The Effect of Optic Flow During Treadmill Walking on the Gait Pattern in People Post-stroke

Author(s):  
2018 ◽  
Vol 32 (9) ◽  
pp. 810-820 ◽  
Author(s):  
Kendra M. Cherry-Allen ◽  
Matthew A. Statton ◽  
Pablo A. Celnik ◽  
Amy J. Bastian

Background. Gait impairments after stroke arise from dysfunction of one or several features of the walking pattern. Traditional rehabilitation practice focuses on improving one component at a time, which may leave certain features unaddressed or prolong rehabilitation time. Recent work shows that neurologically intact adults can learn multiple movement components simultaneously. Objective. To determine whether a dual-learning paradigm, incorporating 2 distinct motor tasks, can simultaneously improve 2 impaired components of the gait pattern in people posttroke. Methods. Twelve individuals with stroke participated. Participants completed 2 sessions during which they received visual feedback reflecting paretic knee flexion during walking. During the learning phase of the experiment, an unseen offset was applied to this feedback, promoting increased paretic knee flexion. During the first session, this task was performed while walking on a split-belt treadmill intended to improve step length asymmetry. During the second session, it was performed during tied-belt walking. Results. The dual-learning task simultaneously increased paretic knee flexion and decreased step length asymmetry in the majority of people post-stroke. Split-belt treadmill walking did not significantly interfere with joint-angle learning: participants had similar rates and magnitudes of joint-angle learning during both single and dual-learning conditions. Participants also had significant changes in the amount of paretic hip flexion in both single and dual-learning conditions. Conclusions. People with stroke can perform a dual-learning paradigm and change 2 clinically relevant gait impairments in a single session. Long-term studies are needed to determine if this strategy can be used to efficiently and permanently alter multiple gait impairments.


2021 ◽  
pp. 3-7
Author(s):  
E. De Keersmaecker ◽  
D. Rodriguez-Cianca ◽  
B. Serrien ◽  
B. Jansen ◽  
C. Rodriguez-Guerrero ◽  
...  

2018 ◽  
Vol 65 ◽  
pp. 101-102
Author(s):  
M. Zadravec ◽  
A. Olenšek ◽  
M. Rudolf ◽  
N. Bizovičar ◽  
N. Goljar ◽  
...  

Author(s):  
Christopher Sullivan ◽  
Elizabeth A. DeBartolo ◽  
Kathleen Lamkin-Kennard

One of the many lasting side effects of a stroke can be foot drop, or an inability to dorsiflex the foot. In order to remedy this, many people wear an ankle-foot orthotic (AFO) post-stroke. One of the many troubles these individuals face is in dealing with obstacles such as stairs and ramps, because the AFO limits the plantarflexion that is natural in navigating these obstacles [1,2]. The end goal of this research is to create an active AFO that adapts to changing ground terrain, providing a more natural gait pattern. This paper presents the first part of this work: a means for identifying terrain in order to control an AFO. This has been accomplished using an infrared (IR) range sensor attached to the lower leg, used to measure the surface profile of the ground just ahead of a test subject. Using a modified RANSAC technique to fit experimental gait data, standardized gait profiles for different terrain have been quantified and shown to be reproducible, indicating the utility of the technique for terrain identification and AFO control.


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