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https://www.readbyqxmd.com/read/29467306/gait-analysis-in-psp-and-nph-dual-task-conditions-make-the-difference
#1
Charlotte Selge, Florian Schoeberl, Andreas Zwergal, Georg Nuebling, Thomas Brandt, Marianne Dieterich, Roman Schniepp, Klaus Jahn
OBJECTIVE: To test whether quantitative gait analysis of gait under single- and dual-task conditions can be used for a differential diagnosis of progressive supranuclear palsy (PSP) and idiopathic normal-pressure hydrocephalus (iNPH). METHODS: In this cross-sectional study, temporal and spatial gait parameters were analyzed in 38 patients with PSP (Neurological Disorders and Stroke and Society for Progressive Supranuclear Palsy diagnostic criteria), 27 patients with iNPH (international iNPH guidelines), and 38 healthy controls...
February 21, 2018: Neurology
https://www.readbyqxmd.com/read/29461462/fes-assisted-cycling-improves-aerobic-capacity-and-locomotor-function-postcerebrovascular-accident
#2
Stacey E Aaron, Catherine J Vanderwerker, Aaron E Embry, Jennifer H Newton, Samuel C K Lee, Chris M Gregory
PURPOSE: After a cerebrovascular accident (CVA) aerobic deconditioning contributes to diminished physical function. Functional electrical stimulation (FES)-assisted cycling is a promising exercise paradigm designed to target both aerobic capacity and locomotor function. This pilot study aimed to evaluate the effects of an FES-assisted cycling intervention on aerobic capacity and locomotor function in individuals post-CVA. METHODS: Eleven individuals with chronic (>6 months) post-CVA hemiparesis completed an 8-wk (three times per week; 24 sessions) progressive FES-assisted cycling intervention...
March 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29457532/effects-of-real-time-gait-biofeedback-on-paretic-propulsion-and-gait-biomechanics-in-individuals-post-stroke
#3
Katlin Genthe, Christopher Schenck, Steven Eicholtz, Laura Zajac-Cox, Steven Wolf, Trisha M Kesar
Objectives Gait training interventions that target paretic propulsion induce improvements in walking speed and function in individuals post-stroke. Previously, we demonstrated that able-bodied individuals increase propulsion unilaterally when provided real-time biofeedback targeting anterior ground reaction forces (AGRF). The purpose of this study was to, for the first time, investigate short-term effects of real-time AGRF gait biofeedback training on post-stroke gait. Methods Nine individuals with post-stroke hemiparesis (6 females, age = 54 ± 12...
February 19, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29456365/dyspraxic-gait-due-to-right-posterior-cerebral-artery-stroke
#4
Halil Onder
No abstract text is available yet for this article.
January 2018: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29456346/the-effects-of-posterior-talar-glide-and-dorsiflexion-of-the-ankle-plus-mobilization-with-movement-on-balance-and-gait-function-in-patient-with-chronic-stroke-a-randomized-controlled-trial
#5
Sang-Lim Kim, Byoung-Hee Lee
Background: This study was to evaluate the effects of weight-bearing-based mobilization with movement (WBBMWM) on balance and gait in stroke patients. Methods: Thirty stroke patients participated in this study. All individuals were randomly assigned to either WBMWM group ( n = 15) or weight-bearing with placebo mobilization with movement group (control, n = 15). Individuals in the WBMWM group were trained for 10 glides of 5 sets a day, 5 times a week during 4 weeks...
January 2018: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29456337/evaluation-of-predictive-factors-influencing-community-reintegration-in-adult-patients-with-stroke
#6
Olajide Ayinla Olawale, Jibrin Sammani Usman, Kayode Israel Oke, Oladunni Caroline Osundiya
Objectives: Patients with stroke are faced with gait, balance, and fall difficulties which could impact on their community reintegration. In Nigeria, community reintegration after stroke has been understudied. The objective of this study was to evaluate the predictors of community reintegration in adult patients with stroke. Materials and Methods: Participants were 91 adult patients with stroke. Gait variables, balance self-efficacy, community balance/mobility, and fall self-efficacy were assessed using Rivermead Mobility Index, Activities-specific Balance Confidence Scale, Community Balance and Mobility Scale, and Falls Efficacy Scale-International respectively...
January 2018: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29448162/cognitive-motor-dual-task-interference-modulates-mediolateral-dynamic-stability-during-gait-in-post-stroke-individuals
#7
R Tisserand, S Armand, G Allali, A Schnider, S Baillieul
Gait asymmetry and dynamic balance impairments observed in post-stroke individuals increase their risk of fall. Moreover, walking while performing a cognitive task (i.e. dual-task) disturbs the control of balance in post-stroke individuals. Here we investigated the mediolateral dynamic stability in twenty-two community-dwelling participants (12 post-strokes and 10 healthy controls) while walking in single-task (normal gait) and four different dual-tasks (cognitive-motor interference). Positions of the extrapolated center of mass and mediolateral widths of both margin of stability and base of support were extracted from 35 marker trajectories...
February 12, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29446695/weight-shift-ability-significantly-correlates-with-walking-velocity-in-post-acute-stroke-patients
#8
Arinori Kamono, Naomichi Ogihara
The ability to shift weight toward the paretic leg has been considered an essential ability to restore independent walking for post-acute stroke patients. However, few data are available regarding the relationship between the weight-shift ability and gait performance. No clear mechanism has been provided as to why and how the weight-shift ability improves walking performance in stroke patients. We therefore investigated changes in the weight-shift ability and kinematic and kinetic parameters of walking gait in post-stroke patients during rehabilitation...
February 1, 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/29440881/immediate-synergistic-effect-of-a-trunk-orthosis-with-joints-providing-resistive-force-and-an-ankle-foot-orthosis-on-hemiplegic-gait
#9
Junji Katsuhira, Sumiko Yamamoto, Nodoka Machida, Yuji Ohmura, Masako Fuchi, Mizuho Ohta, Setsuro Ibayashi, Arito Yozu, Ko Matsudaira
Purpose: The synergistic effects of a trunk orthosis and an ankle-foot orthosis (AFO) in stroke patients with a hemiplegic gait are unclear. We previously developed a trunk orthosis with joints providing resistive force (TORF) to modify malalignment of the trunk and pelvis and confirmed its positive effects in stroke patients during level walking without an AFO. The aim of the present study was to determine if this trunk orthosis and an AFO have synergistic effects during level walking in community-dwelling patients with chronic stroke...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29438731/neuroprotective-effect-of-the-group-iii-mglu-receptor-agonist-acpt-i-after-ischemic-stroke-in-rats-with-essential-hypertension
#10
Helena Domin, Łukasz Przykaza, Ewa Kozniewska, Paweł M Boguszewski, Maria Śmiałowska
Our previous studies have shown that ACPT-I [(1S, 3R,4S)-1-aminocyclopentane-1,2,4-tricarboxylic acid], a blood-brain barrier permeable agonist of group III metabotropic glutamate (mGlu) receptors, was neuroprotective against middle cerebral artery occlusion/reperfusion (MCAO/R) in normotensive rats. Preclinical studies are typically performed on healthy animals, whereas stroke patients predominately exhibit comorbidities, such as hypertension; therefore, in the present study, we investigated the effect of ACPT-I in spontaneously hypertensive rats (SHR) after MCAO/R...
February 10, 2018: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/29438112/executive-functioning-and-daily-living-of-individuals-with-chronic-stroke-measurement-and-implications
#11
Lena Lipskaya-Velikovsky, Gabi Zeilig, Harold Weingarden, Clara Rozental-Iluz, Debbie Rand
Deficits in executive functioning (EF) are often still present at the chronic stage after stroke, which may negatively impact independent living. The objectives of this study were (a) to characterize the EF and independence in daily living of community-dwelling individuals with chronic stroke by using pen-and-paper and performance-based EF assessments, (b) to explore correlations between scores detected by different EF assessments and (c) to assess the correlations between EF and independence in basic activities of daily living (BADL) and instrumental activities of daily living (IADL)...
February 12, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29427575/rhythm-perception-and-production-abilities-and-their-relationship-to-gait-after-stroke
#12
Kara K Patterson, Jennifer S Wong, Svetlana Knorr, Jessica A Grahn
OBJECTIVES: To assess rhythm abilities, describe their relationship to clinical presentation, and to determine if rhythm production independently contributes to temporal gait asymmetry post-stroke. DESIGN: Cross-sectional. SETTING: Large urban rehabilitation hospital and university. PARTICIPANTS: Individuals with subacute and chronic stroke (n=39) and data for healthy adults extracted from a pre-existing database (n=21)...
February 7, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29420580/how-many-strides-are-required-for-a-reliable-estimation-of-temporal-gait-parameters-implementation-of-a-new-algorithm-on-the-phase-coordination-index
#13
Lotem Kribus-Shmiel, Gabi Zeilig, Boris Sokolovski, Meir Plotnik
BACKGROUND: The Phase coordination index (PCI), a temporal gait measure that quantifies consistency and accuracy in generating the anti-phased left-right stepping pattern, assesses bilateral coordination of gait in various cohorts (e.g., Parkinson's disease, post stroke). As PCI is based on mean values calculated across a series of gait cycles, individuals are required to perform lengthy walking trials, prolonging gait assessments which cause discomfort to some of them. This study introduces an algorithm to identify the required number of strides to obtain a reliable, characteristic PCI value...
2018: PloS One
https://www.readbyqxmd.com/read/29417699/effectiveness-of-faradic-and-russian-currents-on-plantar-flexor-muscle-spasticity-ankle-motor-recovery-and-functional-gait-in-stroke-patients
#14
G Shankar Ganesh, Ranjita Kumari, Monalisa Pattnaik, Patitapaban Mohanty, Chittaranjan Mishra, Parminder Kaur, Anandhi Dakshinamoorthy
BACKGROUND AND PURPOSE: Spasticity is a major disabling symptom in patients post stroke. Though studies have demonstrated that electrical stimulation (ES) can reduce spasticity and improve passive ankle range of motion (ROM), not many studies have evaluated the effectiveness of ES on active ankle ROM. The purpose of this study was to determine the effectiveness of Faradic and Russian currents in the reduction of ankle plantar-flexor spasticity and improving motor recovery in patients post stroke...
February 8, 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/29413790/effectiveness-of-prowling-with-proprioceptive-training-on-knee-hyperextension-among-stroke-subjects-using-videographic-observation-a-randomised-controlled-trial
#15
Khushboo K Dalal, Abraham M Joshua, Akshatha Nayak, Prasanna Mithra, Zulkifli Misri, Bhaskaran Unnikrishnan
INTRODUCTION: Knee hyperextension is seen in 40-68% of ambulating hemiparetics. If left untreated it may lead to laxity of posterior structures of knee resulting in early degeneration of knee leading to pain, reduced independence in activities of daily living (ADL), deformities and instability. In this study we hypothesize walking with bent knee attitude (prowling) along with proprioceptive training may help to reduce knee hyperextension during the stance phase of gait cycle. OBJECTIVE: To test the efficacy of prowling along with proprioceptive training on knee hyperextension range, dorsiflexion range and spatio temporal parameters of gait using Wisconsin gait scale (WGS) as compared to routine physiotherapy...
January 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29410560/the-relationship-between-anterior-pelvic-tilt-and-gait-balance-in-patient-with-chronic-stroke
#16
Myoung-Kwon Kim, Seong-Gil Kim, Young-Jun Shin, Eun-Hong Choi, Yu-Won Choe
[Purpose] The aim of this study is to find out the association between anterior pelvic tilt and gait and balance in chronic stroke. [Subjects and Methods] Fourteen chronic stroke patients were included in this study. A palpation meter was employed to measure the anterior inclination of the pelvis. A GAITRite system automates measuring temporal and spatial gait parameters. A 10-Meter Walk test was used to measure gait speed. The Timed Up and Go test was used to measure the dynamic balance ability and gait ability of the participants...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29400674/reproducibility-of-gait-kinematics-and-kinetics-in-chronic-stroke-patients
#17
Styliani Fotiadou, Nikolaos Aggeloussis, Vassilios Gourgoulis, Paraskevi Malliou, Nikolaos Papanas, Erasmia Giannakou, Ioannis Iliopoulos, Konstantinos Vadikolias, Aikaterini Terzoudi, Haritomeni Piperidou
BACKGROUND: The search for reliable techniques to assess gait in stroke patients is crucial for the design and follow-up of rehabilitation programs. OBJECTIVE: To assess the reproducibility of kinematic and kinetic gait parameters in chronic stroke patients using a three-dimensional gait analysis system. METHODS: Ten chronic stroke patients were assessed while walking along a 20 m walkway at their natural speed, using a gait analysis system of six infrared cameras and two force plates...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29400592/movement-goals-encoded-within-the-cortex-and-muscle-synergies-to-reduce-redundancy-pre-and-post-stroke-the-relevance-for-gait-rehabilitation-and-the-prescription-of-walking-aids-a-literature-review-and-scholarly-discussion
#18
Clare C Maguire, Judith M Sieben, Robert A De Bie
Current knowledge of neural and neuromuscular processes controlling gait and movement as well as an understanding of how these mechanisms change following stroke is an important basis for the development of effective rehabilitation interventions. To support the translation of findings from basic research into useful treatments in clinical practice, up-to-date neuroscience should be presented in forms accessible to all members of the multidisciplinary team. In this review we discuss aspects of cortical control of gait and movement, muscle synergies as a way of translating cortical commands into specific muscle activity and as an efficient means of reducing neural and musculoskeletal redundancy...
February 5, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29398757/atypical-kawasaki-disease-presenting-with-hemiparesis-and-aphasia-a-case-report
#19
Ali Nikkhah
Kawasaki disease (KD) is an inflammatory vasculitis. KD is classified into two groups based on clinical characteristics criteria, namely classic and incomplete. Cerebral vascular abnormality, especially arterial ischemic stroke (AIS) is very rare and unusual in KD. Here, we report a 4-year-old boy who was referred to our tertiary pediatric center with abrupt right hemiparesis and aphasia. At admission time, he had febrile illness and was toxic. On physical examination, we found unilateral left submandibular lymphadenopathy...
January 2018: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29390312/gait-recovery-by-activation-of-the-unaffected-corticoreticulospinal-tract-in-a-stroke-patient-a-case-report
#20
Sung Ho Jang, Han Do Lee
RATIONALE: A 50-year-old man presented with complete paralysis at the onset of a putaminal hemorrhage. PATIENT CONCERNS: The patient presented with complete paralysis of the left upper and lower extremities (Medical Research Council:0/5). DIAGNOSES: Spontaneous intra crebral hemorrhage on putamen. INTERVENTION: He underwent comprehensive rehabilitative therapy from 3 weeks after onset. At 3weeks after onset, he presented with severe weakness of the left extremities...
December 2017: Medicine (Baltimore)
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