scholarly journals Short-Term Effect of Kinesio Taping of Lower-Leg Proprioceptive Neuromuscular Facilitation Pattern on Gait Parameter and Dynamic Balance in Chronic Stroke with Foot Drop

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 271
Author(s):  
Dongyun Lee ◽  
Youngsook Bae
Keyword(s):  
Dynamic Balance ◽  
Step Length ◽  
Chronic Stroke ◽  
Foot Drop ◽  
Gait Velocity ◽  
Control Group ◽  
Stroke Patients ◽  
Short Term ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Experimental Group

The aim of this study is to identify the effectiveness of proprioceptive neuromuscular facilitation (PNF) leg Kinesio taping on gait parameters and dynamic balance in chronic stroke patients with foot drop. A total 22 chronic stroke patients were randomly assigned to experimental (n = 11) and control groups (n = 11). All subjects underwent conventional therapy and gait training for 50 min. The experimental group additionally received KT of tibialis anterior muscle (TA) and hamstring muscles according to the PNF pattern. The control group received KT of only TA. The primary outcome measures that the gait parameter are gait velocity, cadence, step length, and stride length. Dynamic balance was measured by the timed up-and-go test (TUG) time and activity-specific balance confidence scale (ABC) as the secondary outcomes. All of the measurements were performed baseline and 24 h after intervention. Our results showed that the experimental group showed significant improvements in gait velocity, cadence, step length, stride length and TUG, and ABC score compared with the control group. We conclude that the short term effect of application of lower-leg KT according to the PNF pattern increased the gait ability and dynamic balance of chronic stroke patients with foot drop.

scholarly journals Short-term Effects of Elastic Therapeutic Taping on Static and Dynamic Balance in Chronic Stroke

2021 ◽  
Vol 12 (4) ◽  
pp. 541-550
Author(s):  
Roghayeh Mohammadi ◽  
◽  
Mohaddeseh Hafez Yosephi ◽  
Roya Khanmohammadi ◽  
Namrata Grampurohit ◽  
...  
Keyword(s):  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Chronic Stroke ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Short Term ◽  
Functional Reach ◽  
Post Test ◽  
Experimental Group ◽  
Short Term Effects

Introduction: The current pilot study aimed to examine the short-term effects of ankle Elastic Therapeutic Taping (ETT) on static and dynamic balance. Methods: Twenty-Four individuals with chronic stroke were assigned to an experimental or control group (n=12/group); they both received Conventional Physical Therapy (CT) for 3 weeks, 3 times per week. The experimental group additionally underwent taping to the ankle of the paretic side continuously for 3 weeks. Standardized measures for static and dynamic balance were administered at pre-test and post-test and analyzed using Wilcoxon and Analysis of Covariance (ANCOVA). Results: The experimental group significantly improved on two measures, Biodex anterior-posterior static (P=0.03) and medial-lateral dynamic (P=0.04) balance indices, compared to the controls. Both groups improved within their respective groups for Berg Balance Scale and Functional Reach (P<0.05). Static balance consistently improved across measures with the experimental intervention with large effect sizes. Conclusion: Ankle ETT, combined with CT, may be effective in the short-term for improving static and dynamic balance in stroke, compared to CT alone. A future larger randomized trial with longer follow-up is required to establish this method’s effectiveness.

scholarly journals Balance Training with Electromyogram-Triggered Functional Electrical Stimulation in the Rehabilitation of Stroke Patients

2020 ◽  
Vol 10 (2) ◽  
pp. 80
Author(s):  
Kyeongjin Lee
Keyword(s):  
Muscle Activation ◽  
Dynamic Balance ◽  
Balance Training ◽  
Control Group ◽  
Static Balance ◽  
Stroke Patients ◽  
Ankle Muscle ◽  
Balance Ability ◽  
Leg Muscle ◽  
Experimental Group

This study was conducted to investigate the effects of balance training with electromyogram-triggered functional electrical stimulation (EMG-triggered FES) to improve static balance, dynamic balance, and ankle muscle activation in stroke patients. Forty-nine participants (>6 months after stroke) were randomly assigned to the experimental group (n = 25) and the control group (n = 24). The experimental group underwent balance training with EMG-triggered FES for 40 min a day, 5 days a week, for a 6-week period in addition to general rehabilitation. The control group underwent balance training without EMG-triggered FES along with conventional therapy. Outcome measures included static balance ability, dynamic balance ability, and leg muscle activation. The static and dynamic balance abilities were significantly improved after intervention in both groups (p < 0.05), although the experimental group showed considerably greater improvement than the control group (p < 0.05). Leg muscle activation on the affected side resulted in significant improvements in the experimental group (p < 0.05) when compared with baseline but not in the control group. Balance training with EMG-triggered FES is an acceptable and effective intervention to improve the static balance, dynamic balance, and ankle muscle activation in stroke patients.

Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients

2018 ◽  
pp. 2-12
Author(s):  
M Kamaluddin ◽  
Erna Setiawati ◽  
Tanti Ajoe Kesoema
Keyword(s):  
Shock Wave ◽  
Motor Function ◽  
Controlled Trial ◽  
Hand Function ◽  
Chronic Stroke ◽  
Control Group ◽  
Shock Wave Therapy ◽  
Stroke Patients ◽  
And Control ◽  
Experimental Group

Introduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Conclusion: There were improvement of wrist and hand FMA scores in the experimental as well as control group Results: Median of wrist FMA scores in the experimental and control group before intervention were 2 and 3 respectively whereas median of wrist FMA scores in the experimental and control group after intervention were 5 and 4 respectively. Median of hand FMA scores in the experimental and control group before intervention were 4 and 4 respectively whereas median of hand FMA scores in the control and experimental group after intervention were 6 and 5 respectively. The scores of wrist- hand FMA in the control and experimental group after intervention were increased P = 0.001P < 0.001 (wrist) and P = 0.001 P < 0.001 (hand) respectively. However, difference increased of wrist and hand FMA scores in the experimental group after intervention were more significant. Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients

2019 ◽  
pp. 2-12
Author(s):  
M. Kamaluddin K ◽  
Erna Setiawati ◽  
Tanti Ajoe Kesoema
Keyword(s):  
Shock Wave ◽  
Motor Function ◽  
Hand Function ◽  
Chronic Stroke ◽  
Control Group ◽  
Shock Wave Therapy ◽  
Stroke Patients ◽  
Before And After ◽  
And Control ◽  
Experimental Group

IIntroduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

Using a cane for one month does not improve walking or social participation in chronic stroke: An attention-controlled randomized trial

2021 ◽  
pp. 026921552110208
Author(s):  
Patrick Roberto Avelino ◽  
Lucas Rodrigues Nascimento ◽  
Louise Ada ◽  
Kênia Kiefer Parreiras de Menezes ◽  
Luci Fuscaldi Teixeira-Salmela
Keyword(s):  
Randomized Trial ◽  
Social Participation ◽  
Walking Speed ◽  
Single Point ◽  
Step Length ◽  
Chronic Stroke ◽  
Control Group ◽  
Walking Capacity ◽  
Carry Over ◽  
Experimental Group

Objective: To examine the effects of the provision of a cane, delivered to ambulatory people with chronic stroke, for improving walking and social participation. Design: Two-arm, randomized trial. Setting: Community-based. Participants: Ambulatory individuals with chronic stroke. Interventions: The experimental intervention was the provision of a single-point cane during one month. The control group received a placebo intervention. Outcome measures: Walking speed, step length, cadence, walking capacity, and walking confidence were measured without the cane to examine its rehabilitative effect. Walking speed was also measured with the cane for inclusiveness, and social participation was measured for examining carry over effects. Outcomes were measured at baseline, and after one and two months. Results: Fifty individuals were included. In the experimental group, mean age was 69 years (SD 14), and walking speed was 0.58 m/s (SD 0.17). In the control group, mean age was 68 years (SD 13), and walking speed was 0.63 m/s (SD 0.15). When walking without the cane, after one and after two months, there were no between-group differences in any measures. When walking with the cane, after one month, the experimental group walked 0.14 m/s (95% CI 0.05–0.23) faster than the control group and after two months, they were still walking 0.18 m/s (95% CI 0.06–0.30) faster. Conclusion: Use of a cane improved walking speed, only when participants walked with the cane. Use of cane for one month did not improve walking outcomes, when walking without the cane. People with stroke would need to continue to use the cane to maintain any benefits in walking speed.

scholarly journals Effects of Biaxial Ankle Strengthening on Muscle Efficiency during Gait in Chronic Stroke Patients: A Randomized Controlled Pilot Study

2020 ◽  
Author(s):  
Ji-Eun Cho ◽  
Wan-Hee Lee ◽  
Joon-Ho Shin ◽  
Hogene Kim
Keyword(s):  
Visual Feedback ◽  
Isometric Contraction ◽  
Walking Speed ◽  
Chronic Stroke ◽  
Foot Drop ◽  
Control Group ◽  
Stroke Patients ◽  
Randomized Controlled ◽  
Ankle Muscle ◽  
Ankle Strength

Abstract Background: Ankle dysfunction in stroke patients is a common but serious cause of balance and gait impairment. However there seldom exists comprehensive paretic ankle training. Thus we investigated the effects of biaxial ankle muscle training (AMT) using visual feedback as a means to improve ankle strength and functional activities in stroke patients. Methods: The study design was a randomized controlled pilot trial with concealed allocation and assessor blinding, and intention-to-treat analysis. Twenty-five patients with stroke under inpatient rehabilitation with difficulty walking (e.g. foot drop), or ankle muscle weakness participated. The experimental group underwent AMT consisting of passive stretching, contraction to match movement, and active-resistive strengthening using visual feedback for 40 minutes per day, 5 times per week for 4 weeks. The control group underwent ankle-related physical therapy including ankle range of motion(ROM) exercises for matched time period. The outcomes were ankle isometric contraction force, Fugl-Meyer lower extremity (FM-L), Berg balance scale (BBS), walking speed, and ankle co-contraction index (CI) during gai. Results: The results showed significant between-group differences for ankle isometric contraction in each direction (P<0.05), FM-L (P<0.01) and stance-phase CI (P<0.05). Post training, the AMT group displayed significant differences in the ankle isometric contraction in each direction (P<0.01), ankle proprioception (P<0.05), and walking speed (P<0.05). Conclusions: Our findings demonstrate the significant short-term effects of AMT on ankle strength, walking speed, and ankle muscle efficiency in chronic stroke survivors.

scholarly journals Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients

2018 ◽  
Vol 7 (01) ◽  
pp. 2
Author(s):  
M. Kamaluddin K ◽  
Erna Setiawati ◽  
Tanti Ajoe Kesoema
Keyword(s):  
Shock Wave ◽  
Motor Function ◽  
Hand Function ◽  
Chronic Stroke ◽  
Control Group ◽  
Shock Wave Therapy ◽  
Stroke Patients ◽  
Before And After ◽  
And Control ◽  
Experimental Group

IIntroduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

scholarly journals Changes in Gait Characteristics of Stroke Patients with Foot Drop after the Combination Treatment of Foot Drop Stimulator and Moving Treadmill Training

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Chen Peishun ◽  
Zhou Haiwang ◽  
Li Taotao ◽  
Guan Hongli ◽  
Min Yu ◽  
...  
Keyword(s):  
Combination Treatment ◽  
Tibialis Anterior Muscle ◽  
Test Group ◽  
Step Length ◽  
Treadmill Training ◽  
Foot Drop ◽  
Control Group ◽  
Stroke Patients ◽  
Gait Characteristics

Objective. To study the changes in gait characteristics of stroke patients with foot drop after the combination treatment of foot drop stimulator and moving treadmill training and thus provide a basis for the improvement in a foot drop gait after stroke. Methods. Sixty patients with hemiplegia and foot drop caused by stroke were randomly divided into two groups of 30: the test group and the control group. Both groups received basic rehabilitation training. On this basis, the test group received the combination treatment of foot drop stimulator and moving treadmill training. The control group received foot drop stimulator training. Both groups received consecutive treatment for 3 weeks, five times a week, and every single time lasted for 30 minutes. Before and after the treatment, a gait watch three-dimensional gait analysis system was used to measure and record the maximum angles of flexion of the affected side’s hip, knee, and ankle; the pace; the step length asymmetry; the iEMG of the tibialis anterior muscle; the functional ambulation category; and Ashworth’s modified spasticity classification of the gastrocnemius. Results. After treatment, in the two groups, the maximum angles of flexion of the affected side’s hip, knee, and ankle improved, the pace increased, the step length asymmetry decreased, the iEMG of the tibialis anterior muscle increased, the functional ambulation category improved, and Ashworth’s modified spasticity classification of the gastrocnemius decreased, but the above changes in the test group were better than those in the control group. The difference is statistically significant ( p < 0.05 ). Conclusions. The combination treatment of the foot drop stimulator and moving treadmill can significantly improve stroke patients’ foot gait and promote the normalization of hip flexion, knee flexion, and ankle flexion. It can increase the pace, significantly reduce the step length asymmetry, reduce the muscle tone of the gastrocnemius, and improve walking function.

scholarly journals Effects of Lower-Leg Kinesiology Taping on Balance Ability in Stroke Patients with Foot Drop

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Young-Hyeon Bae ◽  
Hyeong Geun Kim ◽  
Kyung Sam Min ◽  
Suk Min Lee
Keyword(s):  
Scale Score ◽  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Lower Leg ◽  
Foot Drop ◽  
Stroke Patients ◽  
Balance Scale ◽  
Balance Ability ◽  
Experimental Group ◽  
Over Time

Objective. The purpose of this study was to observe the effects of lower-leg kinesiology taping on balance ability in stroke patients with foot drop.Design. Randomized controlled trial study.Method. Thirty stroke patients with foot drop were randomly divided into two groups. The experimental group underwent kinesiology taping, and the control group underwent placebo taping. Balance ability was assessed before and after taping in both groups.Results. No difference was observed over time in the Berg Balance Scale score between the two groups, and a significant difference in the Berg Balance Scale score was observed only in the experimental group. Additionally, there were significant differences in the center of pressure area and limits of stability over time.Conclusion. Kinesiology taping temporarily improved static balance ability in stroke patients. However, its effect on dynamic balance was not verified. Therefore, further research on the influence of long-term kinesiology taping on dynamic balance and gait ability is suggested.

scholarly journals Comparison of Aquatic Therapy vs. Dry Land Therapy to Improve Mobility of Chronic Stroke Patients

2020 ◽  
Vol 17 (13) ◽  
pp. 4728 ◽  
Author(s):  
Sagrario Pérez-de la Cruz
Keyword(s):  
Therapy Group ◽  
Controlled Trial ◽  
Chronic Stroke ◽  
Control Group ◽  
Stroke Patients ◽  
Aquatic Therapy ◽  
Dry Land ◽  
Increased Risk ◽  
Single Leg Stance ◽  
Experimental Group

One of the most serious and disabling problems of stroke is pain and a decrease in balance, with the consequent increased risk of falls. The aim of the randomized controlled trial study was to compare the efficacy of three different treatment proposals to improve pain, gait, and balance in chronic stroke patients. Forty patients diagnosed with stroke were divided into three groups: the dry-land therapy group (control group) received sessions that included walking exercises and trunk mobility. The experimental group received Ai Chi aquatic therapy, and the combined group received alternating dry-land therapy sessions and Ai Chi aquatic therapy. The measurement instruments used were: the Tinetti balance and gait scale, the visual analog scale (VAS), 360° turn, single leg stance, and the 30-s stand test (CS-30). After twelve weeks of treatment, the results were significantly better for the combined therapy group and the experimental group compared to the dry-land therapy group (p < 0.01) in the VAS scale, CS-30, and 360° turn, although improvements were also found in the evaluations carried out in the aquatic therapy group. In total, for the Tinetti scale and single-leg stance, the differences between the groups were evident, although not statistically significant (p = 0.001). Aquatic therapy with Ai Chi and the combination of aquatic therapy with dry-land therapy was effective in improving pain, balance, and gait in patients with chronic stroke, thus improving their functional capacity and quality of life.

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