Abstract WP167: Timed Up and Go Test With an Obstacle (TUGO): Reliability and Its Association With Motor Functions in People With Chronic Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Shamay S Ng
Keyword(s):  
Intraclass Correlation ◽  
Functional Independence ◽  
Chronic Stroke ◽  
Functional Mobility ◽  
Stroke Survivors ◽  
Balance Performance ◽  
Timed Up And Go ◽  
Motor Functions ◽  
Step Over ◽  
Completion Times

Introduction: Negotiating obstacles during walking is challenging and demanding for stroke survivors and it is a common cause of falls. As ability to negotiate obstacles is essential for community ambulation and functional independence in stroke survivors, assessing the ability to negotiate obstacles should be a crucial element in stroke rehabilitation. The Timed Up and Go Test with an Obstacle (TUGO), which is the modified from the Timed Up and Go (TUG) test, could be used to assess the ability to negotiate obstacles. In TUGO, subjects were required to stand up from a chair, walk forward for 5 meters, step over a 5-cm height obstacle which is placed at the end of 5-meter walkway, turn 180 0 , step over the obstacle again, walk back and sit down on the chair as fast as possible. Time required to complete the task was recorded by a stopwatch. The objectives of this study were to investigate the reliability of TUGO and its correlation with motor functions in people with chronic stroke. Method: This study was a cross-sectional study with 30 people with chronic stroke. TUGO completion times was administered along with Fugl-Meyer motor assessment for the lower extremities (FMA-LE), Berg Balance Scale (BBS) and timed Up and Go test (TUG). FMA-LE, BBS and TUG were used to assess motor control of the affected lower limb, clinical balance performance and functional mobility respectively. The TUGO was conducted in 2 separate sessions with 5-7days apart by 2 independent assessors. Result: TUGO completion times demonstrated excellent intra-rater, inter-rater and test-restest reliabilities, with intraclass correlation coefficients (ICCs) of 0.955-1.000. Significant correlations were also found between TUGO completion times and FMA-LE scores, BBS scores and TUG times respectively. Conclusion: TUGO is a reliable, valid and easy-to-administer clinical assessment for assessing the ability to negotiate obstacles in people with chronic stroke.

scholarly journals Innovative Long-Dose Neurorehabilitation for Balance and Mobility in Chronic Stroke: A Preliminary Case Series

2020 ◽  
Vol 10 (8) ◽  
pp. 555
Author(s):  
Catherine Boissoneault ◽  
Tyler Grimes ◽  
Dorian K. Rose ◽  
Michael F. Waters ◽  
Anna Khanna ◽  
...  
Keyword(s):  
Gait Speed ◽  
Case Series ◽  
Functional Independence ◽  
Limb Movement ◽  
Chronic Stroke ◽  
Small Sample ◽  
Functional Mobility ◽  
Stroke Survivors ◽  
Convenience Sample ◽  
Long Duration

(1) Objective: The objective was two-fold: (a) test a protocol of combined interventions; (b) administer this combined protocol within the framework of a six-month, intensive, long-duration program. The array of interventions was designed to target the treatment-resistant impairments underlying persistent mobility dysfunction: weakness, balance deficit, limb movement dyscoordination, and gait dyscoordination. (2) Methods: A convenience sample of eight chronic stroke survivors (>4 months post stroke) was enrolled. Treatment was 5 days/week, 1–2.5 h/day for 6 months, as follows: strengthening exercise, balance training, limb/gait coordination training, and aerobic exercise. Outcome measures: Berg Balance Scale (BBS), Fugl-Meyer Lower Limb Coordination (FM), gait speed, 6 Minute Walk Test (6MWT), Timed up and Go (TUG), Functional Independence Measure (FIM), Craig Handicap Assessment Rating Tool (CHART), and personal milestones. Pre-/post-treatment comparisons were conducted using the Permutation Test, suitable for ordinal measures and small sample size. (3) Results: For the group, there was a statistically (p ≤ 0.04) significant improvement in balance, limb movement coordination (FM), gait speed, functional mobility (TUG), and functional activities (FIM). There were measurable differences (minimum detectible change: MDC) in BBS, FM, gait speed, 6MWT, and TUG. There were clinically significant milestones achieved for selected subjects according to clinical benchmarks for the BBS, 6MWT, gait speed, and TUG, as well as achievement of personal milestones of life role participation. Effect sizes (Cohen’s D) ranged from 0.5 to 1.0 (with the exception of the (6MWT)). After six months of treatment, the above array of gains were beyond that reported by other published studies of chronic stroke survivor interventions. Personal milestones included: walking to mailbox, gardening/yardwork, walking a distance to neighbors, return to driving, membership at a fitness center, vacation trip to the beach, swimming at local pool, returning to work, housework, cooking meals. (4) Conclusions: Stroke survivors with mobility dysfunction were able to participate in the long-duration, intensive program, with the intervention array targeted to address impairments underlying mobility dysfunction. There were either clinically or statistically significant improvements in an array of measures of impairment, functional mobility, and personal milestone achievements.

scholarly journals A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Marcia Belas dos Santos ◽  
Clarissa Barros de Oliveira ◽  
Arly dos Santos ◽  
Cristhiane Garabello Pires ◽  
Viviana Dylewski ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Controlled Trial ◽  
Gait Training ◽  
Functional Independence ◽  
Chronic Stroke ◽  
Wilcoxon Test ◽  
Stroke Survivors ◽  
Registration Number ◽  
One Year

Objectives. To assess the influence of RAGT on balance, coordination, and functional independence in activities of daily living of chronic stroke survivors with ataxia at least one year of injury.Methods. It was a randomized controlled trial.The patients were allocated to either therapist-assisted gait training (TAGT) or robotic-assisted gait training (RAGT). Both groups received 3 weekly sessions of physiotherapy with an estimated duration of 60 minutes each and prescribed home exercises. The following outcome measures were evaluated prior to and after the completion of the 5-month protocol treatment: BBS, TUG test, FIM, and SARA. For intragroup comparisons, the Wilcoxon test was used, and the Mann–Whitney test was used for between-group comparison.Results. Nineteen stroke survivors with ataxia sequel after one year of injury were recruited. Both groups showed statistically significant improvement (P<0.05) in balance, functional independencein, and general ataxia symptoms. There were no statistically significant differences (P<0.05) for between-group comparisons both at baseline and after completion of the protocol.Conclusions. Chronic stroke patients with ataxia had significant improvements in balance and independence in activities of daily living after RAGT along with conventional therapy and home exercises. This trial was registered with trial registration number39862414.6.0000.5505.

scholarly journals Development of a Smartphone-Based Balance Assessment System for Subjects with Stroke

Sensors ◽  
2019 ◽  
Vol 20 (1) ◽  
pp. 88 ◽  
Author(s):  
You-Ruei Hou ◽  
Ya-Lan Chiu ◽  
Shang-Lin Chiang ◽  
Hui-Ya Chen ◽  
Wen-Hsu Sung
Keyword(s):  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Smartphone Application ◽  
Chronic Stroke ◽  
Healthy Adults ◽  
Assessment System ◽  
Balance Performance ◽  
Balance Assessment ◽  
Artery Disease ◽  
Validity Tests

Stroke is a cerebral artery disease that negatively affects activities of daily living (ADLs) and quality of life (QoL). Smartphones have demonstrated strong potential in assessing balance performance. However, such smartphone-based tools have thus far not been applied to stroke survivors. The purpose of this study was to develop a smartphone-based balance assessment system for subjects who have experienced strokes and evaluate the system feasibility. The smartphone-based balance assessment application was developed with Android Studio, and reliability and validity tests were conducted. The smartphone was used to record data using a built-in accelerometer and gyroscope, and increased changes represented greater instability. Six postures were tested for 30 s each. Ten healthy adults were recruited in the reliability test, and the intraclass correlation coefficient (ICC) was used to analyze the within-day and between-day reliabilities. Eight subjects with chronic stroke and eight healthy adults were recruited for the validity test, in which balance performance was compared to represent the application validity. The ICC values of the reliability tests were at least 0.76 (p = 0.00). The acceleration data exhibited no difference between individuals who have experienced stroke and healthy subjects; however, all six postures were found to differ significantly between the two groups in the gyroscope data. The study demonstrates that the smartphone application provides a convenient, reliable, and valid tool for the balance assessments of subjects who have experienced chronic stroke.

Fatigue impact, gait and balance performance in chronic stroke survivors

2014 ◽  
Vol 35 (1) ◽  
pp. 49-54
Author(s):  
Adebimpe Olayinka Obembe ◽  
Alaba Ezekiel Olalemi ◽  
Beatrice Oluwayinka Loto
Keyword(s):  
Chronic Stroke ◽  
Stroke Survivors ◽  
Balance Performance

scholarly journals Feasibility and effect of interactive telerehabilitation on balance in individuals with chronic stroke: a pilot study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Shih-Ching Chen ◽  
Chueh-Ho Lin ◽  
Sheng-Wen Su ◽  
Yu-Tai Chang ◽  
Chien-Hung Lai
Keyword(s):  
Pilot Study ◽  
Effect Size ◽  
Exercise Intervention ◽  
Chronic Stroke ◽  
Control Group ◽  
Stroke Survivors ◽  
Post Intervention ◽  
Timed Up And Go ◽  
Kinect Camera ◽  
Experimental Group

Abstract Background Stroke survivors need continuing exercise intervention to maintain functional status. This study assessed the feasibility and efficacy of an interactive telerehabilitation exergaming system to improve balance in individuals with chronic stroke, compared to conventional one-on-one rehabilitation. Methods In this prospective case–control pilot study, 30 Taiwanese individuals with chronic stroke were enrolled and randomly allocated to an experimental group and a control group. All participants received intervention 3 times per week for 4 weeks in the study hospital. The experiment group underwent telerehabilitation using a Kinect camera-based interactive telerehabilitation system in an independent room to simulate home environment. In contrast, the control group received conventional one-on-one physiotherapy in a dedicated rehabilitation area. The effectiveness of interactive telerehabilitation in improving balance in stroke survivors was evaluated by comparing outcomes between the two groups. The primary outcome was Berg Balance Scale (BBS) scores. Secondary outcomes were performance of the Timed Up and Go (TUG) test, Modified Falls Efficacy Scale, Motricity Index, and Functional Ambulation Category. Results Comparison of outcomes between experimental and control groups revealed no significant differences between groups at baseline and post-intervention for all outcome measures. However, BBS scores improved significantly in both groups (control group: p = 0.01, effect size = 0.49; experimental group: p = 0.01, effect size = 0.70). Completion times of TUG tests also improved significantly in the experimental group (p = 0.005, effect size = 0.70). Conclusion The Kinect camera-based interactive telerehabilitation system demonstrates superior or equal efficacy compared to conventional one-on-one physiotherapy for improving balance in individuals with chronic stroke. Trial registration ClinicalTrials.gov. NCT03698357. Registered October 4, 2018, retrospectively registered.

Effectiveness of Robot-Assisted Gait Training on Functional Skills in Children with Cerebral Palsy

2021 ◽  
Author(s):  
Burak Yaşar ◽  
Emine Atıcı ◽  
Derya Azim Razaei ◽  
Tülay Çevik Saldıran
Keyword(s):  
Cerebral Palsy ◽  
Functional Independence Measure ◽  
Gait Training ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Robot Assisted ◽  
Timed Up And Go ◽  
Motor Functions ◽  
Significant Difference ◽  
Children With Cerebral Palsy

AbstractThis study was aimed to investigate the effects of robot-assisted gait training (RAGT) on motor functions, spasticity status, balance, and functionality in children with cerebral palsy (CP). A total of 26 patients who were diagnosed with CP (diplegic, with gross motor function classification system [GMFCS] levels of 2–5) and who regularly participated in a rehabilitation program were recruited in the study after obtaining approval from their parents. The patients were randomly assigned to two groups. Group 1 (n = 13) received conventional physical therapy (65 minutes, 2 days/week × 8) and group 2 (n = 13) received 25 minutes of RAGT (RoboGait) in addition to conventional therapy (CT; 40 minutes, 2 days/week × 8). GMFCS was used to evaluate motor functions and the Modified Ashworth Scale was used to evaluate spasticity. The pediatric Berg balance scale, pediatric functional independence measure, and timed up and go tests were employed to assess balance and functional status. The evaluations were performed at baseline and after 8 weeks of therapy. Both rehabilitation methods led to a statistically significant decrease in spasticity (p < 0.05); however, there was no difference in this improvement of spasticity between the groups (p > 0.05). Both groups exhibited significant improvements in functional independence, balance, and performance at the end of therapy (p < 0.05), and there was no significant difference between the groups (p > 0.05). The results of this study show that addition of RAGT to CT for 8 weeks is not superior to CT alone in children with CP.

scholarly journals Physical activity profiles in Parkinson’s disease

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Philip von Rosen ◽  
Maria Hagströmer ◽  
Erika Franzén ◽  
Breiffni Leavy
Keyword(s):  
Physical Activity ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Physical Function ◽  
Vigorous Physical Activity ◽  
Functional Mobility ◽  
Clinical Test ◽  
Accelerometer Data ◽  
Balance Performance ◽  
Timed Up And Go

Abstract Background Identifying physical activity (PA) profiles of people with Parkinson’s Disease (PD) could provide clinically meaningful knowledge concerning how to tailor PA interventions. Our objectives were therefore to i) identify distinct PA profiles in people with PD based on accelerometer data, ii) explore differences between the profiles regarding personal characteristics and physical function. Methods Accelerometer data from 301 participants (43% women, mean age: 71 years) was analysed using latent profile analyses of 15 derived PA variables. Physical function measurements included balance performance, comfortable gait speed and single and dual-task functional mobility. Results Three distinct profiles were identified; “Sedentary” (N = 68), “Light Movers” (N = 115), “Steady Movers” (N = 118). “Sedentary” included people with PD with high absolute and relative time spent in Sedentary behaviour (SB), little time light intensity physical activity (LIPA) and negligible moderate-to-vigorous physical activity (MVPA). “Light Movers” were people with PD with values close to the mean for all activity variables. “Steady Movers” spent less time in SB during midday, and more time in LIPA and MVPA throughout the day, compared to the other profiles. “Sedentary” people had poorer balance (P = 0.006), poorer functional mobility (P = 0.027) and were more likely to have fallen previously (P = 0.027), compared to “Light Movers. The Timed Up and Go test, an easily performed clinical test of functional mobility, was the only test that could distinguish between all three profiles. Conclusion Distinct PA profiles, with clear differences in how the time awake is spent exist among people with mild-moderate PD.

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