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Trunk impairment scale

Kazuyuki Shimada
Stroke is known to frequently recur in patients with a history of cerebrovascular disease, and the control of hypertension is extremely important for the treatment of those patients. The robust relationship between the recurrent cerebrovascular disease and blood pressure control has been demonstrated in large-scale clinical studies. The antihypertensive drug therapy significantly reduces the recurrence rate of all types of cerebrovascular disease, incidences of myocardial infarction and all vascular events...
September 2016: Journal of Hypertension
Kyoung-Sim Jung, Jin-Hwa Jung, Tae-Sung In, Hwi-Young Cho
This study investigated the effects of weight-shifting exercise (WSE) combined with transcutaneous electrical nerve stimulation (TENS), applied to the erector spinae and external oblique (EO) muscles, on muscle activity and trunk control in patients with hemiparetic stroke. Sixty patients with stroke were recruited to this study and randomly distributed into three treatment groups: (1) WSE + TENS, (2) WSE + placebo TENS, and (3) control. All participants underwent 30 sessions of training (30 minutes five times per week for 6 weeks) and received 1 hour of conventional physical therapy five times per week for 6 weeks...
October 17, 2016: Occupational Therapy International
Kazuyuki Shimada
Stroke is known to frequently recur in patients with a history of cerebrovascular disease, and the control of hypertension is extremely important for the treatment of those patients. The robust relationship between the recurrent cerebrovascular disease and blood pressure control has been demonstrated in large-scale clinical studies. The antihypertensive drug therapy significantly reduces the recurrence rate of all types of cerebrovascular disease, incidences of myocardial infarction and all vascular events...
September 2016: Journal of Hypertension
Marcos Rossi-Izquierdo, Andrés Soto-Varela, Arne Ernst, Juan Pedro Rubio-Rodríguez, Sofía Santos-Pérez, Ángel Sesar, Miguel Alberte-Woodward, Mónica Guijarro-Del Amo, Elena San Román-Rodríguez, Ana Faraldo-García, Alfonso Zubizarreta-Gutiérrez, Dietmar Basta
OBJECTIVE: Impaired balance in patients with Parkinson's disease (PD) leads to loss of balance and frequent falls. Computerized dynamic posturography allows the assessment of stance tasks whereas mobile posturography analyzes the balance in free-field conditions, where falls among PD patients commonly occur (e.g. sitting down or standing up). The aim of the present study is to assess postural stability in PD patients with both techniques. STUDY DESIGN: Prospective study...
October 2016: Otology & Neurotology
Dror Mevorach, Inna Reiner, Amir Grau, Uri Ilan, Yackov Berkun, Asaf Ta-Shma, Orly Elpeleg, Zamir Shorer, Shimon Edvardson, Adi Tabib
Objectives To report the outcome of eculizumab treatment in pediatric patients with recurrent acute predominantly motor, demyelinating neuropathy with conduction block, and chronic hemolysis due to p.Cys89Tyr mutation in the CD59 gene. Methods Four patients were recruited from our new registry of patients with homozygosity for the p.Cys89Tyr mutation on CD59. Participants received repeated intravenous eculizumab. In this 24-month open-label phase IIa study we aimed to determine whether eculizumab reduces chronic hemolysis, and cumulative doses of steroids and IV immunoglobulin (IgG), and ameliorates neurological deficits, compared to pre-treatment status...
August 29, 2016: Annals of Neurology
Laura G Covill, Cynthia Utley, Cheryl Hochstein
BACKGROUND AND PURPOSE: Older adults with balance deficits often fear falling and limit their mobility. Poor balance is multifactorial, influenced by medication interactions, musculoskeletal and sensory system changes, and poor neuromuscular response to changes in body positions. Aquatic physical therapy (APT) is an intervention used to improve balance and decrease falls. Ai Chi is a water-based exercise program. It incorporates slow movements of progressive difficulty utilizing the upper and lower extremities and trunk coordinated with deep breathing...
August 3, 2016: Journal of Geriatric Physical Therapy
Gul Deniz Yilmaz Yelvar, Yasemin Çirak, Murat Dalkilinç, Yasemin Parlak Demir, Gul Baltaci, Mahmut Kömürcü, Gul Deniz Yilmaz Yelvar
BACKGROUND: Postural control allows performance of daily and sports activities. The previous studies show that postural sway inceases in orthopaedic injuries such as osteoarthritis and total knee arthroplasty. OBJECTIVE: To compare postural sway, risk of falling and function between individuals with and without patellofemoral pain syndrome (PFS). METHODS: This study included 22 subjects with patellofemoral pain syndrome, age-matched pain-free 22 females serving as a control group...
June 30, 2016: Journal of Back and Musculoskeletal Rehabilitation
Kyoung Bo Lee, Seong Hoon Lim, Young Dong Kim, Byung Il Yang, Kyung Hoon Kim, Kang Sung Lee, Eun Ja Kim, Byong Yong Hwang
[Purpose] The aim of this study was to identify the contributions of balance to gait and motor function in chronic stroke. [Subjects and Methods] Twenty-three outpatients participated in a cross-sectional assessment. Gait ability was assessed using the functional ambulation category, self-paced 10-m walking speed, and fastest 10-m walking speed. Standing balance and trunk control measures included the Berg Balance Scale and the Trunk Impairment Scale. Univariate and multivariate regression analyses were performed...
June 2016: Journal of Physical Therapy Science
SeungHeon An, YoungJu Jee, HyeonHui Shin, GyuChang Lee
PURPOSE: This study aimed to investigate the validity of the original version and short version of the Dynamic Gait Index (DGI-8 and DGI-4) in predicting falls in stroke survivors. DESIGN: This is a retrospective, cross-sectional study. METHOD: This study collected data for 57 chronic stroke survivors, and evaluated the validity of the DGI-8 and DGI-4. To test functional ability, the Sit-to-Stand Test, gait subscale of the Performance-Oriented Mobility Assessment, the 10-meter Walk Test, the Fugl-Meyer assessment, and the Trunk Impairment Scale were used...
June 9, 2016: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
H E Konak, S Kibar, E S Ergin
: Osteoporosis is a serious disease characterized by muscle weakness in the lower extremities, shortened length of trunk, and increased dorsal kyphosis leading to poor balance performance. Although balance impairment increases in adults with osteoporosis, falls and fall-related injuries have been shown to occur mainly during the dual-task performance. Several studies have shown that dual-task performance was improved with specific repetitive dual-task exercises. INTRODUCTION: The aims of this study were to compare the effect of single- and dual-task balance exercise programs on static balance, dynamic balance, and activity-specific balance confidence in adults with osteoporosis and to assess the effectiveness of dual-task balance training on gait speed under dual-task conditions...
May 27, 2016: Osteoporosis International
Jiska C E Kempen, Caroline A M Doorenbosch, Dirk L Knol, Vincent de Groot, Heleen Beckerman
BACKGROUND: Limited walking ability is an important problem for patients with multiple sclerosis. A better understanding of how gait impairments lead to limited walking ability may help to develop more targeted interventions. Although gait classifications are available in cerebral palsy and stroke, relevant knowledge in MS is scarce. OBJECTIVE: Identifying distinctive gait patterns in patients with MS, based on a combined evaluation of kinematics, gait features and muscle activity during walking, and determining the clinical relevance of these gait patterns...
May 12, 2016: Physical Therapy
Ettore Carlisi, Lucia Feltroni, Carmine Tinelli, Mariarosaria Verlotta, Paolo Gaetani, Elena Dalla Toffola
BACKGROUND: Chronic subdural hematoma (CSDH) can have a negative impact on autonomy of the elderly. Ambulatory and functional status may remain limited despite successful surgical evacuation. AIM: To evaluate the outcome of a postoperative assisted rehabilitation program. DESIGN: Single-institution short-term observational study. SETTING: Inpatient (Neurosurgery Unit of a University Hospital). POPULATION: Thirty-five patients, aged 65 or older, who underwent burr-hole drainage for chronic subdural hematoma...
May 4, 2016: European Journal of Physical and Rehabilitation Medicine
Kyoung-Sim Jung, Hwi-Young Cho, Tae-Sung In
[Purpose] This study examined the effects of trunk exercises performed on an unstable surface on trunk muscle activation, postural control, and gait speed in stroke patients. [Subjects] Twenty-four participants with stroke were recruited in this study and randomly distributed into experimental (n = 12) and control groups (n = 12). [Methods] Subjects in the experimental group participated in trunk exercises on the balance pad for 30 min, five times a week for 4 weeks; those in the control group performed trunk exercises on a stable surface for 30 min, five times a week for 4 weeks...
March 2016: Journal of Physical Therapy Science
Pil Neo Hwangbo, Kyoung Don Kim
[Purpose] The aim of this study was to investigate the effects of proprioceptive neuromuscular facilitation neck pattern exercise on the ability to control the trunk and balance in chronic stroke patients. [Subjects and Methods] A total of 30 study subjects were selected and randomly divided into an experimental group of 15 subjects, who received the proprioceptive neuromuscular facilitation neck pattern exercise, and a control group of 15 subjects, who received a traditional rehabilitation treatment. [Results] Statistically significant changes in all the items of the Trunk Impairment Scale, the Trunk Impairment Scale total score, and the Berg Balance Scale were observed in both the experimental group and the control group...
March 2016: Journal of Physical Therapy Science
Kenneth E Learman, James A Benedict, Alyson R Ellis, Ashley R Neal, Jacob A Wright, Nancy C Landgraff
BACKGROUND & OBJECTIVE: Trunk reposition error (TRE) is a component of trunk control, yet has not been reported in acute stroke. The purpose of this study was to quantify TRE in acute stroke and report this with related rehabilitation outcomes. METHODS: Sixty subjects, 30 with acute stroke and 30 healthy controls, completed this study. Subjects with acute stroke were measured before and after an in-patient acute rehabilitation stay. MEASURES: TRE using an electromagnetic tracking device, Berg Balance Scale, Postural Assessment Scale for Stroke, and Functional Independence Measures...
June 2016: Topics in Stroke Rehabilitation
Sailee Jagdhane, Neeta Kanekar, Alexander S Aruin
BACKGROUND: Balance deterioration in older adults limits their activities of daily living, community participation, and is a significant risk factor for falls. One contributory element to this functional decline is impairment of anticipatory postural adjustments (APAs). OBJECTIVES: To evaluate the role and feasibility of a novel training program in improving APAs for balance control of older adults. METHOD: Six older adults (73.3±5.0 years) were randomly assigned into the Experimental (EG) and Control (CG) groups...
April 13, 2016: Current Aging Science
Dae-Hyouk Bang
BACKGROUND: The trunk compensatory strategy can impede the longer term functional recovery of the upper extremity (UE). The objective of this study is to investigate the effects of modified constraint-induced movement therapy (mCIMT) combined with auditory feedback for trunk control on UE function and activities of daily living among subacute stroke patients with moderate impairment. METHODS: Twenty participants with hemiparesis were randomly assigned to either the mCIMT combined with auditory feedback group (n = 10) or the control group (n = 10)...
July 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Rachel E Ward, Marla K Beauchamp, Nancy K Latham, Suzanne G Leveille, Sanja Percac-Lima, Laura Kurlinski, Pengsheng Ni, Richard Goldstein, Alan M Jette, Jonathan F Bean
OBJECTIVE: To identify neuromuscular impairments most predictive of unfavorable mobility outcomes in late life. DESIGN: Longitudinal cohort study. SETTING: Research clinic. PARTICIPANTS: Community-dwelling primary care patients aged ≥65 years (N=391) with self-reported mobility modifications, randomly selected from a research registry. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Categories of decline in and persistently poor mobility across baseline, 1 and 2 years of follow-up in the Lower-Extremity Function scales of the Late-Life Function and Disability Instrument...
August 2016: Archives of Physical Medicine and Rehabilitation
L Sheehy, A Taillon-Hobson, H Sveistrup, M Bilodeau, D Fergusson, D Levac, H Finestone
BACKGROUND: Sitting ability and function are commonly impaired after stroke. Balance training has been shown to be helpful, but abundant repetitions are required for optimal recovery and patients must be motivated to perform rehabilitation exercises repeatedly to maximize treatment intensity. Virtual reality training (VRT), which allows patients to interact with a virtual environment using computer software and hardware, is enjoyable and may encourage greater repetition of therapeutic exercises...
2016: BMC Neurology
Takuya Isho, Shigeru Usuda
Trunk control plays an important role in movement control and postural balance during functional activities. The purpose of this study was to investigate the association of trunk control early after stroke with mobility performance and quantitative gait characteristics derived from trunk accelerations. Fifteen patients with hemiparesis following stroke (median age, 61 years [range, 56-78 years]; median time since stroke, 9 days [range, 7-15 days]) participated in this cross-sectional observational study. Subjects were evaluated using the Trunk Impairment Scale (TIS), the short-form of the Berg Balance Scale (SF-BBS), an isometric knee extension strength test, the Timed Up and Go test (TUG), and a timed walking test...
February 2016: Gait & Posture
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