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https://www.readbyqxmd.com/read/29240562/occurrence-of-impaired-physical-performance-in-memory-clinic-patients-with-cerebral-small-vessel-disease
#1
Jurre H Verwer, Geert-Jan Biessels, Rutger Heinen, Lieza G Exalto, Marielle H Emmelot-Vonk, Huiberdina L Koek
Cerebral small vessel disease (CSVD) occurs often in memory clinic patients. Apart from cognitive deficits, these patients can express physical decline, which predicts adverse health outcomes. In this study, we investigated the cooccurrence of clinically relevant impairments in physical performance and CSVD in memory clinic patients. We included 131 patients with vascular brain injury, mild cognitive impairment or Alzheimer disease with available 3T MRI and physical performance scores. CSVD was visually rated according to 3 subtypes and as a total burden score, composed of the presence of white matter hyperintensities (WMH), lacunar infarcts (LI), and cerebral microbleeds (MB)...
December 13, 2017: Alzheimer Disease and Associated Disorders
https://www.readbyqxmd.com/read/29238636/functional-outcome-of-neurologic-controlled-hal-exoskeletal-neurorehabilitation-in-chronic-spinal-cord-injury-a-pilot-with-one-year-treatment-and-variable-treatment-frequency
#2
Oliver Jansen, Thomas A Schildhauer, Renate C Meindl, Martin Tegenthoff, Peter Schwenkreis, Matthias Sczesny-Kaiser, Dennis Grasmücke, Christian Fisahn, Mirko Aach
Study Design: Longitudinal prospective study. Objectives: Whether 1-year HAL-BWSTT of chronic spinal cord injured patients can improve independent ambulated mobility further as a function of training frequency, after an initial 3-month training period. Methods: Eight patients with chronic SCI were enrolled. They initially received full standard physical therapy and neurorehabilitation in the acute/subacute posttrauma phase. During this trial, all patients first underwent a daily (5 per week) HAL-BWSTT for 12 weeks...
December 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29238181/the-link-between-weight-shift-asymmetry-and-gait-disturbances-in-chronic-hemiparetic-stroke-patients
#3
Andrzej Szopa, Małgorzata Domagalska-Szopa, Anetta Lasek-Bal, Amadeusz Żak
Introduction: While the asymmetry of body posture and the asymmetrical nature of hemiparetic gait in poststroke (PS) patients are well documented, the role of weight shift asymmetry in gait disorders after stroke remains unclear. Objective: We examined the association of weight-bearing asymmetry (WBA) between paretic and nonparetic lower limbs during quiet standing with the degree of deviation of hemiplegic gait from normal gait evaluated by the Gillette Gait Index (GGI) incorporating 16 distinct clinically important kinematic and temporal parameters in chronic PS patients...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29236984/longitudinal-association-between-brain-amyloid-beta-and-gait-in-the-mayo-clinic-study-of-aging
#4
Alexandra M V Wennberg, Timothy G Lesnick, Christopher G Schwarz, Rodolfo Savica, Clinton E Hagen, Rosebud O Roberts, David S Knopman, John H Hollman, Prashanthi Vemuri, Clifford R Jack, Ronald C Petersen, Michelle M Mielke
Background: The longitudinal association between cerebral amyloid-beta (Aβ) and change in gait, and whether this association is mediated by cortical thickness, has yet to be determined. Methods: We included 439 clinically normal (CN) participants, aged 50-69 years and enrolled in the Mayo Clinic Study of Aging with cerebral Aβ, cortical thickness, and gait measurements. Cerebral Aβ deposition was assessed by Pittsburgh Compound B (PiB)-PET in multiple regions of interest (ROIs) (i...
December 9, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29236886/educational-status-influences-cognitive-motor-learning-in-older-adults-going-to-university-provides-greater-protection-against-aging-than-going-to-high-school
#5
Mariana Callil Voos, Maria Elisa Pimentel Piemonte, Letícia Lessa Mansur, Fátima Aparecida Caromano, Sonia Maria Dozzi Brucki, Luiz Eduardo Ribeiro do Valle
OBJECTIVE: To investigate if middle-aged and older adults with a higher education would differ from those with an average education in cognitive-motor tasks involving lower limb function. METHODS: A walking version of the Trail Making Test (Walking Executive Function Task, [WEFT]) was used. Eighty volunteers (40: 50-65 years; 40: 66-80 years) were subdivided into average (6-11years of education) and higher education (12-17 years). They received two training sessions (session 1: eight repetitions, session 2: four repetitions), with a one week-interval between them...
December 2017: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/29232981/transcutaneous-electrical-nerve-stimulation-improves-walking-capacity-and-reduces-spasticity-in-stroke-survivors-a-systematic-review-and-meta-analysis
#6
Patrick Wh Kwong, Gabriel Yf Ng, Raymond Ck Chung, Shamay Sm Ng
OBJECTIVE: To evaluate (1) the effectiveness of transcutaneous electrical nerve stimulation (TENS) at improving lower extremity motor recovery in stroke survivors and (2) the optimal stimulation parameters for TENS. REVIEW METHODS: A systematic search was conducted for studies published up to October 2017 using eight electronic databases (CINAHL, ClinicalTrials.gov, the Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE, PEDro, PubMed and Web of Science)...
December 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29232671/predicting-trajectories-of-functional-decline-in-60-to-70-year-old-people
#7
Nini H Jonkman, Vieri Del Panta, Trynke Hoekstra, Marco Colpo, Natasja M van Schoor, Stefania Bandinelli, Luca Cattelani, Jorunn L Helbostad, Beatrix Vereijken, Mirjam Pijnappels, Andrea B Maier
BACKGROUND: Early identification of people at risk of functional decline is essential for delivering targeted preventive interventions. OBJECTIVE: The aim of this study is to identify and predict trajectories of functional decline over 9 years in males and females aged 60-70 years. METHODS: We included 403 community-dwelling participants from the InCHIANTI study and 395 from the LASA study aged 60-70 years at baseline, of whom the majority reported no functional decline at baseline (median 0, interquartile range 0-1)...
December 13, 2017: Gerontology
https://www.readbyqxmd.com/read/29232308/a-backward-walking-training-program-to-improve-balance-and-mobility-in-acute-stroke-a-pilot-randomized-controlled-trial
#8
Dorian K Rose, Lou DeMark, Emily J Fox, David J Clark, Peter Wludyka
BACKGROUND AND PURPOSE: Strategies to address gait and balance deficits early poststroke are minimal. The postural and motor control requirements of Backward Walking Training (BWT) may provide benefits to improve balance and walking speed in this population. This pilot study (1) determined the feasibility of administering BWT during inpatient rehabilitation and (2) compared the effectiveness of BWT to Standing Balance Training (SBT) on walking speed, balance, and balance-related efficacy in acute stroke...
January 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29230667/impact-of-musculoskeletal-pain-on-balance-and-concerns-of-falling-in-mobility-limited-community-dwelling-danes-over-75%C3%A2-years-of-age-a-cross-sectional-study
#9
Julie C Kendall, Lars G Hvid, Jan Hartvigsen, Azharuddin Fazalbhoy, Michael F Azari, Mathias Skjødt, Stephen R Robinson, Paolo Caserotti
BACKGROUND: In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain. OBJECTIVE: This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain...
December 11, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29228514/gait-speed-predicts-post-operative-medical-complications-in-elderly-gastric-cancer-patients-undergoing-gastrectomy
#10
Arvine Chandoo, Chu-Huai Chi, Weiping Ji, Yingpeng Huang, Xiao-Dong Chen, Wei-Teng Zhang, Rui-Sen Wu, Xian Shen
BACKGROUND: Gait speed is a clinical outcome that can measure the physical performance of elderly gastric patients. The purpose of this study was to determine the importance of gait speed in predicting post-operative morbidities in elderly patients undergoing curative gastrectomy. METHODS: We conducted a prospective study of 357 elderly patients (≥65 years old) undergoing curative gastrectomy. Preoperative gait speed was measured in a 6-m well-lit and unobstructed hallway...
December 11, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29227525/functional-electrical-stimulation-and-ankle-foot-orthoses-provide-equivalent-therapeutic-effects-on-foot-drop-a-meta-analysis-providing-direction-for-future-research
#11
Sarah Prenton, Kristen L Hollands, Laurence P J Kenney, Pornsuree Onmanee
OBJECTIVE: To compare the randomized controlled trial evidence for therapeutic effects on walking of functional electrical stimulation and ankle foot orthoses for foot drop caused by central nervous system conditions. DATA SOURCES: MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, REHABDATA, PEDro, NIHR Centre for Reviews and Dissemination, Scopus and clinicaltrials.gov. STUDY SELECTION: One reviewer screened titles/abstracts...
November 17, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29225659/speed-dependent-phase-shifts-and-gait-changes-in-cockroaches-running-on-substrates-of-different-slipperiness
#12
Tom Weihmann, Pierre-Guillaume Brun, Emily Pycroft
Background: Many legged animals change gaits when increasing speed. In insects, only one gait change has been documented so far, from slow walking to fast running, which is characterised by an alternating tripod. Studies on some fast-running insects suggested a further gait change at higher running speeds. Apart from speed, insect gaits and leg co-ordination have been shown to be influenced by substrate properties, but the detailed effects of speed and substrate on gait changes are still unclear...
2017: Frontiers in Zoology
https://www.readbyqxmd.com/read/29223180/the-relationship-between-gait-dynamics-and-future-cognitive-decline-a-prospective-pilot-study-in-geriatric-patients
#13
Lisette H J Kikkert, Nicolas Vuillerme, Jos P van Campen, Bregje A Appels, Tibor Hortobágyi, Claudine J C Lamoth
BACKGROUND: Walking ability recently emerged as a sub-clinical marker of cognitive decline. Hence, the relationship between baseline gait and future cognitive decline was examined in geriatric patients. Because a "loss of complexity" (LOC) is a key phenomenon of the aging process that exhibits in multiple systems, we propose the idea that age- and cognition-related LOC may also become manifested in gait function. The LOC theory suggests that even healthy aging is associated with a (neuro)physiological breakdown of system elements that causes a decline in variability and an overall LOC...
December 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29222008/gait-speed-validity-of-measurement-in-patients-with-severe-chronic-lung-disease-including-prognostic-and-practical-implications
#14
Thomas E Dolmage, Rachael A Evans, Roger S Goldstein
Gait speed is used increasingly to predict function and future well-being among healthy elderly as well as for those with long term medical conditions. When selecting outcome measures such as walk speed, it is important to include the circumstances under which the measurement is made in order to avoid bias and ensure accurate recommendations. We completed a retrospective chart review of walk test results from patients with chronic lung disease to demonstrate the practical implications of reporting gait speed from either a standing or walking start...
December 5, 2017: Chest
https://www.readbyqxmd.com/read/29221945/the-relationship-of-physical-performance-and-osteoporosis-prevention-with-vitamin-d-in-older-african-americans-poda
#15
Ruban Dhaliwal, Mageda Mikhail, Gianina Usera, Alexandra Stolberg, Shahidul Islam, Louis Ragolia, John F Aloia
RATIONALE: Vitamin D deficiency is associated with bone loss, poor muscle strength, falls and fracture. This information in older African Americans (AAs) is sparse. OBJECTIVE: The study of the relationship of Physical performance, Osteoporosis prevention with vitamin D in older African Americans (PODA) is a randomized, double-blind, placebo-controlled 3-year trial examining the effect of vitamin D on bone loss and physical performance in older AA women. METHODS: 260 healthy AA women aged >60years were assigned to receive placebo or vitamin D3...
December 5, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29221941/are-human-development-index-dimensions-associated-with-gait-performance-in-older-adults-a-systematic-review
#16
REVIEW
Renato Campos Freire, Frederico Pieruccini-Faria, Manuel Montero-Odasso
BACKGROUND: Because gait performance is a marker of organic integrity, and the Human Development Index (HDI) of a region impacts the organism globally, this paper aims to investigate possible associations between both HDI and HDI dimensions at individual level (i.e. education, income, or life expectancy) with gait performance in older adults. METHODS: Searches were conducted on EMBASE and PubMed databases. Eligible studies included community-dwelling population aged ≥60years, analysis of at least one quantitative gait variable, observational studies, Human Development Index or its dimensions (i...
December 5, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/29220753/a-systematic-review-of-the-gait-characteristics-associated-with-cerebellar-ataxia
#17
REVIEW
Ellen Buckley, Claudia Mazzà, Alisdair McNeill
BACKGROUND: Cerebellar Ataxias are a group of gait disorders resulting from dysfunction of the cerebellum, commonly characterised by slowly progressing incoordination that manifests as problems with balance and walking leading to considerable disability. There is increasing acceptance of gait analysis techniques to quantify subtle gait characteristics that are unmeasurable by current clinical methods This systematic review aims to identify the gait characteristics able to differentiate between Cerebellar Ataxia and healthy controls...
December 1, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29220541/yoga-for-stroke-rehabilitation
#18
REVIEW
Maggie Lawrence, Francisco T Celestino Junior, Hemilianna Hs Matozinho, Lindsay Govan, Jo Booth, Jane Beecher
BACKGROUND: Stroke is a major health issue and cause of long-term disability and has a major emotional and socioeconomic impact. There is a need to explore options for long-term sustainable interventions that support stroke survivors to engage in meaningful activities to address life challenges after stroke. Rehabilitation focuses on recovery of function and cognition to the maximum level achievable, and may include a wide range of complementary strategies including yoga.Yoga is a mind-body practice that originated in India, and which has become increasingly widespread in the Western world...
December 8, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29218309/kinematic-changes-during-prolonged-fast-walking-in-old-and-young-adults
#19
Camila Fonseca Oliveira, Edgar Ramos Vieira, Filipa Manuel Machado Sousa, João Paulo Vilas-Boas
Walking biomechanics is known to be influenced by speed. However, most of the research examining the effects of walking speed and gait characteristics has been conducted after a fast-walking task, neglecting the changes that may occur during the task. The aim of the present study was to determine the impact of fast-walking over time on kinematics in young and old adults. Twenty-seven young adults (26.6 ± 6.0 years) and 23 old adults (71.0 ± 5.6 years) walked at 70% of their maximum heart rate for 20 min or until exhaustion, and the effects of fast-walking on temporospatial parameters and on angular kinematics were analyzed during the activity...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/29216541/texting-while-walking-differently-alters-gait-patterns-in-people-with-multiple-sclerosis-and-healthy-individuals
#20
Massimiliano Pau, Federica Corona, Giuseppina Pilloni, Micaela Porta, Giancarlo Coghe, Eleonora Cocco
BACKGROUND: In recent times, increasing safety concerns have been associated with the use of mobile phones by pedestrians. In particular, texting has been shown to significantly alter gait patterns. However, no specific investigations have been performed on people with Multiple Sclerosis (pwMS), who are already characterized by gait dysfunctions caused by the disease. OBJECTIVE: To assess the existence of possible alterations in spatio-temporal parameters of gait in pwMS when simultaneously texting on a smartphone and walking...
December 2, 2017: Multiple Sclerosis and related Disorders
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