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Gait training

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https://www.readbyqxmd.com/read/29324457/successful-first-gait-of-a-child-with-hip-disarticulation-prosthesis-a-case-report
#1
Hitomi Hara, Teruya Kawamoto, Naomasa Fukase, Etsuko Katayama, Toshiyuki Takemori, Shuichi Fujiwara, Yoshitada Sakai, Kotaro Nishida, Ryosuke Kuroda, Toshihiro Akisue
An infant boy underwent hip disarticulation for infantile fibrosarcoma immediately after birth. His rehabilitation began when he was 4 months old and involved training with his left (residual) leg. He could stand with support at 12 months. His initial prosthesis fitting was performed at the age of 13 months. He could stand and walk with support at 15 months of age and could walk with no additional support and go up and down stairs at 2 years. A single-axis prosthetic knee joint was introduced at the age of 2 years 3 months...
January 11, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29323399/-usability-and-acceptability-of-portable-exoskeletons-for-gait-training-in-subjects-with-spinal-cord-injury-a-systematic-review
#2
H Mardomingo-Medialdea, P Fernandez-Gonzalez, F Molina-Rueda
INTRODUCTION: Spinal cord injury limits severely life expectancy and it causes in a restriction in the activities of the daily life of the subjects who suffer it. Training the gait with portable exoskeletons in subjects with spinal cord injury is a new approach to rehabilitation. AIM: To examine the usability and acceptability of these devices for gait training in subjects with spinal cord injury. PATIENTS AND METHODS: A literature search was conducted until February 2017 in the databases: Medline (PubMed, EBSCO), PEDro, Scopus and Web of Science...
January 16, 2018: Revista de Neurologia
https://www.readbyqxmd.com/read/29323122/effect-of-rhythmic-auditory-cueing-on-parkinsonian-gait-a-systematic-review-and-meta-analysis
#3
Shashank Ghai, Ishan Ghai, Gerd Schmitz, Alfred O Effenberg
The use of rhythmic auditory cueing to enhance gait performance in parkinsonian patients' is an emerging area of interest. Different theories and underlying neurophysiological mechanisms have been suggested for ascertaining the enhancement in motor performance. However, a consensus as to its effects based on characteristics of effective stimuli, and training dosage is still not reached. A systematic review and meta-analysis was carried out to analyze the effects of different auditory feedbacks on gait and postural performance in patients affected by Parkinson's disease...
January 11, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29318592/falls-in-cognitively-impaired-older-adults-implications-for-risk-assessment-and-prevention
#4
Manuel Montero-Odasso, Mark Speechley
OBJECTIVES: To provide an overview of the role of cognition in falls, with potential implications for managing and preventing falls in older adults. DESIGN: Review. SETTING: Observational and interventional studies addressing the role of cognition on falls. PARTICIPANTS: Community-dwelling older adults (65 years and older). MEASUREMENTS: The relationship between gait and cognition in aging and neurodegeneration was reviewed in the medical literature to highlight the role of brain motor control deficits in fall risk...
January 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29316888/the-preventive-effect-of-sensorimotor-and-vibration-exercises-on-the-onset-of-oxaliplatin-or-vinca-alkaloid-induced-peripheral-neuropathies-stop
#5
Fiona Streckmann, Maryam Balke, Helmar C Lehmann, Vanessa Rustler, Christina Koliamitra, Thomas Elter, Michael Hallek, Michael Leitzmann, Tilman Steinmetz, Petra Heinen, Freerk T Baumann, Wilhelm Bloch
BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) is a common and clinically relevant side effect of chemotherapy. Approximately 50% of all leukemia, lymphoma, colorectal- and breast cancer patients are affected. CIPN is induced by neurotoxic chemotherapeutic agents and can manifest with sensory and/or motor deficits. It is associated with significant disability and poor recovery. Common symptoms include pain, altered sensation, reduced or absent reflexes, muscle weakness, reduced balance control and insecure gait...
January 10, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29311614/closed-loop-control-of-trunk-posture-improves-locomotion-through-the-regulation-of-leg-proprioceptive-feedback-after-spinal-cord-injury
#6
Eduardo Martin Moraud, Joachim von Zitzewitz, Jenifer Miehlbradt, Sophie Wurth, Emanuele Formento, Jack DiGiovanna, Marco Capogrosso, Grégoire Courtine, Silvestro Micera
After spinal cord injury (SCI), sensory feedback circuits critically contribute to leg motor execution. Compelled by the importance to engage these circuits during gait rehabilitation, assistive robotics and training protocols have primarily focused on guiding leg movements to reinforce sensory feedback. Despite the importance of trunk postural dynamics on gait and balance, trunk assistance has comparatively received little attention. Typically, trunk movements are either constrained within bodyweight support systems, or manually adjusted by therapists...
January 8, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29304507/perturbation-exercises-during-treadmill-walking-improve-pelvic-and-trunk-motion-in-older-adults-a-randomized-control-trial
#7
Yoav Gimmon, Raziel Riemer, Ilan Kurz, Amir Shapiro, Ronen Debbi, Itshak Melzer
BACKGROUND: Most falls among older adults occur while walking. Pelvic and trunk motions are required to maintain stability during walking. We aimed to explore whether training that incorporates unexpected loss of balance during walking that evokes balance recovery reactions will improve pelvic, thorax, and trunk kinematics at different walking speeds. METHODS: Fifty-three community-dwelling older adults (age 80.1 ± 5.6 years) were randomly allocated to an intervention group (n = 27) or a control group (n = 26)...
December 27, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29301558/leucine-and-ace-inhibitors-as-therapies-for-sarcopenia-lace-trial-study-protocol-for-a-randomised-controlled-trial
#8
Margaret M Band, Deepa Sumukadas, Allan D Struthers, Alison Avenell, Peter T Donnan, Paul R Kemp, Karen T Smith, Cheryl L Hume, Adrian Hapca, Miles D Witham
BACKGROUND: Sarcopenia (the age-related loss of muscle mass and function) is a major contributor to loss of mobility, falls, loss of independence, morbidity and mortality in older people. Although resistance training is effective in preventing and reversing sarcopenia, many older people are sedentary and either cannot or do not want to exercise. This trial examines the efficacy of supplementation with the amino acid leucine and/or angiotensin converting enzyme inhibition to potentially improve muscle mass and function in people with sarcopenia...
January 4, 2018: Trials
https://www.readbyqxmd.com/read/29298705/motor-modules-during-adaptation-to-walking-in-a-powered-ankle-exoskeleton
#9
Daniel A Jacobs, Jeffrey R Koller, Katherine M Steele, Daniel P Ferris
BACKGROUND: Modules of muscle recruitment can be extracted from electromyography (EMG) during motions, such as walking, running, and swimming, to identify key features of muscle coordination. These features may provide insight into gait adaptation as a result of powered assistance. The aim of this study was to investigate the changes (module size, module timing and weighting patterns) of surface EMG data during assisted and unassisted walking in an powered, myoelectric, ankle-foot orthosis (ankle exoskeleton)...
January 3, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29298691/volition-adaptive-control-for-gait-training-using-wearable-exoskeleton-preliminary-tests-with-incomplete-spinal-cord-injury-individuals
#10
Vijaykumar Rajasekaran, Eduardo López-Larraz, Fernando Trincado-Alonso, Joan Aranda, Luis Montesano, Antonio J Del-Ama, Jose L Pons
BACKGROUND: Gait training for individuals with neurological disorders is challenging in providing the suitable assistance and more adaptive behaviour towards user needs. The user specific adaptation can be defined based on the user interaction with the orthosis and by monitoring the user intentions. In this paper, an adaptive control model, commanded by the user intention, is evaluated using a lower limb exoskeleton with incomplete spinal cord injury individuals (SCI). METHODS: A user intention based adaptive control model has been developed and evaluated with 4 incomplete SCI individuals across 3 sessions of training per individual...
January 3, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29289581/physical-exercise-improves-strength-balance-mobility-and-endurance-in-people-with-cognitive-impairment-and-dementia-a-systematic-review
#11
Freddy Mh Lam, Mei-Zhen Huang, Lin-Rong Liao, Raymond Ck Chung, Timothy Cy Kwok, Marco Yc Pang
QUESTION: Does physical exercise training improve physical function and quality of life in people with cognitive impairment and dementia? Which training protocols improve physical function and quality of life? How do cognitive impairment and other patient characteristics influence the outcomes of exercise training? DESIGN: Systematic review with meta-analysis of randomised trials. PARTICIPANTS: People with mild cognitive impairment or dementia as the primary diagnosis...
December 27, 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29284737/efficacy-and-safety-of-individualized-coaching-after-stroke-the-last-study-life-after-stroke-a-pragmatic-randomized-controlled-trial
#12
Torunn Askim, Birgitta Langhammer, Hege Ihle-Hansen, Mari Gunnes, Stian Lydersen, Bent Indredavik
BACKGROUND AND PURPOSE: The evidence for interventions to prevent functional decline in the long term after stroke is lacking. The aim of this trial was to evaluate the efficacy and safety of an 18-month follow-up program of individualized regular coaching on physical activity and exercise. METHODS: This was a multicentre, pragmatic, single-blinded, randomized controlled trial. Adults (age ≥18 years) with first-ever or recurrent stroke, community dwelling, with modified Rankin Scale <5, and no serious comorbidities were included 10 to 16 weeks poststroke...
December 28, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29284521/exercise-intervention-for-unilateral-amputees-with-low-back-pain-study-protocol-for-a-randomised-controlled-trial
#13
Joseph G Wasser, Daniel C Herman, MaryBeth Horodyski, Jason L Zaremski, Brady Tripp, Phillip Page, Kevin R Vincent, Heather K Vincent
BACKGROUND: Atraumatic lower limb amputation is a life-changing event for approximately 185,000 persons in the United States each year. A unilateral amputation is associated with rapid changes to the musculoskeletal system including leg and back muscle atrophy, strength loss, gait asymmetries, differential mechanical joint loading and leg length discrepancies. Even with high-quality medical care and prostheses, amputees still develop secondary musculoskeletal conditions such as chronic low back pain (LBP)...
December 29, 2017: Trials
https://www.readbyqxmd.com/read/29284186/repeatability-of-gait-analysis-measurements-in-thoroughbreds-in-training
#14
M F Sepulveda Caviedes, B S Forbes, T Pfau
BACKGROUND: With the view of implementing gait symmetry measurements in Thoroughbreds in training for early detection of injuries, repeatability of inertial measurement unit (IMU) gait parameters needs to be established. OBJECTIVES: To assess the variation of head and pelvis movement symmetry in Thoroughbreds in training. STUDY DESIGN: Repeated observations in horses in race training. METHODS: Daily and weekly repeat gait assessments were conducted in 14 Thoroughbreds equipped with IMUs on poll, sacrum and right (RTC) and left (LTC) tuber coxae...
December 28, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29262308/multiple-modality-exercise-and-mind-motor-training-to-improve-mobility-in-older-adults-a-randomized-controlled-trial
#15
Narlon C Boa Sorte Silva, Dawn P Gill, Michael A Gregory, John Bocti, Robert J Petrella
OBJECTIVE: To investigate the effects of multiple-modality exercise with or without additional mind-motor training on mobility outcomes in older adults with subjective cognitive complaints. METHODS: This was a 24-week randomized controlled trial with a 28-week no-contact follow-up. Community-dwelling older adults underwent a thrice -weekly, Multiple-Modality exercise and Mind-Motor (M4) training or Multiple-Modality (M2) exercise with an active control intervention (balance, range of motion and breathing exercises)...
December 17, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/29259237/adaptation-of-stability-during-perturbed-walking-in-parkinson-s-disease
#16
Dario Martelli, Lan Luo, Jiyeon Kang, Un Jung Kang, Stanley Fahn, Sunil K Agrawal
Gait and balance disorders are major problems that contribute to falls among subjects with Parkinson's disease (PD). Strengthening the compensatory responses through the use of balance perturbations may improve balance in PD. To date, it is unclear how PD affects the ability to react and adapt to perturbations delivered while walking. This study aims to investigate how PD affects the ability to walk, respond to balance perturbations, and produce acute short-term effects to improve compensatory reactions and gait stability...
December 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29249454/biomechanical-consequences-of-running-with-deep-core-muscle-weakness
#17
Margaret E Raabe, Ajit M W Chaudhari
The deep core muscles are often neglected or improperly trained in athletes. Improper function of this musculature may lead to abnormal spinal loading, muscle strain, or injury to spinal structures, all of which have been associated with increased low back pain (LBP) risk. The purpose of this study was to identify potential strategies used to compensate for weakness of the deep core musculature during running and to identify accompanying changes in compressive and shear spinal loads. Kinematically-driven simulations of overground running were created for eight healthy young adults in OpenSim at increasing levels of deep core muscle weakness...
December 6, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29248191/manipulating-post-stroke-gait-exploiting-aberrant-kinematics
#18
Megan E Reissman, Keith E Gordon, Yasin Y Dhaher
Post-stroke individuals often exhibit abnormal kinematics, including increased pelvic obliquity and hip abduction coupled with reduced knee flexion. Prior examinations suggest these behaviors are expressions of abnormal cross-planar coupling of muscle activity. However, few studies have detailed the impact of gait-retraining paradigms on three-dimensional joint kinematics. In this study, a cross-tilt walking surface was examined as a novel gait-retraining construct. We hypothesized that relative to baseline walking kinematics, exposure to cross-tilt would generate significant changes in subsequent flat-walking joint kinematics during affected limb swing...
December 6, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29247970/comprehensive-biomechanical-characterization-of-feet-in-usma-cadets-comparison-across-race-gender-arch-flexibility-and-foot-types
#19
Jinsup Song, Kersti Choe, Michael Neary, Rebecca A Zifchock, Kenneth L Cameron, Michael Trepa, Marian T Hannan, Howard Hillstrom
Lower extremity musculoskeletal injuries are common, complex, and costly problems. Literature supports associations between static foot structure and dynamic foot function, as well as between overuse injury and demographic characteristics. Previous studies failed to provide a comprehensive biomechanical foot characteristics of at-risk military personnel. In this study, foot structure, function, and arch height flexibility (AHF) were objectively measured in 1090 incoming cadets (16.3% female, mean age of 18...
December 6, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29245044/changes-in-lower-extremity-strength-may-be-related-to-the-walking-speed-improvements-in-children-with-cerebral-palsy-after-gait-training
#20
Rashelle M Hoffman, Bradley B Corr, Wayne A Stuberg, David J Arpin, Max J Kurz
BACKGROUND: Cerebral palsy (CP) has a high probability of resulting in lower extremity strength and walking deficits. Numerous studies have shown that gait training has the potential to improve the walking abilities of these children; however, the factors governing these improvements are unknown. AIMS: This study aimed to evaluate the relationship between change in lower extremity strength, walking speed and endurance of children with CP following gait training...
December 12, 2017: Research in Developmental Disabilities
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