Walking through an aperture while penetrating from the paretic side improves safety managing the paretic side for individuals with stroke who had previous falls

2022 ◽  
Vol 81 ◽  
pp. 102906
Author(s):  
Daisuke Muroi ◽  
Yutaro Saito ◽  
Aki Koyake ◽  
Fumiya Higo ◽  
Tomomi Numaguchi ◽  
...  
Keyword(s):  
Paretic Side

Physical Activity, Physical Function, and Quadriceps Muscle Thickness in Male Patients with Sub-Acute Stroke during Hospitalization: A Pilot Study

2018 ◽  
Vol 80 (3-4) ◽  
pp. 157-162 ◽  
Author(s):  
Masafumi Nozoe ◽  
Hiroki Kubo ◽  
Asami Furuichi ◽  
Masashi Kanai ◽  
Miho Yamamoto ◽  
...  
Keyword(s):  
Physical Activity ◽  
Acute Stroke ◽  
Physical Function ◽  
Muscle Thickness ◽  
Haemorrhagic Stroke ◽  
Quadriceps Muscle ◽  
Stroke Recurrence ◽  
Daily Number ◽  
Paretic Side ◽  
Male Patients

Increasing physical activity (PA) is an important rehabilitation target for patients with sub-acute stroke during hospitalization in order to recover physical function and prevent stroke recurrence. However, the characteristics of low PA in stroke patients during hospitalization who were targets for increased intervention have not been reported. The purpose of this study was to investigate the relationship between the daily number of steps and physical function and quadriceps muscle thickness (QMT) in patients with sub-acute stroke during hospitalization for convalescence rehabilitation. Twenty-nine patients with ischemic or haemorrhagic stroke (mean age, 69 ± 11 years) hospitalized for inpatient convalescent rehabilitation were included. PA was measured using a three-dimensional accelerometer that calculates the daily number of steps taken. Physical function was measured by a short physical performance battery (SPPB; 0–12 points) and the leg motor selectivity score (6 motor stages defined by Brunnstrom), and the QMT of both legs was measured using ultrasonography. PA was significantly correlated with the SPPB score (r = 0.63, p = 0.0002), QMT on the paretic side (r = 0.41, p = 0.02), and QMT on non-paretic side (r = 0.56, p = 0.002). There were no significant effects of the leg motor selectivity score on daily PA (F = 1.37, p = 0.27). In the multiple regression analysis, only the SPPB score showed significant linear regression (β = 0.44, p = 0.02). PA in male patients with sub-acute stroke during hospitalization was related to physical function and QMT and not with the severity of paresis.

Interrelationships of Trunk and Extremity Muscle Strengths and Body Awareness following Unilateral Brain Lesions

1991 ◽  
Vol 73 (3) ◽  
pp. 1016-1018 ◽  
Author(s):  
Richard W. Bohannon
Keyword(s):  
Muscle Strength ◽  
Body Awareness ◽  
Brain Lesions ◽  
Trunk Flexion ◽  
Paretic Side ◽  
Unilateral Brain

From 11 hemiparetic adults measurements of muscle strength of lateral trunk flexion and of extremities of paretic side were intercorrelated. Their varied magnitudes and correlations with body awareness suggested strengths of trunk and extremities are not exclusive and that decreased muscle strength is more likely for patients with decreased body awareness. Possible explanations are considered.

The Effect of Public Health Physical Program on Paretic Side in Environmental Water Quality

2019 ◽  
Vol 11 (3) ◽  
pp. 252-256
Author(s):  
Doo-Ho Kim ◽  
Seung-Min Yang ◽  
Jaehong Park ◽  
Junghwan Kim
Keyword(s):  
Public Health ◽  
Water Quality ◽  
Environmental Water ◽  
Paretic Side ◽  
Physical Program

scholarly journals Analysis of Trunk Rolling Performances by Mattress Mobility Detection System in Poststroke Patients: A Pilot Study

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Shang-Lin Chiang ◽  
Chia-Huei Lin ◽  
Chueh-Ho Lin ◽  
Liang-Hsuan Lu ◽  
Shin-Tsu Chang ◽  
...  
Keyword(s):  
Functional Performance ◽  
Center Of Pressure ◽  
Detection System ◽  
Movement Time ◽  
Cross Sectional Study ◽  
Mean Difference ◽  
Motor Deficit ◽  
Cross Sectional ◽  
Paretic Side ◽  
Significant Difference

Purpose.The purpose of this study was to investigate the correlation of kinematic variables with quality of trunk control in poststroke patients.Methods.This cross-sectional study included stroke subjects with mild to moderate motor deficit corresponding to Brunnstrom stages 3-4. Trunk functional performance was measured using bed mobility monitor system. All tasks were repeated ten times for both directions in each subject. Outcome measurements included the movement time and displacement of center of pressure (CoP) from supine to side lying and returning.Results.The results revealed that a significant longer turning time was observed when turning from the paretic side toward the nonparetic side compared to the other direction, with an estimated mean difference of 0.427 sec (P=0.005). We found a significant difference in the time of rolling back to supine position between two directions. The displacement of CoP in rolling back from side lying on the nonparetic side was smaller than that from the paretic side with an estimated mean difference of −0.797 cm (P=0.023).Conclusions.The impaired trunk mobility was associated with increased movement time and decreased displacement of CoP in poststroke patients. Trunk rolling performance has potential in assessment of stroke patients.

scholarly journals Association between walking and strength of lower limbs after chronic stroke

2020 ◽  
Vol 27 (3) ◽  
pp. 131-138
Author(s):  
Brenno Belchior Cordeiro Silva ◽  
Iza de Faria-Fortini ◽  
Pollyana Helena Vieira Costa ◽  
Camila Torriani-Pasin ◽  
Janaine Cunha Polese
Keyword(s):  
Muscle Strength ◽  
Lower Limb ◽  
Walking Speed ◽  
Chronic Stroke ◽  
Community Dwelling ◽  
Lower Limbs ◽  
Average Strength ◽  
Paretic Side ◽  
The Difference ◽  
Muscle Groups

Certain muscle groups strength directly influence walking speed (WS), and the lower strength of the paretic side is significantly associated with lower WS of individuals after stroke. Studies that have investigated the association between the average of lower limb strength and the WS in individuals are scarce. Therefore, it is important to determine whether the strength could explain walking performance due to some muscle weakness could be compensated by the strength of others, mainly because all muscles act in group, not isolated. Objective: To investigate the association between WS and lower limbs muscle strength, and to identify whether an individual muscle group or the average strength of lower limb would best predict WS and walking speed reserve (WSR) in individuals with stroke. Methods: Sixty-four community-dwelling individuals with chronic stroke have their maximum isometric strength (hip flexors/extensors/abductors, knee flexors/extensors, and ankle dorsiflexors/plantarflexors) and self-selected and fast WS (10m walk test) measured. WSR was considered as the difference between the fast and self-selected speed. Results: Average strength of the paretic limb accounted for 19% and 20% of the variance in self-selected and fast WS, respectively. Plantarflexor strength of the paretic, knee and hip flexors of the non-paretic side explained alone 27% of the WSR scores and plantarflexor strength of the paretic side alone explained 15%.Conclusion: Average muscle strength of the paretic side contributed to self-selected and fast WS. Plantarflexor strength of the paretic side, knee and hip flexors of the non-paretic side contributed with the WSR of chronic stroke individuals.

scholarly journals Physical Therapy and Rehabilitation Ideas for Inspiratory Muscle Training in Patients With Subacute Stroke

2021 ◽  
Vol 19 (4) ◽  
pp. 455-464
Author(s):  
Irma Ruslina Defi ◽  
◽  
Novitri Novitri ◽  
Ilin Nurina ◽  
◽  
...  
Keyword(s):  
Muscle Strength ◽  
Lung Function ◽  
Walking Speed ◽  
Intervention Group ◽  
Quadriceps Strength ◽  
Control Group ◽  
Muscle Training ◽  
Stroke Patients ◽  
Paretic Side ◽  
Subacute Stroke

Objectives: This study aimed to elucidate the outcome of an Inspiratory Muscle Training (IMT) rehabilitation intervention on the lung function, functional mobilization, balance, and peripheral muscle strength of the paretic side in patients with subacute stroke. Methods: This double-blind, randomized controlled trial study was conducted on patients with stable subacute stroke. For 8 weeks, the intervention group (n=16) received 40% intensity IMT while the control group (n=16) received 10% intensity IMT. We assessed the patients’ lung function (spirometer) before and after the intervention, as well as their pulmonary muscle strength (micro-respiratory pressure meter [RPM]), quadriceps strength (handheld dynamometer), grip strength (Jamar), walking speed (10-m walk test), balance (Berg Balance Scale [BBS]), and functional mobilization (sit-to-stand test). Results: There were significant differences between the intervention group and the control group after IMT for forced vital capacity (FVC)% (P<0.01; d=3.20), forced expiratory volume in the first second (FEV1)/FVC (P<0.001; d=2.55), FEV1% (P<0.001; d=5.10), walking speed (P<0.05; d=1.62), hand grip (P<0.001; d=2.45), quadriceps strength (P<0.001; d=4.18), functional mobilization (P<0.01; d=2.41), and maximal inspiratory mouth pressure (P<0.001; d=1.62), but no significant changes were seen in balance (P=0.304; d=0.57). Discussion: IMT improved lung function, functional mobilization, handgrip strength, and quadriceps strength on the paretic side of subacute stroke patients and is expected to improve functional status and allow the patient to participate in social activities. IMT exercise can be included in the rehabilitation program for subacute stroke patients.

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