Hormone Induced Effects on Ligament Laxity and Lower Extremity Motor Control

2019 ◽  
Author(s):  
Keyword(s):  
Motor Control ◽  
Lower Extremity ◽  
Ligament Laxity

scholarly journals Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 687
Author(s):  
Misoo Lim ◽  
Haneul Lee ◽  
Hyoungwon Lim
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Lower Extremity ◽  
Measurement Scale ◽  
Trunk Control ◽  
Control Measurement ◽  
Korean Version ◽  
Sitting Balance ◽  
Children With Cerebral Palsy ◽  
Balance Ability

Background and Objectives: The purpose of this study was to investigate the correlation between the Korean version of the trunk control measurement scale (K-TCMS) and the selective control assessment of the lower extremity (SCALE). Through this, we tried to find out the effect of proximal stabilization on distal motor development. Materials and Methods: Fifty-one children with gross motor function classification system level I–III, diagnosed with cerebral palsy (CP), were studied. The K-TCMS was used to evaluate the body control ability of the children. SCALE was used to quantify selective voluntary motor control (SVMC). Results: Analysis of SCALE and K-TCMS showed a significant positive correlation in all items. Multiple regression analysis showed that the SCALE score decreased as age increased, and that it increased as the static sitting balance ability score and the dynamic sitting balance ability score of the K-TCMS increased significantly (p < 0.05). Conclusions: In children with cerebral palsy, there was a close correlation between trunk control and selective voluntary motor control of the lower extremities. Therefore, when trying to improve the lower extremity function of a child with cerebral palsy, a trunk control intervention should be considered.

AB1284-HPR RELIABILITY OF STEP TEST IN SUBJECTS WITH TOTAL KNEE ARTHROPLASTY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1932.1-1933
Author(s):  
M. Eymir ◽  
E. Yuksel ◽  
B. Unver ◽  
K. Sevik ◽  
V. Karatosun
Keyword(s):  
Total Knee Arthroplasty ◽  
Motor Control ◽  
Lower Extremity ◽  
Knee Arthroplasty ◽  
Lower Limb ◽  
Standing Balance ◽  
Step Test ◽  
Retest Reliability ◽  
Total Knee ◽  
Test Retest Reliability

Background:Patients with TKA show impairments in standing balance up to 1 year after surgery. The impaired standing balance in TKA patients was found to be associated with falls risk and decreased functional level. Assessing of standing balance with objective and reliable assessments tools would therefore be extremely useful for determining accurate exercise program, and risks of falling, especially during the rehabilitative period when ambulation is at its most unsteady (1, 2). The stepping maneuver requires adequate strength and motor control to stabilize the body over the stance limb while the other leg is stepping, therefore the Step Test (ST) provides significant information for dynamic standing balance and lower limb motor control (3). The reliability of ST is reported in patient groups such as stroke, however, there is not any study that investigates the reliability of ST in patients with TKA in the current literature.Objectives:The purposes of this study were to determine the test-retest reliability and the minimal detectable change (MDC) of the ST in patients with TKA.Methods:40 patients with TKA due to knee osteoarthritis, operated by the same surgeon, were included in this study. Patients performed trials for ST twice on the same day. Between the first and second trials, patients waited for an hour on sitting position to prevent fatigue. The ST assesses an individual’s ability to place one foot onto a 7.5-cm-high step and then back down to the floor repeatedly as fast as possible for 15 seconds. The score is the number of steps completed in the 15-second period for each lower extremity. Scores for each lower extremity were recorded separately. Prior to the testing, the ST was demonstrated by the tester and all participants were allowed to a practice trial.Results:The ST showed an excellent test-retest reliability (ICC2,1=0.95) in this study. Standard error of measurement (SEM) and MDC95for ST were 0.37 and 1.02, respectively.Conclusion:This study found that the ST has an excellent test–retest reliability in patients with TKA. It is an effective and reliable tool for measuring dynamic standing balance and participant falls. As a performance-based clinical test, the ST is easy to score, can be applied in a short time as part of the routine medical examination. Therefore, inclusion of ST into a more comprehensive battery of performance-based measures of standing balance and lower limb motor control function in subjects with TKA should be considered.References:[1]Si, H. B., Zeng, Y., Zhong, J., et al. (2017). The effect of primary total knee arthroplasty on the incidence of falls and balance-related functions in patients with osteoarthritis. Scientific reports, 7(1), 1-9.[2]Moutzouri, M., Gleeson, N., Billis, E., et al. (2017). The effect of total knee arthroplasty on patients’ balance and incidence of falls: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy, 25(11), 3439-3451.[3]Hill, K. D., Bernhardt, J., McGann, A. M., et al. (1996). A new test of dynamic standing balance for stroke patients: reliability, validity and comparison with healthy elderly. Physiotherapy Canada, 48(4), 257-262.Disclosure of Interests:None declared

Effect of lower extremity muscular fatigue on motor control performance

1998 ◽  
Vol 30 (12) ◽  
pp. 1703-1707 ◽  
Author(s):  
RICHARD B. JOHNSTON ◽  
MARK E. HOWARD ◽  
PATRICK W. CAWLEY ◽  
GARY M. LOSSE
Keyword(s):  
Motor Control ◽  
Lower Extremity ◽  
Muscular Fatigue ◽  
Control Performance

Impact of Spinal Manipulation on Lower Extremity Motor Control in Lumbar Spinal Stenosis Patients: A Small-Scale Assessor-Blind Randomized Clinical Trial

2019 ◽  
Vol 42 (1) ◽  
pp. 23-33
Author(s):  
Steven R. Passmore ◽  
Michael G. Johnson ◽  
Saleh M. Aloraini ◽  
Stephan Cooper ◽  
Mina Aziz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Motor Control ◽  
Lower Extremity ◽  
Randomized Clinical Trial ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Spinal Manipulation ◽  
Small Scale ◽  
Lumbar Spinal

Prospective 12-Month Study of Intrathecal Baclofen Therapy for Poststroke Spastic Upper and Lower Extremity Motor Control and Functional Improvement

2010 ◽  
Vol 14 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Mya C. Schiess ◽  
Irene J. Oh ◽  
Erin F. Stimming ◽  
Joseph Lucke ◽  
Fernando Acosta ◽  
...  
Keyword(s):  
Motor Control ◽  
Lower Extremity ◽  
Intrathecal Baclofen ◽  
Functional Improvement ◽  
Intrathecal Baclofen Therapy

scholarly journals Characteristics of selective motor control of the lower extremity in adults with bilateral spastic cerebral palsy

2020 ◽  
Vol 32 (5) ◽  
pp. 348-351
Author(s):  
Takahito Inoue ◽  
Yuichiro Yokoi
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Lower Extremity ◽  
Spastic Cerebral Palsy

Visuomotor Ankle Training on a Stiffness-Controlled Robotic Platform Improves Ankle Motor Control and Lower Extremity Function in Chronic Stroke Survivors

2019 ◽  
Vol 1 (4) ◽  
pp. 237-246
Author(s):  
Lindsey Hennington ◽  
Varun Nalam ◽  
Megan C. Eikenberry ◽  
Carolyn L. Kinney ◽  
Hyunglae Lee
Keyword(s):  
Motor Control ◽  
Lower Extremity ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Robotic Platform ◽  
Lower Extremity Function ◽  
Extremity Function

scholarly journals Step Test Scores Are Related to Measures of Activity and Participation in the First 6 Months After Stroke

2009 ◽  
Vol 89 (10) ◽  
pp. 1061-1071 ◽  
Author(s):  
Vicki Stemmons Mercer ◽  
Janet Kues Freburger ◽  
Shuo-Hsiu Chang ◽  
Jama L. Purser
Keyword(s):  
Motor Control ◽  
Lower Extremity ◽  
Physical Function ◽  
Gait Speed ◽  
Short Form ◽  
Small Sample Size ◽  
Small Sample ◽  
Stroke Recovery ◽  
Step Test ◽  
Additional Step

Background: The Step Test (ST) is a measure of dynamic standing balance and paretic–lower-extremity motor control in patients with stroke. Little is known about the extent to which impairments assessed by the ST relate to activity and participation during stroke recovery.Objective: The purpose of this study was to determine relationships between ST scores and measures of activity and participation during the first 6 months after stroke.Design: This was a prospective cohort study.Methods: Thirty-three individuals (18 men, 15 women) with a diagnosis of a single, unilateral stroke participated in the study. Participants were tested one time per month from 1 to 6 months poststroke. The ST was considered an impairment-level measure. Self-selected gait speed and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) Physical Function Index (PFI) were used to assess physical function. Three domains (mobility, basic and instrumental activities of daily living, participation) of the Stroke Impact Scale were used to assess self-reported disability. Regression analyses were conducted to examine the bivariate associations between ST scores and each physical function and disability measure at each time point (1–6 months).Results: The ST scores were positively associated with both physical function measures. The associations were stronger for self-selected gait speeds (R2=.60–.79) than for the PFI scores (R2=.32–.60). During the first 6 months after stroke, each additional step with the paretic lower extremity on the ST corresponded to a 0.07-m/s to 0.09-m/s increase in gait speed, and each additional step with the nonparetic lower extremity was associated with a 0.07-m/s to 0.08-m/s gait speed increase. The impairment-disability associations were weaker than the impairment-physical function associations.Limitations: Limitations of the study include a relatively small sample size and lack of examiner blinding with regard to participant characteristics.Conclusions: Impairments in balance and paretic–lower-extremity motor control, as measured by the ST, relate to physical function and disability during the first 6 months following stroke.

scholarly journals Relation of selective voluntary motor control of the lower extremity and extensor strength of the knee joint in children with spastic diplegia

2016 ◽  
Vol 28 (6) ◽  
pp. 1868-1871 ◽  
Author(s):  
Yasuaki Kusumoto ◽  
Kenji Takaki ◽  
Tadamitsu Matsuda ◽  
Osamu Nitta
Keyword(s):  
Motor Control ◽  
Knee Joint ◽  
Lower Extremity ◽  
Spastic Diplegia ◽  
Voluntary Motor
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