scholarly journals Relationship between Pelvic Alignment and Weight-bearing Asymmetry in Community-dwelling Chronic Stroke Survivors

2016 ◽  
Vol 07 (S 01) ◽  
pp. S037-S040 ◽  
Author(s):  
Suruliraj Karthikbabu ◽  
Mahabala Chakrapani ◽  
Sailakshmi Ganesan ◽  
Ratnavalli Ellajosyula
Keyword(s):  
Pelvic Tilt ◽  
Pearson Correlation ◽  
Weight Bearing ◽  
Tertiary Care ◽  
Chronic Stroke ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Cross Sectional ◽  
Affected Side ◽  
Anterior Pelvic Tilt

ABSTRACT Background and Purpose: Altered pelvic alignment and asymmetrical weight bearing on lower extremities are the most common findings observed in standing and walking after stroke. The purpose of this study was to find the relationship between pelvic alignment and weight-bearing asymmetry (WBA) in community-dwelling chronic stroke survivors. Materials and Methods: This cross-sectional study was conducted in tertiary care rehabilitation centers. In standing, the lateral and anterior pelvic tilt angle of chronic stroke survivors was assessed using palpation (PALM™) meter device. The percentage of WBA was measured with two standard weighing scales. Pearson correlation coefficient (r) was used to study the correlation between pelvic tilt and WBA. Results: Of 112 study participants, the mean (standard deviation) age was 54.7 (11.7) years and the poststroke duration was 14 (11) months. The lateral pelvic tilt on the most affected side and bilateral anterior pelvic tilt were 2.47 (1.8) and 4.4 (1.8) degree, respectively. The percentage of WBA was 23.2 (18.94). There was a high correlation of lateral pelvic tilt with WBA (r = 0.631; P < 0.001) than anterior pelvic tilt (r = 0.44; P < 0.001). Conclusion: Excessive lateral pelvic tilt toward the most affected side in standing may influence the weight-bearing ability of the ipsilateral lower extremity in community-dwelling chronic stroke survivors.

scholarly journals Static Ankle Dorsiflexion and Hip and Pelvis Kinematics During Forward Step-Down in Patients With Hip-Related Groin Pain

2020 ◽  
pp. 1-8
Author(s):  
Stefanie N. Foster ◽  
Michael D. Harris ◽  
Mary K. Hastings ◽  
Michael J. Mueller ◽  
Gretchen B. Salsich ◽  
...  
Keyword(s):  
Pelvic Tilt ◽  
Groin Pain ◽  
Medical Center ◽  
Weight Bearing ◽  
Academic Medical Center ◽  
Ankle Dorsiflexion ◽  
Future Research ◽  
Cross Sectional ◽  
Anterior Pelvic Tilt ◽  
Step Down

Context: The authors hypothesized that in people with hip-related groin pain, less static ankle dorsiflexion could lead to compensatory hip adduction and contralateral pelvic drop during step-down. Ankle dorsiflexion may be a modifiable factor to improve ability in those with hip-related groin pain to decrease hip/pelvic motion during functional tasks and improve function. Objective: To determine whether smaller static ankle dorsiflexion angles were associated with altered ankle, hip, and pelvis kinematics during step-down in people with hip-related groin pain. Design: Cross-sectional Setting: Academic medical center. Patients: A total of 30 people with hip-related groin pain (12 males and 18 females; 28.7 [5.3] y) participated. Intervention: None. Main Outcome Measures: Weight-bearing static ankle dorsiflexion with knee flexed and knee extended were measured via digital inclinometer. Pelvis, hip, and ankle kinematics during forward step-down were measured via 3D motion capture. Static ankle dorsiflexion and kinematics were compared with bivariate correlations. Results: Smaller static ankle dorsiflexion angles were associated with smaller ankle dorsiflexion angles during the step-down for both the knee flexed and knee extended static measures. Among the total sample, smaller static ankle dorsiflexion angle with knee flexed was associated with greater anterior pelvic tilt and greater contralateral pelvic drop during the step-down. Among only those who did not require a lowered step for safety, smaller static ankle dorsiflexion angles with knee flexed and knee extended were associated with greater anterior pelvic tilt, greater contralateral pelvic drop, and greater hip flexion. Conclusions: Among those with hip-related groin pain, smaller static ankle dorsiflexion angles are associated with less ankle dorsiflexion motion and altered pelvis and hip kinematics during a step-down. Future research is needed to assess the effect of treating restricted ankle dorsiflexion on quality of motion and symptoms in patients with hip-related groin pain.

scholarly journals Gait Training in Chronic Stroke Using Walk-Even Feedback Device: A Pilot Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
V. Krishnan ◽  
I. Khoo ◽  
P. Marayong ◽  
K. DeMars ◽  
J. Cormack
Keyword(s):  
Pilot Study ◽  
Center Of Pressure ◽  
Weight Bearing ◽  
Gait Training ◽  
Chronic Stroke ◽  
Common Finding ◽  
Controlled Study ◽  
Stroke Survivors ◽  
Temporal Asymmetry ◽  
Affected Side

Asymmetrical gait and a reduction in weight bearing on the affected side are a common finding in chronic stroke survivors. The purpose of this pilot study was to determine the effectiveness of a shoe insole device that we developed, called Walk-Even, in correcting asymmetric gait in chronic stroke survivors. Six individuals with chronic (>6 months) stroke underwent 8 weeks of intervention with 2 sessions/week, each consisting of 20 minutes of gait training and 20 minutes of lower-extremity strength training. The 2 control participants underwent conventional gait training, while 4 participants underwent gait training using the Walk-Even. Following intervention, all the participants improved on most of the gait measures: peak pressure of the foot, time of transfer of weight from heel-to-forefoot, center of pressure (COP) trajectory, COP velocity, asymmetry ratio of stance, mean-force-heel, mean-force-metatarsals, Timed “Up and Go,” and Activities-specific Balance Scale. The improvement was more pronounced in the 4 participants that underwent training with Walk-Even compared to the control participants. This pilot study suggests that a combination of strength and gait training with real-time feedback may reduce temporal asymmetry and enhance weight-bearing on the affected side in chronic stroke survivors. A large randomized controlled study is needed to confirm its efficacy.

scholarly journals Influence of Chronic Stroke on Functional Arm Reaching: Quantifying Deficits in the Ipsilesional Upper Extremity

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Savitha Subramaniam ◽  
Rini Varghese ◽  
Tanvi Bhatt
Keyword(s):  
Reaction Time ◽  
Upper Extremity ◽  
Movement Time ◽  
Chronic Stroke ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Initiation Time ◽  
Peak Acceleration ◽  
Movement Initiation ◽  
And Performance

Purpose. The purpose of this study was to quantify ipsilesional upper extremity (UE) stand-reaching performance (kinematics and kinetics) among chronic stroke survivors.Method. Community-dwelling chronic stroke survivors (n=13) and age-similar healthy adults (n=13) performed flexion- and abduction-reaching tasks. Surface EMG and acceleration were sampled using wireless sensors from the prime movers (anterior and middle deltoid) and provided performance-outcome (reaction time, burst duration, movement time, and movement initiation time) and performance-production (peak acceleration) measures and were then evaluated.Results. Individuals with chronic stroke demonstrated significantly reduced performance outcomes (i.e., longer reaction time, burst duration, movement time, and movement initiation time) and performance production ability (i.e., smaller peak acceleration) compared to their healthy counterparts (p< 0.05) for both flexion- and abduction-reaching movements.Conclusion. Our results are suggestive of post-stroke deficits in ipsilesional motor execution during a stand-reaching task. Based on these findings, it is essential to integrate ipsilesional UE training into rehabilitation interventions as this might aid functional reaching activities of daily living and could ultimately help community-dwelling chronic stroke survivors maintain their independent living.

Respiratory Pressures and Thoracoabdominal Motion in Community-Dwelling Chronic Stroke Survivors

2005 ◽  
Vol 86 (10) ◽  
pp. 1974-1978 ◽  
Author(s):  
Luci F. Teixeira-Salmela ◽  
Verônica F. Parreira ◽  
Raquel R. Britto ◽  
Tereza C. Brant ◽  
Érika P. Inácio ◽  
...  
Keyword(s):  
Chronic Stroke ◽  
Community Dwelling ◽  
Stroke Survivors

scholarly journals The knowledge attitude practice regarding swine flu among parents/guardian accompanying children attending tertiary care center

2019 ◽  
Vol 6 (5) ◽  
pp. 1789
Author(s):  
Subasakthi A. ◽  
S. V. Arul Prasath
Keyword(s):  
Pearson Correlation ◽  
Care Center ◽  
Tertiary Care ◽  
Preventive Measure ◽  
Viral Disease ◽  
Hand Washing ◽  
Swine Flu ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Pediatric Department

Background: The knowledge, attitude and behavior of the public during an infectious outbreak is important for individual protection as well as to control the spread of the disease in community. The knowledge, attitude and practices regarding Swine Flu and the correlation between Knowledge and Practices regarding Swine Flu among the parents/guardians accompanying the children attending the pediatric department of KGMCH, Nagercoil was investigated in this study.Method: This cross sectional study was conducted among the parents/guardians accompanying the children attending the pediatric department of KGMCH after the epidemic situation. After obtaining written informed consent, participants were interviewed personally through predesigned and pre-tested questionnaire to elicit information regarding awareness of Swine Flu. All data were analysed using SPSS 25 software.Results: Of the 200 people included in the study, 117 (58.5%) knew that it was a viral disease. Of all the participants, 97(48.5%) knew about the respiratory mode of transmission. Only 28% knew about the hand washing to prevent transmission. Around 93% participants told fever as major symptoms and 71% told cough as a major symptom.55% of the participants were scared regarding the deadly nature of the disease. Only 12.5% of the participants practiced hand washing as a preventive measure. Correlation between Knowledge and practice was weakly positive (Pearson correlation 0.252).Conclusion: Knowledge regarding swine flu was average among the study population. TV, friends news channels and Health care workers were found to be the most common sources of information. Lack of awareness regarding key focus areas like hand washing as a preventive measure is of serious concern.  

scholarly journals Knowledge and practices in the wake of novel corona virus (COVID-19) pandemic.

2021 ◽  
Vol 28 (06) ◽  
pp. 784-798
Author(s):  
Bushra Rabbani ◽  
Ammarah Saeed ◽  
Faisal Ahmed ◽  
Hafiz Tahir Mehmood ◽  
Mariam Tariq ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Pearson Correlation ◽  
Tertiary Care ◽  
Educational Background ◽  
Disease Spread ◽  
Care Hospital ◽  
Cross Sectional ◽  
Corona Virus ◽  
The Mean ◽  
Knowledge And Practice

Objective: This study aims to assess the knowledge and practices towards novel corona virus pandemic (COVID-19) among general patients of a tertiary care hospital in Gadap town, Karachi, Pakistan. Study Design: Cross Sectional study. Setting: At OPD of Fatima Hospital, Baqai Medical University, Karachi. Period: 16th to 21st March 2020. Material & Methods: A total of 267 respondents were included using non-probability convenience sampling. Knowledge and Practices towards COVID-19 were assessed using interview based, open-ended questionnaire. The knowledge questionnaire consists of 11 questions assessing, General information, symptoms, modes of disease spread, methods of disease control and self-isolation techniques. Practice assessment was based on five parameters towards prevention. Mean knowledge and practice scores were calculated. A bivariate Pearson correlation, independent sample T-test and One Way ANOVA were utilized to depict statistical correlations between variables. Post-Hoc Analysis was applied within the demographic groups. Results: The mean age of participants was 37.33+15.1 years, 64.8% were 40 & below age, 64.4% were male, 40.4% belonged to Pushtoon, 43.3% were illiterate, 24.3% were laborer and 27% were housewives. The mean knowledge score was 9.31+5.59 out of 30, depicting an overall 31% rate of knowledge. The mean practice score was 1.33+1.34 out of 5. There is a strong positive (p<0.001) correlation between knowledge and practice scores were found. The knowledge and practice scores were also significantly associated with level of education (p<0.001). Conclusion: The overall knowledge and practices towards COVID-19 were found to be very poor in population of low socioeconomic status with low educational background improvising the public health authorities to design the specialized health education interventions aimed at targeting the specific population.

An investigation into the validity and reliability of mHealth devices for counting steps in chronic stroke survivors

2019 ◽  
Vol 34 (3) ◽  
pp. 394-403
Author(s):  
Pollyana Helena Vieira Costa ◽  
Thainá Paula Dias de Jesus ◽  
Carolee Winstein ◽  
Camila Torriani-Pasin ◽  
Janaine Cunha Polese
Keyword(s):  
Repeated Measures ◽  
Chronic Stroke ◽  
Community Dwelling ◽  
The Body ◽  
Stroke Survivors ◽  
Validity And Reliability ◽  
Paretic Side ◽  
Body Location ◽  
Step Counting ◽  
Iphone Application

Objective: To investigate the validity and test–retest reliability of mHealth devices (Google Fit, Health, STEPZ, Pacer, and Fitbit Ultra) to estimate the number of steps in individuals after chronic stroke and to compare whether the measurement of the number of steps is affected by their location on the body (paretic and non-paretic side). Design: Observational study with repeated measures. Setting: University laboratory. Subjects: Fifty-five community-dwelling individuals with chronic stroke. Intervention: Not applicable. Main measures: The number of steps was measured using mHealth devices (Google Fit, Health, STEPZ, Pacer, and Fitbit Ultra), and compared against criterion-standard measure during the Two-Minute Walk Test using habitual speed. Results: Our sample was 54.5% men, mean age of 62.5 years (SD 14.9) with a chronicity after stroke of 66.8 months (SD 55.9). There was a statistically significant association between the actual number of steps and those estimated by the Google Fit, STEPZ Iphone and Android applications, Pacer iphone and Android, and Fitbit Ultra (0.30 ⩽  r ⩾ 0.80). The Pacer iphone application demonstrated the highest reliability coefficient (ICC(2,1) = 0.80; P < 0.001). There were no statistically significant differences in device measurements that depended on body location. Conclusions: mHealth devices (Pacer–iphone, Fitbit Ultra, Google Fit, and Pacer–Android) are valid and reliable for step counting in chronic stroke survivors. Body location (paretic or non-paretic side) does not affect validity or reliability of the step count metric.

Abstract P276: Aerobic Endurance and Leg Strength are Predictive of Gait Velocity among Community-Dwelling Stroke Survivors

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Ruth E Taylor-Piliae ◽  
L. Daniel Latt ◽  
Bruce M Coull
Keyword(s):  
Cognitive Impairment ◽  
Functional Disability ◽  
Chronic Stroke ◽  
Community Dwelling ◽  
Step Test ◽  
Gait Velocity ◽  
Stroke Survivors ◽  
Chair Stand ◽  
Post Stroke ◽  
Leg Strength

Background: Gait velocity is an objective, fundamental indicator of post-stroke walking ability. Most stroke survivors have diminished aerobic endurance and paretic leg strength, with one or both of these conditions affecting their gait velocity. Other reported underlying factors affecting gait velocity include functional disability, balance and cognitive impairment. Objective: To examine potential independent predictors of gait velocity in chronic stroke. Methods: Cross-sectional design using baseline data from the first 100 community-dwelling stroke survivors enrolled in an exercise intervention study. Eligible subjects included men and women aged ≥ 50 years and at ≥ 3 months post-stroke. Subjects completed a comprehensive, self-administered health survey prior to their baseline study visit. At the baseline visit, functional disability (Modified Rankin Scale), aerobic endurance (2-minute step-test), leg strength (timed 5-chair stand test), balance (single-leg stance) and cognitive impairment (Mini-Mental Status Exam) were assessed. Gait speed was assessed using a valid and reliable timed 4-meter walk test designed for older adults with disabilities; to calculate gait velocity (meters/second). Multiple linear regression was conducted to explore potential independent predictors of gait velocity. Results: Subjects (n=100) were on average 70±10 years old, and 39±49 months post-stroke. The majority reported an ischemic stroke (68/100) with hemiparesis (80/100); and were married (59/100), White/European-American (78/100), college-educated (79/100), men (54/100). Subjects had an average gait velocity of 0.75±0.23 meters/second, categorized as limited community walkers. Approximately 37% of the variance in gait velocity, could be explained by the optimal combination of the independent variables in the model: functional disability, aerobic endurance, leg strength, balance, and cognitive impairment (R 2 =0.37, F 5,74 =8.64, p<0.01). Only better aerobic endurance (t 1,74 =3.41, p<0.01) and leg strength (i.e. faster chair stand time) (t 1,74 =–2.23, p=0.03) contributed uniquely and significantly to faster gait velocity. Conclusion: A hallmark of gait dysfunction in chronic stroke is slow gait velocity, even among well-educated, community-dwelling survivors. Gait velocity is simple to measure requiring only a stopwatch and flat surface for walking. Our findings are similar to reports by others that diminished aerobic endurance and leg strength are major contributors to slow gait velocity in chronic stroke. Long term rehabilitation efforts are needed to improve gait velocity in chronic stroke, and may need to incorporate multifaceted strategies concurrently, focusing on aerobic endurance and leg strength, to maximize community ambulation and reintegration.

Comparison between clinical estimated fetal weights (CEFW) Versus Ultrasonographic estimated fetal weight (UEFW) for co-relation with actual birth weight (ABW) in 3rd Trimester of Pregnancy

2020 ◽  
Vol 3 (1) ◽  
pp. e1-e4
Author(s):  
Rabia Razaq
Keyword(s):  
Birth Weight ◽  
Pearson Correlation ◽  
Tertiary Care ◽  
Fetal Weight ◽  
P Value ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Study Results ◽  
The Mean ◽  
Estimated Fetal Weight

Background: Accurate prenatal estimation of birth weight is useful in the management of labour and delivery. Objective: To determine the correlation between clinical estimated fetal weight with actual birth weight in 3rd trimester of pregnancy and to determine the correlation between Ultrasonographic fetal weight assessment with actual birth weight in 3rd trimester of pregnancy. Material & Methods: This cross sectional study with non-probability purposive sampling technique was conducted in three tertiary care hospitals of Punjab, Department of Obstetrics & Gynaecology, Allied Hospital, Faisalabad, Lady Aitcheson Hospital Lahore and Lady Willington Hospital Lahore. Informed consent was obtained from each female to use their data for research purpose. Demographic details were also noted. Then females undergo CEFW was done by using Johnson’s formula. Then ultrasonography was done on every female by experienced radiologists to get UEFW. FW measurement was done by using Shepard formula. Then females were followed-up till delivery of fetus. Actual birth weight (ABW) was noted on birth. Pearson correlation was used to measure the correlation coefficient for CEFW and UEFW with ABW. P-value≤0.05 was taken as significant. Results: In our study the mean age of the patients was 29.60±6.23 years and the mean gestational age of 33.30±2.31 weeks. The mean BMI value of the patients was 23.08±1.26 Kg/m2, the mean CEFW value 2219.60±556.41 grams while the mean UEFW value of the patients was 2227.77±521.94 grams and the mean value of ABW of the patients was 2284.00±515.29 grams. In our study the positive correlation was found between the CEFW, UEFW with ABW of the baby. Conclusion: Our study results concluded that both the clinical estimation ultrasonography estimation showed the feasible and reliable results. Both showed positive correlation with actual birth weight.

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