural structures und functions remains unclear. METHODS: A literature review of the function of and factors affecting plasticity of spinal interneuronal-networks and central-pattern-generators (CPG) in healthy and post-stroke patients...
April 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28532873/the-impact-of-incline-and-speed-of-treadmill-on-ankle-muscle-activity-in-middle-aged-adults
#8
Roghayeh Mohammadi, Chetan P Phadke
OBJECTIVE: Additional demands associated with changing walking incline and speed combined with normal aging related changes in muscle recruitment can make walking difficult. This study examined the effects of walking on a treadmill at different inclines and speeds on ankle muscles in healthy middle-aged adults. METHODS: Fifteen healthy subjects (10M/5F) walked on a standard treadmill at three different inclines (0°, 3°, and 6°) and speeds (self-selected, self-selected+20%, self-selected+40%)...
April 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28527227/correlation-of-the-gait-speed-with-the-quality-of-life-and-the-quality-of-life-classified-according-to-speed-based-community-ambulation-in-thai-stroke-survivors
#9
Phichamon Khanittanuphong, Suttipong Tipchatyotin
BACKGROUND: Gait abnormality commonly resulted from stroke which affected patients living and probably quality of life (QOL). OBJECTIVE: To assess the relationship between gait speed and the QOL in Thai stroke patients and to compare the QOL among three patient groups that were categorized by gait speed: i) household ambulators <0.4 m/s, ii) limited community ambulators 0.4-0.8 m/s and iii) community ambulators >0.8 m/s. METHODS: This was a cross-sectional descriptive research study...
May 19, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28523357/lesion-location-associated-with-balance-recovery-and-gait-velocity-change-after-rehabilitation-in-stroke-patients
#10
Hyun Im Moon, Hyo Jeong Lee, Seo Yeon Yoon
PURPOSE: Impaired gait function after stroke contributes strongly to overall patient disability. However, the response to rehabilitation varies between individuals. The aims of this study were to identify predictors of gait velocity change and to elucidate lesion location associated with change of balance and gait function. METHODS: We reviewed 102 stroke patients. The patients were divided into two groups according to gait ability post-rehabilitation, and we analyzed differences in their characteristics, such as demographic information, lesion factors, and initial balance function...
May 18, 2017: Neuroradiology
https://www.readbyqxmd.com/read/28507629/changes-in-kinetic-parameters-of-gait-in-patients-with-supratentorial-unilateral-stroke-in-chronic-period
#11
Danche Vasileva, Nikolai Izov, Ivan Maznev, Daniela Lubenova, Marija Mihova, Velo Markovski, Carmen Nistor Cseppento
AIM: The aim of the study is to evaluate the changes of the kinetic parameters of gait in patients with supratentorial unilateral stroke in the chronic period (SUSChP). MATERIAL AND METHODS: The study was conducted with 67 patients with SUSChP (56 patients included in the experimental group - 32 men and 24 women, with duration of disease 7.8 ± 2.0 months, and 11 patients in the control group - 9 men and 2 women, with duration of disease 7.3 ± 1.5 months). To evaluate the changes in the gait were followed cadence of 6 m and 10 m and the speed of movement which are the most informative kinetic parameters...
April 15, 2017: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28505994/effect-of-three-dimensional-spine-stabilization-exercise-on-trunk-muscle-strength-and-gait-ability-in-chronic-stroke-patients-a-randomized-controlled-trial
#12
Sung-Jun Moon, Tae-Ho Kim
BACKGROUND: Three-dimensional spine stabilization exercise can strengthen the trunk muscles with minimal spine movement. OBJECTIVE: To investigate the effects of the newly developed Spine Balance three-dimensional (3D) system on trunk strength and gait abilities of chronic stroke patients. METHODS: Twenty-four chronic stroke patients were randomly assigned to an experimental (n = 12) or control group (n = 12). The experimental and control groups performed spine stabilization exercise by using the newly developed Spine Balance 3D system and the well-known Bridge exercise thrice a week for 30 min per day for 7 weeks...
May 11, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28505990/the-features-of-gait-exercise-assist-robot-precise-assist-control-and-enriched-feedback
#13
Satoshi Hirano, Eiichi Saitoh, Shigeo Tanabe, Hiroki Tanikawa, Shinya Sasaki, Daisuke Kato, Hitoshi Kagaya, Norihide Itoh, Hitoshi Konosu
BACKGROUND: In a patient with severe hemiplegia, the risk of the knee giving way is high during the early stage of gait exercise with an ankle-foot orthosis. However, use of a knee-ankle-foot orthosis has many problems such as large amount of assistance and compensatory motions. To resolve these problems, we have engaged in the development of the Gait Exercise Assist Robot (GEAR). OBJECTIVE: To evaluate the improvement efficiency of walk with GEAR in a stroke patient...
May 11, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28505988/intensive-seated-robotic-training-of-the-ankle-in-patients-with-chronic-stroke-differentially-improves-gait
#14
Johanna L Chang, Regina Y Lin, Maira Saul, Philip J Koch, Hermano Igo Krebs, Bruce T Volpe
BACKGROUND: Robotic driven treatment plans targeting isolated joints of the upper limb have improved the sensorimotor condition of patients with stroke. Similar intensive efforts to allay lower limb gait impairment have not been so successful. In patients with stroke, targeted robot assisted training of the ankle joint, in a seated position, has demonstrated significant alterations in ankle stiffness and foot-ankle orientation at foot strike which may provide a new treatment option for gait impairment...
May 10, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28504943/towards-multimodal-human-robot-interaction-to-enhance-active-participation-of-users-in-gait-rehabilitation
#15
Kai Gui, Honghai Liu, Dingguo Zhang
Robotic exoskeletons for physical rehabilitation have been utilized for retraining patients suffering from paraplegia and enhancing motor recovery in recent years. However, users are not voluntarily involved in most systems. This work aims to develop a locomotion trainer with multiple gait patterns, which can be controlled by the active motion intention of users. A multimodal human-robot interaction (HRI) system is established to enhance subject's active participation during gait rehabilitation, which includes cognitive human-robot interaction (cHRI) and physical human-robot interaction (pHRI)...
May 11, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28503533/effect-of-core-strengthening-with-pelvic-proprioceptive-neuromuscular-facilitation-on-trunk-balance-gait-and-function-in-chronic-stroke
#16
Vishal Sharma, Jaskirat Kaur
The purpose of this study was to evaluate the effects of core strengthening combined with pelvic proprioceptive neuromuscular facilitation (PNF) on trunk impairment, balance, gait, and functional ability of chronic stroke patients. Twenty-three participants with chronic stroke were recruited and randomly allocated to one of the two groups: core strengthening combined with pelvic PNF (group 1, n=13), and pelvic PNF with trunk flexibility exercises (group 2, n=10). Intervention was given to both groups for 60 min per session 5 times per week for 4 weeks...
April 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/28503532/changes-in-gait-kinematics-and-muscle-activity-in-stroke-patients-wearing-various-arm-slings
#17
Young-In Hwang, Jangwhon Yoon
Stroke patients often use various arm slings, but the effects of different slings on the joint kinematics and muscle activity of the arm in the gait have not been investigated. The effects of joint kinematics and muscle activity in the gait were investigated to provide suggestions for gait training for stroke patients. In all, 10 chronic stroke patients were voluntarily recruited. An eight-camera three-dimensional motion analysis system was used to measure joint kinematics while walking; simultaneously, electromyography data were collected for the anterior and posterior deltoids and latissimus dorsi...
April 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/28503449/feasibility-of-rehabilitation-training-with-a-newly-developed-portable-gait-assistive-robot-for-balance-function-in-hemiplegic-patients
#18
Junhyun Sung, Sehoon Choi, Hyunbae Kim, Gyuhan Lee, Changsoo Han, Younghoon Ji, Dongbin Shin, Seunghoon Hwang, Deokwon Yun, Hyeyoun Jang, Mi Jung Kim
OBJECTIVE: To investigate the clinical feasibility of a newly developed, portable, gait assistive robot (WA-H, 'walking assist for hemiplegia') for improving the balance function of patients with stroke-induced hemiplegia. METHODS: Thirteen patients underwent 12 weeks of gait training on the treadmill while wearing WA-H for 30 minutes per day, 4 days a week. Patients' balance function was evaluated by the Berg Balance Scale (BBS), Fugl-Meyer Assessment Scale (FMAS), Timed Up and Go Test (TUGT), and Short Physical Performance Battery (SPPB) before and after 6 and 12 weeks of training...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28491477/the-effect-of-diabetic-peripheral-neuropathy-on-ground-reaction-forces-during-straight-walking-in-stroke-survivors
#19
Amirah Mustapa, Maria Justine, Nadia Mohd Mustafah, Haidzir Manaf
Purpose. The aim of this present study was to investigate the ground reaction forces (GRFs) alterations in stroke survivors with diabetic peripheral neuropathy (DPN). Methods. Ten stroke survivors with DPN, 10 stroke survivors without DPN, and 10 healthy controls with matched body weight between groups participated in this case-control cross-sectional study. Three-dimensional GRFs (anterior-posterior, medial-lateral, and vertical) were collected at a comfortable walking speed using the Nexus Vicon motion analysis system and force plate...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28488268/electromechanical-assisted-training-for-walking-after-stroke
#20
REVIEW
Jan Mehrholz, Simone Thomas, Cordula Werner, Joachim Kugler, Marcus Pohl, Bernhard Elsner
BACKGROUND: Electromechanical- and robotic-assisted gait-training devices are used in rehabilitation and might help to improve walking after stroke. This is an update of a Cochrane Review first published in 2007. OBJECTIVES: To investigate the effects of automated electromechanical- and robotic-assisted gait-training devices for improving walking after stroke. SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (last searched 9 August 2016), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library 2016, Issue 8), MEDLINE in Ovid (1950 to 15 August 2016), Embase (1980 to 15 August 2016), CINAHL (1982 to 15 August 2016), AMED (1985 to 15 August 2016), Web of Science (1899 to 16 August 2016), SPORTDiscus (1949 to 15 September 2012), the Physiotherapy Evidence Database (PEDro) (searched 16 August 2016), and the engineering databases COMPENDEX (1972 to 16 November 2012) and Inspec (1969 to 26 August 2016)...
May 10, 2017: Cochrane Database of Systematic Reviews
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