Speed of Voluntary Stepping in Chronic Stroke Survivors Under Single- and Dual-Task Conditions: A Case-Control Study

Abstract This study was designed to investigate the effects of anxiety and dual-task on reach and grasp motor control in chronic stroke survivors compared with age- and sex-matched healthy subjects (HC). Reach and grasp kinematic data of 68 participants (high-anxiety stroke (HA-stroke), n = 17; low-anxiety stroke (LA-stroke), n = 17; low-anxiety HC, n = 17; and high-anxiety HC, n = 17) were recorded under single- and dual-task conditions. Inefficient reach and grasp of stroke participants, especially HA-stroke were found compared with the control groups under single- and dual-task conditions as evidenced by longer movement time (MT), lower and earlier peak velocity (PV) as well as delayed and smaller hand opening. The effects of dual-task on reach and grasp kinematic measures were similar between HCs and stroke participants (i.e., increased MT, decreased PV that occurred earlier, and delayed and decreased hand opening), with greater effect in stroke groups than HCs, and in HA-stroke group than LA-stroke group. The results indicate that performing a well-learned upper limb movement with concurrent cognitive task leads to decreased efficiency of motor control in chronic stroke survivors compared with HCs. HA-stroke participants were more adversely affected by challenging dual-task conditions, underlying importance of assessing anxiety and designing effective interventions for it in chronic stroke survivors.

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Rehabilitative ultrasound imaging of the bilateral intrinsic plantar muscles and fascia in post-stroke survivors with hemiparesis: A case-control study.

International Journal of Medical Sciences ◽

10.7150/ijms.25836 ◽

2018 ◽

Vol 15 (9) ◽

pp. 907-914 ◽

Cited By ~ 6

Author(s):

Cesar Calvo-Lobo ◽

Ana Isabel Useros-Olmo ◽

Jaime Almazán-Polo ◽

Ricardo Becerro-de-Bengoa-Vallejo ◽

Marta Elena Losa-Iglesias ◽

...

Keyword(s):

Ultrasound Imaging ◽

Case Control Study ◽

Case Control ◽

Stroke Survivors ◽

Post Stroke ◽

Control Study

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Mood after stroke: a case control study of biochemical, neuro-imaging and socio-economic risk factors for major depression in stroke survivors

BMC Neurology ◽

10.1186/1471-2377-10-125 ◽

2010 ◽

Vol 10 (1) ◽

Cited By ~ 28

Author(s):

Kausik Chatterjee ◽

Susan Fall ◽

David Barer

Keyword(s):

Risk Factors ◽

Major Depression ◽

Case Control Study ◽

Case Control ◽

Stroke Survivors ◽

Economic Risk ◽

Neuro Imaging ◽

Control Study

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Post-stroke Depression Increases Disability More Than 15% in Ischemic Stroke Survivors: A Case-Control Study

Frontiers in Neurology ◽

10.3389/fneur.2019.00926 ◽

2019 ◽

Vol 10 ◽

Cited By ~ 10

Author(s):

Stefano Paolucci ◽

Marco Iosa ◽

Paola Coiro ◽

Vincenzo Venturiero ◽

Anna Savo ◽

...

Keyword(s):

Ischemic Stroke ◽

Case Control Study ◽

Case Control ◽

Stroke Survivors ◽

Post Stroke ◽

Post Stroke Depression ◽

Control Study

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Voluntary stepping behavior under single- and dual-task conditions in chronic stroke survivors: A comparison between the involved and uninvolved legs

Journal of Electromyography and Kinesiology ◽

10.1016/j.jelekin.2010.07.001 ◽

2010 ◽

Vol 20 (6) ◽

pp. 1082-1087 ◽

Cited By ~ 17

Author(s):

Itshak Melzer ◽

Melissa Goldring ◽

Yehudit Melzer ◽

Elad Green ◽

Irit Tzedek

Keyword(s):

Dual Task ◽

Chronic Stroke ◽

Stroke Survivors ◽

Task Conditions

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The Impact of Diabetic Peripheral Neuropathy on Spatiotemporal Gait Parameters in Stroke Survivors: A Case-Control Study

Sains Malaysiana ◽

10.17576/jsm-2021-5001-19 ◽

2021 ◽

Vol 50 (1) ◽

pp. 191-199

Author(s):

Amirah Mustapa ◽

Maria Justine ◽

Nadia Mohd Mustafah ◽

Haidzir Manaf

Keyword(s):

Peripheral Neuropathy ◽

Diabetic Peripheral Neuropathy ◽

Case Control Study ◽

Case Control ◽

Stroke Survivors ◽

Healthy Controls ◽

Gait Performance ◽

Functional Balance ◽

Gait Parameters ◽

Control Study

The deterioration of gait performance following stroke is related to the impairment of sensorimotor function on the paretic side. Improper gait performance in post-stroke with additional diabetic peripheral neuropathy (DPN) on paretic and non-paretic legs may create destabilizing effects, including serious injuries and falls. Therefore, this study aimed to investigate the effect of DPN on spatiotemporal gait parameters in stroke survivors and determine the correlation of movement functioning and functional balance post-stroke with gait parameters. Ten stroke survivors with DPN, 10 stroke survivors without DPN and 10 healthy controls participated in this case-control study. Movement functioning and functional balance were assessed before the actual testing. Spatiotemporal gait parameters were recorded using the Nexus Vicon motion analysis system. Kruskal-Wallis test was used to analyze the gait parameters and Spearman’s rank-order correlation coefficient was used to identify the correlation between variables. Results showed that stroke survivors with DPN had longer stride time (temporal gait parameter, p = 0.001), lower cadence (p = 0.001) and greater gait variability than those without DPN and the healthy controls. The gait parameters were significantly correlated with movement functioning and functional balance in stroke survivors with DPN (p < 0.05). These findings suggested that DPN possibly affected the gait parameters in stroke survivors. DPN could also play a role in movement functioning and functional balance in stroke survivors.

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