scholarly journals Gait Improvement in Chronic Stroke Survivors by Using an Innovative Gait Training Machine: A Randomized Controlled Trial

2021 ◽  
Vol 19 (1) ◽  
pp. 224
Author(s):  
Patcharee Kooncumchoo ◽  
Phuwarin Namdaeng ◽  
Somrudee Hanmanop ◽  
Bunyong Rungroungdouyboon ◽  
Kultida Klarod ◽  
...  
Keyword(s):  
Lower Limb ◽  
Gait Training ◽  
Chronic Stroke ◽  
Community Dwelling ◽  
Control Group ◽  
Walk Test ◽  
Limb Function ◽  
Gait Performance ◽  
Bonferroni Test ◽  
Lower Limb Function

Chronic stroke leads to the impairment of lower limb function and gait performance. After in-hospital rehabilitation, most individuals lack continuous gait training because of the limited number of physical therapists. This study aimed to evaluate the effects of a newly invented gait training machine (I-Walk) on lower limb function and gait performance in chronic stroke individuals. Thirty community-dwelling chronic stroke individuals were allocated to the I-Walk machine group (n = 15) or the overground gait training (control) group (n = 15). Both groups received 30 min of upper limb and hand movement and sit-to-stand training. After that, the I-Walk group received 30 min of I-Walk training, while the control followed a 30-minute overground training program. All the individuals were trained 3 days/week for 8 weeks. The primary outcome of the motor recovery of lower limb impairment was measured using the Fugl–Meyer Assessment (FMA). The secondary outcomes for gait performance were the 6-minute walk test (6 MWT), the 10-meter walk test (10 MWT), and the Timed Up and Go (TUG). The two-way mixed-model ANOVA with the Bonferroni test was used to compare means within and between groups. The post-intervention motor and sensory subscales of the FMA significantly increased compared to the baseline in both groups. Moreover, the 6 MWT and 10 MWT values also improved in both groups. In addition, the mean difference of TUG in the I-Walk was higher than the control. The efficiency of I-Walk training was comparable to overground training and might be applied for chronic stroke gait training in the community.

P14.1 Non-invasive cortical stimulation enhances lower limb function in chronic stroke patients

2011 ◽  
Vol 122 ◽  
pp. S121
Author(s):  
S. Tanaka ◽  
K. Takeda ◽  
Y. Otaka ◽  
K. Kita ◽  
R. Osu ◽  
...  
Keyword(s):  
Lower Limb ◽  
Chronic Stroke ◽  
Cortical Stimulation ◽  
Stroke Patients ◽  
Limb Function ◽  
Non Invasive ◽  
Lower Limb Function

scholarly journals Gait Performance and Lower-Limb Muscle Strength Improved in Both Upper-Limb and Lower-Limb Isokinetic Training Programs in Individuals with Chronic Stroke

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Marie-Hélène Milot ◽  
Sylvie Nadeau ◽  
Denis Gravel ◽  
Daniel Bourbonnais
Keyword(s):  
Training Program ◽  
Upper Limb ◽  
Lower Limb ◽  
Gait Speed ◽  
Chronic Stroke ◽  
Control Group ◽  
Positive Power ◽  
Gait Performance ◽  
Lower Limb Muscles ◽  
Limb Muscles

Background. Limited improvement in gait performance has been noted after training despite a significant increase in strength of the affected lower-limb muscles after stroke. A mismatch between the training program and the requirements of gait could explain this finding. Objective. To compare the impact of a training program, matching the requirements of the muscle groups involved in the energy generation of gait, to a control intervention, on gait performance and strength. Methods. 30 individuals with chronic stroke were randomly assigned into two groups (n = 15), each training three times/week for six weeks. The experimental group trained the affected plantarflexors, hip flexors, and extensors, while the control group trained the upper-limb muscles. Baseline and posttraining values of gait speed, positive power (muscles’ concentric action during gait), and strength were retained and compared between groups. Results. After training, both groups showed a similar and significant increase in gait speed, positive power of the hip muscles, and plantarflexors strength. Conclusion. A training program targeting the lower-limb muscles involved in the energy generation of gait did not lead to a greater improvement in gait performance and strength than a training program of the upper-limb muscles. Attending the training sessions might have been a sufficient stimulus to generate gains in the control group.

THE ASSOCIATION OF APOE Ε4 STATUS WITH LOWER LIMB FUNCTION AND HANDGRIP STRENGTH IN OLDER ADULTS

2019 ◽  
pp. 1-5
Author(s):  
M. Maltais ◽  
P. de Souto Barreto ◽  
Y. Rolland ◽  
B. Vellas
Keyword(s):  
Older Adults ◽  
Motor Function ◽  
Lower Limb ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Blood Draw ◽  
Limb Function ◽  
Cross Sectional ◽  
Apoe Ε4 ◽  
Lower Limb Function

Background/Objectives: Apolipoprotein (ApoE ε4) status has been associated with various cardiovascular diseases and Alzheimer’s Disease. Some studies have found a possible relationship between the presence of an ApoE ε4 allele and the decrease of motor function in healthy older adults. The objective of this study was to measure the cross-sectional and prospective associations of ApoE ε4 status with lower limb function and handgrip strength in older adults. Design: Longitudinal observational study using data from a randomized controlled trial.Setting: Community-dwelling older adults. Participants: 1300 older adults (≥70 years old) with ApoE ε4 status from the Multidomain Alzheimer’s Preventive Trial (MAPT) were followed for three years. Measurements: Lower-limb function was measured with the Short Physical Performance Battery (SPPB) and muscle strength was measured with a handgrip strength dynamometer. ApoE ε4 status was assessed with a blood draw. Mixed-effect linear regressions were used to examine cross-sectional as well as prospective associations between ApoE ε4 status and the outcomes. Results: No significant cross-sectional or prospective associations were found between ApoE ε4 status, lower-limb function and handgrip strength in our study. Conclusions: ApoE ε4 status was not associated with motor function in older adults.

scholarly journals Effect of Oculus Guided Physical Therapy in Adjunct to Conventional Therapy in Knee Osteoarthritis Patients-A Research Protocol

2021 ◽  
pp. 320-325
Author(s):  
Shrushti Jachak ◽  
Pratik Phansopkar ◽  
Neha Chitale
Keyword(s):  
Virtual Reality ◽  
Physical Therapy ◽  
Knee Osteoarthritis ◽  
Lower Limb ◽  
Conventional Therapy ◽  
Conventional Treatment ◽  
Control Group ◽  
Limb Function ◽  
Therapy Interventions ◽  
Lower Limb Function

Background: Osteoarthritis is the most prevalent disorder affecting the quality of life of older people. Eventually, the protecting tissue at the ends of bones degrades. One of the commonest type is osteoarthritis of knee. Knee osteoarthritis is linked to three main symptoms: knee pain, swelling, and decreased quadriceps mobility. Knee osteoarthritis can be treated with various physical therapy interventions, physiotherapy shows effective results. Visual reality can be used for the physical rehabilitation. In this study an attempt is been made to use the oculus quest for rehabilitation of knee osteoarthritis patients in adjunct to the conventional treatment. Objectives: To demonstrate the effect of a conventional treatment regimen on lower limb function in patients with knee osteoarthritis. To demonstrate the influence of virtual reality-based games on lower limb function in individuals with knee osteoarthritis. In patients with knee osteoarthritis, the effect of virtual reality physical therapy in addition to traditional therapy was compared to the effect of simply conventional therapy. Methods: The aim of this study is to look at the effects of VR-based exercise as an adjunct to conventional therapy. To that aim, a pre and post experimental design will be used, with a control group receiving just conventional therapy (strengthening, ultrasound, Maitland mobilization) and an experimental group receiving conventional treatment as well as the VR-based exercise. Data collected will be examined using the SPSS variant. Conclusion: Conclusion will be drawn based on the effect of virtual reality based exercises and conventional exercises. Which will help the therapist as well as patient in better treatment approach towards knee osteoarthritis.

scholarly journals The Effects of Virtual Reality Training on Function in Chronic Stroke Patients: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Han Suk Lee ◽  
Yoo Junk Park ◽  
Sun Wook Park
Keyword(s):  
Virtual Reality ◽  
Upper Limb ◽  
Effect Size ◽  
Lower Limb ◽  
Meta Analysis ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Limb Function ◽  
Vr Training ◽  
Lower Limb Function

Objective. The aim of this study was to perform a meta-analysis to examine whether virtual reality (VR) training is effective for lower limb function as well as upper limb and overall function in chronic stroke patients. Methods. Three databases, OVID, PubMed, and EMBASE, were used to collect articles. The search terms used were “cerebrovascular accident (CVA),” “stroke”, and “virtual reality”. Consequently, twenty-one studies were selected in the second screening of meta-analyses. The PEDro scale was used to assess the quality of the selected studies. Results. The total effect size for VR rehabilitation programs was 0.440. The effect size for upper limb function was 0.431, for lower limb function it was 0.424, and for overall function it was 0.545. The effects of VR programs on specific outcomes were most effective for improving muscle tension, followed by muscle strength, activities of daily living (ADL), joint range of motion, gait, balance, and kinematics. Conclusion. The VR training was effective in improving the function in chronic stroke patients, corresponding to a moderate effect size. Moreover, VR training showed a similar effect for improving lower limb function as it did for upper limb function.

scholarly journals Robot-Assisted Gait Training in Patients with Multiple Sclerosis: A Randomized Controlled Crossover Trial

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 713
Author(s):  
Cristiano Sconza ◽  
Francesco Negrini ◽  
Berardo Di Matteo ◽  
Alberto Borboni ◽  
Gennaro Boccia ◽  
...  
Keyword(s):  
Crossover Trial ◽  
Gait Training ◽  
Treatment Session ◽  
Control Group ◽  
Walk Test ◽  
Robot Assisted ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Before And After

Background and Objectives: Gait disorders represent one of the most disabling aspects in multiple sclerosis (MS) that strongly influence patient quality of life. The improvement of walking ability is a primary goal for rehabilitation treatment. The aim of this study is to evaluate the effectiveness of robot-assisted gait training (RAGT) in association with physiotherapy treatment in patients affected by MS in comparison with ground conventional gait training. Study design: Randomized controlled crossover trial. Materials and Methods: Twenty-seven participants affected by MS with EDSS scores between 3.5 and 7 were enrolled, of whom seventeen completed the study. They received five training sessions per week over five weeks of conventional gait training with (experimental group) or without (control group) the inclusion of RAGT. The patients were prospectively evaluated before and after the first treatment session and, after the crossover phase, before and after the second treatment session. The evaluation was based on the 25-foot walk test (25FW, main outcome), 6 min walk test (6MWT), Tinetti Test, Modified Ashworth Scale, and modified Motricity Index for lower limbs. We also measured disability parameters using Functional Independence Measure and Quality of Life Index, and instrumental kinematic and gait parameters: knee extensor strength, double-time support, step length ratio; 17 patients reached the final evaluation. Results: Both groups significantly improved on gait parameters, motor abilities, and autonomy recovery in daily living activities with generally better results of RAGT over control treatment. In particular, the RAGT group improved more than control group in the 25FW (p = 0.004) and the 6MWT (p = 0.022). Conclusions: RAGT is a valid treatment option that in association with physiotherapy could induce positive effects in MS-correlated gait disorders. Our results showed greater effectiveness in recovering gait speed and resistance than conventional gait training.

scholarly journals Effectiveness of a 3-month antifalling program in the mobility, balance confidence, and muscle performance of older adults

2021 ◽  
Vol 17 (4) ◽  
pp. 247-255
Author(s):  
Rahim Nor ◽  
Maria Justine ◽  
Angelbeth Joanny ◽  
Azrul Anuar Zolkafli
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Lower Limb ◽  
Risk Group ◽  
Exercise Program ◽  
Muscle Performance ◽  
Limb Function ◽  
Balance Confidence ◽  
Risk Of Fall ◽  
Lower Limb Function

This study determined the effectiveness of a 3-month group-based multicomponent exercise program in the mobility, balance confidence, and muscle performance of older adults. A total of 40 participants (mean age=70.60±6.25 years completed pre- and posttest clinical intervention measures of mobility using the Timed Up and Go (TUG) test, balance confidence using the Activities-specific Balance Confidence scale, upper limb strength (handgrip dynamometer), and lower limb function (30-sec chair rise test). Data were analyzed using paired t-test and based on TUG criteria for risk of fall (low- and high-risk groups). Significant improvements were found in all measures (All P<0.05) following the 3-month program. Measures according to the risk of fall categories were also significantly improved (P<0.01), except the left handgrip strength (P>0.05). The low-risk group showed a higher improvement in mobility (14.87% vs. 11.74%), balance confidence (34.21% vs. 26.08%), and lower limb function (96.87% vs. 21.20%) but was not significantly different from the high-risk group (P>0.05). A group-based multicomponent exercise program benefited the physical functions of older adults at low- or high risk of falls.

Instrumented staircase for kinetic analyses of upper-and lower-limb function during stair gait

2005 ◽  
Vol 43 (5) ◽  
pp. 552-556 ◽  
Author(s):  
S. Chapdelaine ◽  
B. J. McFadyen ◽  
S. Nadeau ◽  
G. St-Vincent ◽  
E. Langelier
Keyword(s):  
Lower Limb ◽  
Limb Function ◽  
Lower Limb Function
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