scholarly journals Effect of biofeedback cycling training on functional recovery and walking ability of lower extremity in patients with stroke

2014 ◽  
Vol 30 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Huei-Ching Yang ◽  
Chia-Ling Lee ◽  
Roxane Lin ◽  
Miao-Ju Hsu ◽  
Chia-Hsin Chen ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Functional Recovery ◽  
Walking Ability ◽  
Cycling Training

scholarly journals Impact of Somatosensory Training on Neural and Functional Recovery of Lower Extremity in Patients with Chronic Stroke: A Single Blind Controlled Randomized Trial

2021 ◽  
Vol 18 (2) ◽  
pp. 583
Author(s):  
Reem M. Alwhaibi ◽  
Noha F. Mahmoud ◽  
Mye A. Basheer ◽  
Hoda M. Zakaria ◽  
Mahmoud Y. Elzanaty ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Lower Extremity ◽  
Functional Recovery ◽  
Intervention Group ◽  
Chronic Stroke ◽  
Post Treatment ◽  
Control Group ◽  
Stroke Patients ◽  
Significant Difference ◽  
Group Post

Recovery of lower extremity (LE) function in chronic stroke patients is considered a barrier to community reintegration. An adequate training program is required to improve neural and functional performance of the affected LE in chronic stroke patients. The current study aimed to evaluate the effect of somatosensory rehabilitation on neural and functional recovery of LE in stroke patients. Thirty male and female patients were recruited and randomized to equal groups: control group (GI) and intervention group (GII). All patients were matched for age, duration of stroke, and degree of motor impairment of the affected LE. Both groups received standard program of physical therapy in addition to somatosensory rehabilitation for GII. The duration of treatment for both groups was eight consecutive weeks. Outcome measures used were Functional Independent Measure (FIM) and Quantitative Electroencephalography (QEEG), obtained pre- and post-treatment. A significant improvement was found in the FIM scores of the intervention group (GII), as compared to the control group (GI) (p < 0.001). Additionally, QEEG scores improved within the intervention group post-treatment. QEEG scores did not improve within the control group post-treatment, except for “Cz-AR”, compared to pretreatment, with no significant difference between groups. Adding somatosensory training to standard physical therapy program results in better improvement of neuromuscular control of LE function in chronic stroke patients.

EFFECT OF LOWER EXTREMITY EXOSKELETON ROBOT IMPROVING WALKING FUNCTION AND ACTIVITY IN PATIENTS WITH COMPLETE SPINAL CORD INJURY

2019 ◽  
Vol 19 (08) ◽  
pp. 1940060
Author(s):  
XINGANG BAI ◽  
XIANG GOU ◽  
WENCHUN WANG ◽  
CHAO DONG ◽  
FANGXU QUE ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Adverse Events ◽  
Lower Extremity ◽  
Controlled Trial ◽  
Walking Ability ◽  
Walk Test ◽  
Exoskeleton Robot ◽  
Cord Injury ◽  
Complete Spinal Cord Injury

The objective of this research was to evaluate the effectiveness and safety of Lower Extremity Exoskeleton Robot improving walking function and activity in patients with complete spinal cord injury. A prospective, open and self-controlled trial was conducted which include eight patients with complete spinal cord injury accepted Lower Extremity Exoskeleton Robot training with Aider 1.0 and Aider 1.1 for 2 weeks. The 6[Formula: see text]min Walk Test (6MWT), 10[Formula: see text]m Walk Test (10 MWT), Hoffer walking ability rating, Lower Extremity Motor Score (LEMS), Spinal Cord Independence Motor (SCIM), Walking Index for Spinal Cord Injury Version II (WISCI II) were recorded before, 1 week and 2 weeks after training. During the training, the incidence of adverse events (AE), the incidence of serious adverse events (SAE), the incidence of device defects and other safety indicators were observed. Compared with the pre-training, indicators (6MWT, 10MWT, Hoffer walking ability rating, WISCI II) were significantly different after 1 week of training and after 2 weeks of training. Four adverse events occurred during the training period and the incidence of adverse events was 50%. And there was no SAE or device defects. Therefore, it is safe and effective to use the lower extremity exoskeleton robot to complete the walking ability of patients with complete spinal cord injury.

scholarly journals Evaluation of Patients with Lower Extremity Peripheral Artery Disease by Walking Tests: A Pilot Study

2017 ◽  
Vol 9 (4) ◽  
pp. 467-473 ◽  
Author(s):  
Andra CIOCAN ◽  
Răzvan A. CIOCAN ◽  
Claudia D. GHERMAN ◽  
Sorana D. BOLBOACĂ
Keyword(s):  
Lower Extremity ◽  
Arterial Disease ◽  
Leg Pain ◽  
Walking Ability ◽  
Treadmill Test ◽  
Walking Test ◽  
Randomized Design ◽  
Walking Tests ◽  
Peripheral Arterial ◽  
Surgery Department

Peripheral arterial disease (PAD) directly affects the quality of life, patients experimenting limited walking ability and disability. The purpose of the current study was to investigate the walking and climbing patterns of patients with lower extremity PAD in relation with several risk factors, applied on Romanian population. A cohort non-randomized design was conducted and all eligible subjects who self-referred for medical care since March 2016 until February 2017 at the Second Surgery Department, County Clinical Emergency Hospital of Cluj-Napoca were included. The eligible patients were older than 18 years, with leg pain and Rutherford grade from I to IV. The following tests were applied to each subject included in the study to investigate the capacity to walk as far as possible in six minute (6 minute walking test), the capacity to climb stairs (climbing stairs test) and the capacity to walk on a treadmill (treadmill test) until the pain occurred. Twenty-four patients with mean age of 65.08±8.53 years were investigated. Almost 81% of patients were with chronic pain, 46% were overweight, and 79% were smokers. The results on applied walking tests were as follows: 279.17±70.58 meters to 6-minutes walking test, 77.50±21.80 stairs and 182.50±73.34 meters on treadmill test. The results of the walking tests significantly correlate with each other (ρ>0.93, p<0.0001), and all applied tests significantly correlate with toe gangrene (ρ>|0.52|, p<0.01) and toe disarticulation (ρ>0.62, p<0.002). It can be concluded that any of the applied walking test proved reliable instrument, able to identify the patients with most severe PAD.

scholarly journals Exploiting Interlimb Arm and Leg Connections for Walking Rehabilitation: A Training Intervention in Stroke

2016 ◽  
Vol 2016 ◽  
pp. 1-19 ◽  
Author(s):  
Taryn Klarner ◽  
Trevor S. Barss ◽  
Yao Sun ◽  
Chelsea Kaupp ◽  
Pamela M. Loadman ◽  
...  
Keyword(s):  
Neural Control ◽  
Cost Effective ◽  
Treadmill Walking ◽  
Reflex Modulation ◽  
Walking Ability ◽  
Cutaneous Reflex ◽  
Walking Rehabilitation ◽  
Increased Strength ◽  
Stride Duration ◽  
Cycling Training

Rhythmic arm and leg (A&L) movements share common elements of neural control. The extent to which A&L cycling training can lead to training adaptations which transfer to improved walking function remains untested. The purpose of this study was to test the efficacy of A&L cycling training as a modality to improve locomotor function after stroke. Nineteen chronic stroke (>six months) participants were recruited and performed 30 minutes of A&L cycling training three times a week for five weeks. Changes in walking function were assessed with (1) clinical tests; (2) strength during isometric contractions; and (3) treadmill walking performance and cutaneous reflex modulation. A multiple baseline (3 pretests) within-subject control design was used. Data show that A&L cycling training improved clinical walking status increased strength by ~25%, improved modulation of muscle activity by ~25%, increased range of motion by ~20%, decreased stride duration, increased frequency, and improved modulation of cutaneous reflexes during treadmill walking. On most variables, the majority of participants showed a significant improvement in walking ability. These results suggest that exploiting arm and leg connections with A&L cycling training, an accessible and cost-effective training modality, could be used to improve walking ability after stroke.

scholarly journals Prognostic Factors of Functional Recovery from Left Hemispheric Stroke

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Siriphan Kongsawasdi ◽  
Jakkrit Klaphajone ◽  
Kanokwan Watcharasaksilp ◽  
Pakorn Wivatvongvana
Keyword(s):  
Functional Recovery ◽  
Walking Ability ◽  
Limited Data ◽  
Stroke Patients ◽  
Rehabilitation Team ◽  
Predictive Variables ◽  
Appropriate Treatment ◽  
Walking Capacity ◽  
Multivariable Regression

Although lateralization of the brain affects some specialized cortical functions, there are still limited data to address its influence on clinically important outcomes. This study aimed to reveal the prognostic variables that relate to functional recovery in stroke patients with a left-sided hemispheric lesion during 6 months of follow-up. Data from 167 left-sided and 183 right-sided hemispheric strokes were reviewed retrospectively. Outcomes in this study included walking capacity and functional recovery, assessed by the modified Rankin Scale (mRS). In order to obtain independent predictive variables, this study used the step-backward method of multivariable regression analysis of parameters. The final model demonstrated that motor function of the hemiparetic leg was the strongest independent predictor for both walking ability and functional recovery (risk ratio (RR) of 2.41, 95% CI: 1.61–3.60, and p<0.001 and RR of 1.83, 95% CI: 1.03–3.26, and p=0.04, resp.). Therefore, lateralization did not seem to be involved. Understanding predictable variables that are associated with recovery can guide the rehabilitation team in setting priority and appropriate treatment for stroke patients.

scholarly journals The Role of Rehabilitation Program in Functional Recovery of Stroke: A Case Report

2020 ◽  
Vol 9 (3S) ◽  
pp. 262-265
Keyword(s):  
Lower Extremity ◽  
Functional Recovery ◽  
Stroke Patient ◽  
Neuromuscular Electrical Stimulation ◽  
Gait Training ◽  
Rehabilitation Program ◽  
Manual Muscle Testing ◽  
Outpatient Rehabilitation ◽  
Muscle Testing ◽  
Balance Exercise

Stroke is a leading cause of functional disorder and severe disability in the world. Stroke prevalence in Indonesia according to national health research (RISKESDAS) in 2007 were 0,8%, meanwhile in United State of America were 1,8-2,2%. Rehabilitation program had an important role in functional recovery of stroke patient. The purpose of rehabilitation program is to achieve functional independency, minimize disability, re-integration to home, family, and community lifes. The case is a 48 years old male with Left hemiparese due to Cerebrovascular accident intracranial hemorrhage. Initial assesments were Glasgow Coma Scale (GCS) 346, Manual Muscle Testing (MMT) 3 for left upper and lower extremity, Count Breathlessness Test (CBT) 10, Mini-Mental State Examination (MMSE) 22, Barthel Index (BI) 10. The outpatient rehabilitation program was neuromuscular electrical stimulation for left upper and lower extremity with in frequency 70-85 pps, on-time 10-15 seconds, off-time 50 seconds – 2 minutes, duration minimum 10 contraction, 3 times per week, active range of motion and isotonic strengthening exercise for upper and lower extremity, breathing exercise, sitting and standing balance exercise, gait training, occupational therapy and cognitive therapy. After 2 months of treatment the assessment was GCS 456, MMT 4 for left upper and lower extremity, CBT 21, MMSE 30, BI 95. The rehabilitation program was proved to be beneficial in improving functional recovery of stroke patient.

scholarly journals Skillful Cycling Training Induces Cortical Plasticity in the Lower Extremity Motor Cortex Area in Healthy Persons

2019 ◽  
Vol 13 ◽  
Author(s):  
Tsuyoshi Tatemoto ◽  
Satoshi Tanaka ◽  
Kazuhei Maeda ◽  
Shigeo Tanabe ◽  
Kunitsugu Kondo ◽  
...  
Keyword(s):  
Motor Cortex ◽  
Lower Extremity ◽  
Cortical Plasticity ◽  
Cortex Area ◽  
Cycling Training ◽  
Healthy Persons

scholarly journals Effects of Robot-Assisted Gait Training in Individuals with Spinal Cord Injury: A Meta-analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-13 ◽  
Author(s):  
Chia-Ying Fang ◽  
Jia-Ling Tsai ◽  
Guo-Sheng Li ◽  
Angela Shin-Yu Lien ◽  
Ya-Ju Chang
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lower Extremity ◽  
Gait Training ◽  
Controlled Trials ◽  
Walking Ability ◽  
Walk Test ◽  
Robot Assisted ◽  
Cord Injury ◽  
Ashworth Scale

Background. To investigate the effects of robot-assisted gait training (RAGT) on spasticity and pain in people with spinal cord injury (SCI). Material and methods. Four electronic databases (PubMed, Scopus, Medline, and Cochrane Central Register of Controlled Trials) were searched for studies published up to November 2019. Only human trials and of English language were included. The searched studies were reviewed and extracted independently by two authors. Randomized controlled trials (RCTs) and non-RCTs were pooled separately for analyses. Primary outcome measures included spasticity assessed by Ashworth scale (AS) or modified Ashworth scale (MAS) and pain assessed by VAS. Secondary outcome measures included lower extremity motor score (LEMS) and walking ability (i.e., 6-minute walk test, 10-meter walk test). Results. A total of 225 studies were identified. Eighteen studies (7 RCTs and 11 non-RCTs) including 301 subjects met inclusion criteria. The outcome measure of spasticity significantly improved in favor of RAGT group in non-RCTs (AS: 95%CI=−0.202 to -0.068, p≤0.001; MAS: 95%CI=−2.886 to -1.412, p≤0.001). The results on pain did not show significant change after RAGT in either RCTs or non-RCTs. LEMS and walking ability significantly increased in favor of RAGT. Conclusions. RAGT can improve spasticity and walking ability in people with SCI. The probable reason for no significant change in pain after RAGT is floor effect. RAGT is beneficial for normalizing muscle tone and for improving lower extremity function in people with SCI without causing extra pain.

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