272 AEROBIC TRAINING EFFECTS IN HEMIPARETIC STROKE PATIENTS

Background of the study: Stroke is a major public health problem that ranks in the top four causes of death in most of the countries and is responsible for a large proportion of the burden of neurologic disorders. Patients with stroke have poor balance because they cannot control dynamically the size of the base of support or the location of the line of gravity. Perturbation training undergoes the maximal sway possible without losing his balance. Objective of the study: The objective of the study is to find the effects of rolling board perturbation training on balance among hemiparetic stroke patients. Methodology: Thirty clinically diagnosed hemiparetic stroke patients were selected based on the inclusion and exclusion criteria. They were randomly allocated into two groups (Group A and Group B) consists of 15 subjects each. Group A received conventional physiotherapy alone and group B received rolling board perturbation training along with conventional physiotherapy. Intervention lasted for 4 weeks, three days in a week and one hour per day. Balance was measured before and after 4 weeks of intervention by berg balance scale. Conclusion: Both conventional physiotherapy alone and rolling board perturbation training along with conventional physiotherapy significantly improved balance among hemiparetic stroke patients. When comparing both rolling board perturbation training along with conventional physiotherapy is more effective than conventional physiotherapy alone in improving balance among hemiparetic stroke patients.

Download Full-text

Use of visual feedback for balance training in hemiparetic Stroke patients

Fisioterapia em Movimento ◽

10.1590/0103-5150.028.002.ao04 ◽

2015 ◽

Vol 28 (2) ◽

pp. 241-249

Author(s):

Fabiane Maria Klitzke dos Santos ◽

Franciely Voltolini Mendes ◽

Simone Suzuki Woellner ◽

Noé Gomes Borges Júnior ◽

Antonio Vinicius Soares

Keyword(s):

Visual Feedback ◽

Visual Information ◽

Statistical Significance ◽

Balance Training ◽

Berg Balance Scale ◽

Functional Mobility ◽

Stroke Patients ◽

Intergroup Comparison ◽

Hemiparetic Stroke ◽

Balance Board

Introduction Hemiparetic Stroke patients have their daily activities affected by the balance impairment. Techniques that used visual information for training this impairment it seems to be effective. Objective To analyze the effects of the unstable balance board training and compare two ways of visual feedback: the biomechanical instrumentation and the mirror. Materials and methods Eight chronic hemiparetic Stroke patients participated in the research, randomized in two groups. The first group (G1) accomplished the training with biomechanical instrumentation, and the second group (G2) trained in front of the mirror. Sixteen training sessions were done with feet together, and feet apart. The evaluation instruments that were used before and after the period of training were the Time Up and Go Test (TUGT), Berg Balance Scale (BBS) and the Instrumented Balance Board (IBB), that quantified the functional mobility, the balance and the posture control respectively. Results The TUGT showed significant results (p < 0.05) favorable to G1. Despite the results of BBS were significant for G2, the intergroup comparison did not reveal statistical significance. Both groups obtained decrease in levels of IBB oscillation, what can indicate a higher stability, however the results did not indicate statistical significance (p > 0.05). A strong correlation between all the applied tests was observed in this research. Conclusion Although the advantages found were different between the groups, in both it could be observed that the training brought benefits, with the transference to the functional mobility.

Download Full-text

Factors affecting the quality of life of homebound elderly hemiparetic stroke patients with cognitive impairment

Journal of Physical Therapy Science ◽

10.1589/jpts.28.3376 ◽

2016 ◽

Vol 28 (12) ◽

pp. 3376-3379

Author(s):

Seiichi Takemasa ◽

Ryoma Nakagoshi ◽

Masayuki Uesugi ◽

Yuri Inoue ◽

Makoto Gotou ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Impairment ◽

Stroke Patients ◽

Factors Affecting ◽

Hemiparetic Stroke

Download Full-text

Evaluation of the effect of ankle-foot orthosis use on balance and mobility in hemiparetic stroke patients

Disability and Rehabilitation ◽

10.3109/09638288.2010.533243 ◽

2011 ◽

Vol 33 (15-16) ◽

pp. 1433-1439 ◽

Cited By ~ 47

Author(s):

Asuman Doğğan ◽

Münire MengüllüoĞĞlu ◽

Nese Özgirgin

Keyword(s):

Stroke Patients ◽

Ankle Foot Orthosis ◽

Hemiparetic Stroke ◽

Foot Orthosis

Download Full-text

Prediction of motor outcome for hemiparetic stroke patients using diffusion tensor imaging: A review

Neurorehabilitation ◽

10.3233/nre-2010-0621 ◽

2010 ◽

Vol 27 (4) ◽

pp. 367-372 ◽

Cited By ~ 36

Author(s):

Sung Ho Jang

Keyword(s):

Diffusion Tensor Imaging ◽

Diffusion Tensor ◽

Stroke Patients ◽

Motor Outcome ◽

Hemiparetic Stroke

Download Full-text

Acupuncture Enhances Effective Connectivity between Cerebellum and Primary Sensorimotor Cortex in Patients with Stable Recovery Stroke

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2014/603909 ◽

2014 ◽

Vol 2014 ◽

pp. 1-9 ◽

Cited By ~ 7

Author(s):

Zijing Xie ◽

Fangyuan Cui ◽

Yihuai Zou ◽

Lijun Bai

Keyword(s):

Motor Learning ◽

Sensorimotor Cortex ◽

Effective Connectivity ◽

Motor Task ◽

Stroke Patients ◽

Movement Coordination ◽

Subacute Stroke ◽

Primary Sensorimotor Cortex ◽

Recovery Stroke ◽

Hemiparetic Stroke

Recent neuroimaging studies have demonstrated that stimulation of acupuncture at motor-implicated acupoints modulates activities of brain areas relevant to the processing of motor functions. This study aims to investigate acupuncture-induced changes in effective connectivity among motor areas in hemiparetic stroke patients by using the multivariate Granger causal analysis. A total of 9 stable recovery stroke patients and 8 healthy controls were recruited and underwent three runs of fMRI scan: passive finger movements and resting state before and after manual acupuncture stimuli. Stroke patients showed significantly attenuated effective connectivity between cortical and subcortical areas during passive motor task, which indicates inefficient information transmissions between cortical and subcortical motor-related regions. Acupuncture at motor-implicated acupoints showed specific modulations of motor-related network in stroke patients relative to healthy control subjects. This specific modulation enhanced bidirectionally effective connectivity between the cerebellum and primary sensorimotor cortex in stroke patients, which may compensate for the attenuated effective connectivity between cortical and subcortical areas during passive motor task and, consequently, contribute to improvement of movement coordination and motor learning in subacute stroke patients. Our results suggested that further efficacy studies of acupuncture in motor recovery can focus on the improvement of movement coordination and motor learning during motor rehabilitation.

Download Full-text