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Gait and balance

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https://www.readbyqxmd.com/read/29044479/the-strategies-to-reduce-injuries-and-develop-confidence-in-elders-intervention-falls-risk-factor-assessment-and-management-patient-engagement-and-nurse-co-management
#1
David B Reuben, Priscilla Gazarian, Neil Alexander, Katy Araujo, Dorothy Baker, Jonathan F Bean, Chad Boult, Peter Charpentier, Pamela Duncan, Nancy Latham, Rosanne M Leipzig, Lisa M Quintiliani, Thomas Storer, Siobhan McMahon
In response to the epidemic of falls and serious falls-related injuries in older persons, in 2014, the Patient Centered Outcomes Research Institute (PCORI) and the National Institute on Aging funded a pragmatic trial, Strategies to Reduce Injuries and Develop confidence in Elders (STRIDE) to compare the effects of a multifactorial intervention with those of an enhanced usual care intervention. The STRIDE multifactorial intervention consists of five major components that registered nurses deliver in the role of falls care managers, co-managing fall risk in partnership with patients and their primary care providers (PCPs)...
October 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29040887/physical-status-and-frailty-index-in-nursing-home-residents-results-from-the-incur-study
#2
Maturin Tabue-Teguo, Jean-François Dartigues, Nadine Simo, Callixte Kuate-Tegueu, Bruno Vellas, Matteo Cesari
AIM: The Short Physical Performance Battery (SPPB) is a widely used instrument for measuring physical performance, consisting of 3 sub-tests: a hierarchical test of balance, a gait speed test, and a chair stand test. Although equally considered in the computation of the SPPB score, each of the components may present a specific and different weight in clinical practice. The aim of this study was to estimate the relationship between SPPB and its component of an age-related deficit accumulation index (the so-called Frailty Index [FI] proposed by Rockwood)...
October 12, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29040224/fes-assisted-cycling-improves-aerobic-capacity-and-locomotor-function-post-cva
#3
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-week (3x/wk; 24 sessions) progressive FES-assisted cycling intervention...
October 16, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29037625/effects-of-proprioceptive-neuromuscular-facilitation-on-balance-strength-and-mobility-of-an-older-adult-with-chronic-stroke-a-case-report
#4
Christopher S Cayco, Edward James R Gorgon, Rolando T Lazaro
This study described the effects of a proprioceptive neuromuscular facilitation (PNF) program on balance, strength, and mobility in an older adult with chronic stroke. The patient was male, aged 69 years, with right hemiplegia for 17 years, and had diminished balance, balance confidence, lower extremity (LE) strength, and gait velocity. He received 1 h of PNF-based therapy thrice a week for six weeks. Outcome measures were: Mini-BESTest, limits of stability (LOS), Activities-Specific Balance Confidence Scale (ABC), Five Time Sit-to-Stand Test (FTSST), Upright Motor Control Test (UMCT), and 10 Meter Walk Test (10 MWT)...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29034989/neurological-presentations-revealing-acquired-copper-deficiency-diagnosis-features-etiologies-and-evolution-in-seven-patients
#5
Aurélia Poujois, Nouzha Djebrani-Oussedik, Fabienne Ory-Magne, France Woimant
BACKGROUND: acquired copper deficiency (ACD) is a rare condition usually diagnosed from haematological changes. AIMS: characterize the diagnosis features and the evolution of patients with ACD revealed by neurological symptoms. METHODS: clinical, biological and MRI data were prospectively analysed at diagnosis and during follow-up under copper supplementation. RESULTS: seven patients were studied over a 5-year period...
October 16, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/29032000/everyday-multitasking-habits-university-students-seamlessly-text-and-walk-on-a-split-belt-treadmill
#6
Dorelle Clare Hinton, Yeu-Yao Cheng, Caroline Paquette
With increasing numbers of adults owning a cell phone, walking while texting has become common in daily life. Previous research has shown that walking is not entirely automated and when challenged with a secondary task, normal walking patterns are disrupted. This study investigated the effects of texting on the walking patterns of healthy young adults while walking on a split-belt treadmill. Following full adaptation to the split-belt treadmill, thirteen healthy adults (23±3years) walked on a tied-belt and split-belt treadmill, both with and without a simultaneous texting task...
October 7, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031998/dominant-foot-could-affect-the-postural-control-in-vestibular-neuritis-perceived-by-dynamic-body-balance
#7
Tomoe Yoshida, Toshitake Tanaka, Yuya Tamura, Masahiko Yamamoto, Mitsuya Suzuki
During attacks of vestibular neuritis (VN), patients typically lose postural balance, with resultant postural inclination, gait deviation toward the lesion side, and tendency to fall. In this study, we examined and analyzed static and dynamic postural control during attacks of VN to characterize differences in postural control between right and left VN. Subjects were patients diagnosed with VN at the Department of Otolaryngology, Toho University Sakura Medical Center, and underwent in-patient treatment. Twenty-five patients who had spontaneous nystagmus were assessed within 3days after the onset; all were right-foot dominant...
October 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29031338/normal-changes-in-gait-and-mobility-problems-in-the-elderly
#8
REVIEW
Maricarmen Cruz-Jimenez
There are normal physiologic changes that occur as people age. Gait and mobility are altered with aging, and these changes are a combination of alterations in the gait pattern and in the function of organs. Changes in gait are associated with functional decline, less independence, and impaired quality of life. Reduced walking speed is the most consistent age-related change, but there are other contributors to an altered gait: impaired balance and stability, lower extremity strength, and the fear of falling.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29030130/behavioural-and-objective-vestibular-assessment-in-persons-with-osteoporosis-and-osteopenia-a-preliminary-investigation
#9
Aditi Gargeshwari, Raghav Hira Jha, Niraj Kumar Singh, Prawin Kumar
INTRODUCTION: Calcium is vital for the functioning of the inner ear hair cells as well as for the neurotransmitter release that triggers the generation of a nerve impulse. A reduction in calcium level could therefore impair the peripheric vestibular functioning. However, the outcome of balance assessment has rarely been explored in cases with osteopenia and osteoporosis, the medical conditions associated with reduction in calcium levels. OBJECTIVE: The present study aimed to investigate the impact of osteopenia and osteoporosis on the outcomes of behavioural and objective vestibular assessment tests...
September 21, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29029646/paretic-versus-non-paretic-stepping-responses-following-pelvis-perturbations-in-walking-chronic-stage-stroke-survivors
#10
Juliet A M Haarman, Mark Vlutters, Richelle A C M Olde Keizer, Edwin H F van Asseldonk, Jaap H Buurke, Jasper Reenalda, Johan S Rietman, Herman van der Kooij
BACKGROUND: The effects of a stroke, such as hemiparesis, can severely hamper the ability to walk and to maintain balance during gait. Providing support to stroke survivors through a robotic exoskeleton, either to provide training or daily-life support, requires an understanding of the balance impairments that result from a stroke. Here, we investigate the differences between the paretic and non-paretic leg in making recovery steps to restore balance following a disturbance during walking...
October 13, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29028627/local-dynamic-stability-during-treadmill-walking-can-detect-children-with-developmental-coordination-disorder
#11
Merete B Speedtsberg, Sofie B Christensen, Jan Stenum, Thomas Kallemose, Jesper Bencke, Derek J Curtis, Bente R Jensen
OBJECTIVE: Developmental coordination disorder (DCD) is an innate impairment of motor coordination that affects basic locomotion and balance. This study investigated local dynamic stability of trunk accelerations during treadmill walking as an objective evaluation of gait stability and the sensitivity and specificity of this measure to discriminate children with DCD from typically developing children. METHOD: Eight children with DCD and ten age- and gender-matched typically developing children (TD) walked four minutes on a treadmill...
October 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29027544/long-term-effects-of-exercise-and-physical-therapy-in-people-with-parkinson-disease
#12
REVIEW
Margaret K Mak, Irene S Wong-Yu, Xia Shen, Chloe L Chung
Parkinson disease (PD) is a progressive, neurodegenerative movement disorder with symptoms reflecting various impairments and functional limitations, such as postural instability, gait disturbance, immobility and falls. In addition to pharmacological and surgical management of PD, exercise and physical therapy interventions are also being actively researched. This Review provides an overview of the effects of PD on physical activity - including muscle weakness, reduced aerobic capacity, gait impairment, balance disorders and falls...
October 13, 2017: Nature Reviews. Neurology
https://www.readbyqxmd.com/read/29023317/effects-of-physical-exercise-in-older-adults-with-reduced-physical-capacity-meta-analysis-of-resistance-exercise-and-multimodal-exercise
#13
Chiung-Ju Liu, Wen-Pin Chang, Islene Araujo de Carvalho, Katie E L Savage, Lori W Radford, Jotheeswaran Amuthavalli Thiyagarajan
Older adults with reduced physical capacity are at greater risk of progression to care dependency. Progressive resistance strength exercise and multimodal exercise have been studied to restore reduced physical capacity. To summarize the best evidence of the two exercise regimes, this meta-analysis study appraised randomized-controlled trials from published systematic reviews. Medline, Embase, and the Cochrane Database of Systematic Review and Cochrane Central Register of Controlled Clinical Trials were searched for relevant systematic reviews...
October 11, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29020959/configurable-wearable-sensing-and-vibrotactile-feedback-system-for-real-time-postural-balance-and-gait-training-proof-of-concept
#14
Junkai Xu, Tian Bao, Ung Hee Lee, Catherine Kinnaird, Wendy Carender, Yangjian Huang, Kathleen H Sienko, Peter B Shull
BACKGROUND: Postural balance and gait training is important for treating persons with functional impairments, however current systems are generally not portable and are unable to train different types of movements. METHODS: This paper describes a proof-of-concept design of a configurable, wearable sensing and feedback system for real-time postural balance and gait training targeted for home-based treatments and other portable usage. Sensing and vibrotactile feedback are performed via eight distributed, wireless nodes or "Dots" (size: 22...
October 11, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29019531/development-and-evaluation-of-low-cost-walker-with-trunk-support-for-senior-citizen
#15
Paloma Hohmann Poier, Francisco Godke, José Aguiomar Foggiatto, Leandra Ulbricht
OBJECTIVE: Develop and evaluate a low-cost walker with trunk support for senior citizens. METHOD: Two-stage descriptive study: development of a walker with trunk support and evaluation with fourth age senior citizens. RESULTS: Twenty-three fourth age senior citizens were selected. The evaluated criteria were the immediate influence of the walker on the static stabilometry with baropodometer and the evaluation of gait with accelerometers monitoring time and amplitude of the hip movement...
October 9, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/29018993/dopaminergic-and-non-dopaminergic-gait-components-assessed-by-instrumented-timed-up-and-go-test-in-parkinson-s-disease
#16
Valeria Dibilio, Alessandra Nicoletti, Giovanni Mostile, Simona Toscano, Antonina Luca, Loredana Raciti, Giorgia Sciacca, Rosario Vasta, Calogero Edoardo Cicero, Donatella Contrafatto, Mario Zappia
The timed up and go test (TUG) is a widely used clinical test for the evaluation of balance and mobility. An instrumented version of TUG (iTUG) has been proposed to provide quantitative information on TUG performances. Here, we hypothesized that L-dopa may differently influence gait parameters recorded by a portable inertial sensor. To test this idea, we evaluated iTUG test in patients with Parkinson's disease (PD), both in L-dopa OFF and ON state. Twenty-eight PD patients performed the iTUG. Subjects were instructed to perform the task both in practical "OFF" and "ON" state...
October 10, 2017: Journal of Neural Transmission
https://www.readbyqxmd.com/read/29017107/vitamin-d-and-parathyroid-hormone-are-associated-with-gait-instability-and-poor-balance-performance-in-mid-age-to-older-aged-women
#17
Marie-Louise Bird, Natalie El Haber, Frances Batchelor, Keith Hill, John D Wark
CONTEXT: Vitamin D status and parathyroid hormone (PTH) levels influence the risk of accidental falls in older people, but the mechanisms underlying this effect remain unclear. OBJECTIVE: Investigate the relationship between circulating PTH and 25 hydroxyvitamin D (25-OHD) levels and clinical tests of gait stability and balance as physical fall risk factors. We hypothesized that high levels of PTH and low 25-OHD levels would be significantly associated with gait stability and decreased balance performance...
September 28, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29016492/characterizing-the-functional-decline-of-older-women-with-incident-urinary-incontinence
#18
Candace Parker-Autry, Denise K Houston, Julia Rushing, Holly E Richter, Leslee Subak, Alka M Kanaya, Stephen B Kritchevsky
OBJECTIVE: To characterize change in physical performance and differential prevalence of low skeletal muscle mass and strength (sarcopenia) and lower 25-hydroxyvitamin D concentrations among older women who developed urinary incontinence (UI) symptoms. METHODS: This is a secondary analysis of the Health, Aging, and Body Composition Study. Urinary incontinence symptoms were assessed using validated questions. The Short Physical Performance Battery measured physical performance...
October 6, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28990265/physical-activity-interventions-are-delivered-consistently-across-hospitalized-older-adults-but-multimorbidity-is-associated-with-poorer-rehabilitation-outcomes-a-population-based-cohort-study
#19
Jacky Jones, Gareth D Jones, Michael Thacker, Sara Faithfull
BACKGROUND: Older adults live with multimorbidity including frailty and cognitive impairment often requiring hospitalization. While physical activity interventions (PAIs) are a normal rehabilitative treatment, their clinical effect in hospitalized older adults is uncertain. OBJECTIVE: To observe PAI dosing characteristics and determine their impact on clinical performance parameters. DESIGN: A single-site prospective observational cohort study in an older persons' unit...
October 8, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28986095/modulation-of-mitochondrial-dynamics-by-treadmill-training-to-improve-gait-and-mitochondrial-deficiency-in-a-rat-model-of-parkinson-s-disease
#20
Chieh-Sen Chuang, Jui-Chih Chang, Fu-Chou Cheng, Ko-Hung Liu, Hong-Lin Su, Chin-San Liu
PURPOSE: Parkinson's disease (PD) is a progressive degenerative central nervous system disorder that particularly impairs motor function. As PD advances, gait disorders become more pronounced and are often difficult to treat with current pharmacological therapies. Physical activity improves both mobility in and the daily living activities of patients with PD. Mitochondrial alterations and oxidative stress contribute to PD progression. Therefore, the association between mitochondria and exercise in PD and the implicated regulation of mitochondrial proteins was explored in this study...
October 3, 2017: Life Sciences
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