scholarly journals Evaluation of spatio-temporal parameters of the non-paretic limb in the gait performance of post stroke patients

2021 ◽  
Author(s):  
Rodrigo Andreola Serraglio ◽  
Ana Carolina Pauleto ◽  
Guilherme Augusto de Oliveira
Keyword(s):  
Functional Dependence ◽  
Step Length ◽  
The Body ◽  
Stroke Patients ◽  
Post Stroke ◽  
Swing Time ◽  
Paretic Limb ◽  
Spatio Temporal ◽  
High Level ◽  
Support Phase

The objective of this study is to evaluate the compensation of the non-paretic side in the gait of post-stroke hemiparetic patients submitted to computerized gait analysis in the Centro Hospitalar de Reabilitação Ana Carolina Moura Xavier, Curitiba - PR, in a study carried out in 2015. Spatio-temporal data were evaluated: speed, stride and step length, swing time and support of both members. The sample consisted of twenty individuals with a mean time after stroke of 6.9 months. The results showed that the median speed was equivalent to 16.17% of the normal standard value, stride length to 31.22%, step length of the non-paretic limb to 31.69%. The swing time on the nonparetic side corresponded to 35% of the total cycle and the support time corresponded to 86%. There is a favoring of the paretic limb over the non-paretic one, as a compensation mechanism for weakness and impaired balance. Thus, the non-paretic limb spends more time in the support phase to allow a longer step length of the paretic limb while in swing. In contrast, the paretic limb is unable to support the body in the support phase for a long time, reducing the step length of the non-paretic limb. The significant reduction in gait speed indicates the high level of functional dependence in these patients. If there is an opportunity to act early in the rehabilitation of post-stroke patients, still in the acute phase, it is possible to quantify the improvement in the ability to walk.

Method of virtual reality for early comprehensive rehabilitation of patients with acute stroke

2020 ◽  
pp. 39-45
Author(s):  
N. Nozdryukhina ◽  
E. Kabayeva ◽  
E. Kirilyuk ◽  
K. Tushova ◽  
A. Karimov
Keyword(s):  
Virtual Reality ◽  
Literature Review ◽  
Acute Stroke ◽  
Functional Outcome ◽  
Recovery Process ◽  
Stroke Patients ◽  
Post Stroke ◽  
Stroke Disability ◽  
Comprehensive Rehabilitation ◽  
High Level

Despite significant advances in the treatment and rehabilitation of stroke, level of post-stroke disability remains at a fairly high level. Recent innovative developments in the rehabilitation of these patients provide good results in terms of functional outcome. One of such developments is method of virtual reality (VR), which affects not only the speed and volume of regaining movement, as well as coordination, but also normalizes the psycho-emotional background, increasing the motivation of patients to improve the recovery process. This article provides a literature review of the use of the VR method in the rehabilitation of post-stroke patients, neurophysiological aspects of recovery of lost functions using this method are considered.

scholarly journals Topological map of the body in post-stroke patients: Lesional and hodological aspects.

2019 ◽  
Vol 33 (4) ◽  
pp. 499-507 ◽  
Author(s):  
Antonella Di Vita ◽  
Liana Palermo ◽  
Maddalena Boccia ◽  
Cecilia Guariglia
Keyword(s):  
The Body ◽  
Stroke Patients ◽  
Topological Map ◽  
Post Stroke

scholarly journals Factors Affecting Quality of Life among Post-Stroke Patients in the Sub-Himalayan Region

2020 ◽  
Vol 11 (04) ◽  
pp. 616-622
Author(s):  
Tarannum Ahmed ◽  
Rajesh Kumar ◽  
Yogesh Bahurupi ◽  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Functional Dependence ◽  
Himalayan Region ◽  
World Health ◽  
Rank Test ◽  
Poststroke Depression ◽  
Stroke Patients ◽  
Post Stroke

Abstract Background Stroke is one of the most debilitating conditions contributing to significant disability and death globally. Identifying risk factors for quality of life (QoL) will enable to improve home-based rehabilitation in post-stroke phase. Objective This study was aimed to identify the risk factors of QoL in stroke patients in the sub-Himalayan region. Materials and Methods A cross-sectional hospital-based study assessed the QoL among stroke patients within a week after the onset of acute stroke and then re-evaluated at 3 months. World Health Organization QoL-BREF, Beck Depression Inventory, the Barthel Index, and Montreal Cognitive Assessment (MOCA) were used to seek data on QoL, depression, cognitive, and functional dependence status, respectively. Appropriate statistics were used to compute the results. Results In total, 129 stroke patients recruited, out of which 102 returned to a 3-month follow-up. QoL, MOCA, disability index, and depression score were compared using Wilcoxon Singed-rank test. In multivariate analysis, depression and disability together predicted 60% of the variance for physical QoL (p < 0.0001). Similarly, poststroke depression and disability together predicted 61% of the variance for psychological QoL (p < 0.0001) in stroke patients. Conclusion Findings indicated that depression and disability are leading risk factors of QoL in stroke patients. Early identification of poststroke depression and functional dependence status is, therefore, essential to devise screening procedure and to develop targeted intervention to improve rehabilitation outcomes.

Relationship of Quadriceps Muscle Thickness with Motor Paralysis and Muscle Echo Intensity in Post-Stroke Patients

2019 ◽  
Vol 81 (1-2) ◽  
pp. 56-62 ◽  
Author(s):  
Hisashi Maeda ◽  
Ken Imada ◽  
Koji Ishida ◽  
Hiroshi Akima
Keyword(s):  
Muscle Thickness ◽  
Quadriceps Muscle ◽  
Muscle Quality ◽  
Quality Loss ◽  
Echo Intensity ◽  
Stroke Patients ◽  
Post Stroke ◽  
Paretic Limb ◽  
Motor Paralysis ◽  
Relationship Of

Introduction: Quadriceps muscle atrophy and quality loss, defined as an increased ratio of intramuscular fat and/or connective tissue, are often observed especially in the paretic limb of post-stroke patients. This study was performed to examine the relationship of quadriceps muscle thickness (MT) with muscle echo intensity (EI) and the severity of motor paralysis after stroke. Methods: Thirty-six hemiparetic subacute post-stroke patients were enrolled. We examined the MT (index of muscle quantity) and the EI (index of muscle quality) at the anterior mid-thigh in both limbs. We also assessed the Brunnstrom stage (BR stage), subcutaneous adipose tissue thickness, time since stroke, age, body weight, sex, number of medications, and nutritional and inflammation status. Results: The MT in the paretic limb was explained by the BR stage (β = –0.26, p < 0.01), body weight (β = 0.68, p < 0.01), and serum albumin (β = 0.34, p < 0.01), with an adjusted R2 of 0.81. The MT in the non-paretic limb was explained by the muscle EI (β = –0.55, p < 0.01) and age (β = –0.40, p < 0.01), with an adjusted R2 of 0.69. The muscle EI was explained by the MT in the paretic limb (β = –0.34, p < 0.01) and non-paretic limb (β = –0.69, p < 0.01). Conclusions: Our results suggest that motor paralysis, aging, and malnutrition contribute to quadriceps atrophy in post-stroke patients. Moreover, a potential countermeasure to diminish muscle quality loss is maintenance of muscle quantity.

scholarly journals Persons post-stroke improve step length symmetry by walking asymmetrically

2020 ◽  
Author(s):  
Purnima Padmanabhan ◽  
Keerthana Sreekanth ◽  
Shivam Gulhar ◽  
Kendra M. Cherry-Allen ◽  
Kristan A. Leech ◽  
...  
Keyword(s):  
Center Of Mass ◽  
Metabolic Cost ◽  
Step Length ◽  
Gait Pattern ◽  
Future Research ◽  
Cost Of Transport ◽  
Post Stroke ◽  
Paretic Limb ◽  
Gait Parameters ◽  
The Many

Abstract Background Restoration of step length symmetry is a common rehabilitation goal after stroke. Persons post-stroke often retain the ability to walk with symmetric step lengths ("symmetric steps") at an elevated metabolic cost relative to healthy adults. Two key questions with direct implications for rehabilitation have emerged: 1) how do persons post-stroke generate symmetric steps, and 2) why do symmetric steps remain so effortful? Here, we aimed to understand how persons post-stroke generate symmetric steps and explored how the resulting gait pattern may relate to the metabolic cost of transport. Methods We recorded kinematic, kinetic, and metabolic data as nine persons post-stroke walked on an instrumented treadmill under two conditions: preferred walking and symmetric stepping (using visual feedback). Results Gait kinematics and kinetics remained markedly asymmetric even when persons post-stroke improved step length symmetry. Impaired paretic propulsion and abnormal movement of the center of mass were evident during both preferred walking and symmetric stepping. These deficits contributed to diminished positive work performed by the paretic limb on the center of mass in both conditions. Within each condition, decreased positive paretic work correlated with increased metabolic cost of transport and decreased walking speed across participants. Conclusions It is critical to consider the mechanics used to restore symmetric steps when designing interventions to improve walking after stroke. Future research should consider the many dimensions of asymmetry in post-stroke gait, and additional within-participant manipulations of gait parameters are needed to improve our understanding of the elevated metabolic cost of walking after stroke.

scholarly journals Sarcopenic Obesity and Activities of Daily Living in Stroke Rehabilitation Patients: A Cross-Sectional Study

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 255
Author(s):  
Tatsuya Matsushita ◽  
Shinta Nishioka ◽  
Shiori Taguchi ◽  
Anna Yamanouchi ◽  
Ryusei Nakashima ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Older Patients ◽  
Functional Independence ◽  
The Body ◽  
Sarcopenic Obesity ◽  
Fat Percentage ◽  
Stroke Patients ◽  
Post Stroke ◽  
Simple Obesity

Reports investigating the relationship between sarcopenic obesity and activities of daily living in older patients with stroke were limited. This study aimed to examine the prevalence of sarcopenic obesity and its association with activities of daily living in older post-stroke patients in convalescent rehabilitation wards. This study was performed in older post-stroke patients admitted to convalescent rehabilitation wards between January 2017 and March 2019. Sarcopenia was diagnosed based on the skeletal muscle mass index and hand grip strength according to the criteria of the 2019 Asian Working Group for Sarcopenia. Obesity was diagnosed according to the body fat percentage; ≥27% in men, ≥38% in women. The primary outcome was the Functional Independence Measure (FIM) score upon admission, which was analyzed using multiple linear regression. In total, 376 participants (women 44%; mean age 77.5 years) were analyzed and classified as normal (22%), simple obesity (17%), sarcopenia without obesity (32%), and sarcopenic obesity (28%). The presence of sarcopenic obesity was independently associated with the FIM score (95% CI, −16.157 to −5.353), whereas simple obesity and sarcopenia without obesity were not. In conclusion, sarcopenic obesity was independently associated with lower activities of daily living capability in older patients with stroke.

scholarly journals Effects of Motor Dual Task Training on Spatio-temporal Gait Parameters of Post-stroke Patients

2012 ◽  
Vol 24 (9) ◽  
pp. 845-848 ◽  
Author(s):  
Sunhwa Shim ◽  
Jaeho Yu ◽  
Jinhwa Jung ◽  
Hyungkyu Kang ◽  
Kihun Cho
Keyword(s):  
Dual Task ◽  
Stroke Patients ◽  
Post Stroke ◽  
Gait Parameters ◽  
Task Training ◽  
Dual Task Training ◽  
Spatio Temporal

scholarly journals Progress in Research on the Mechanism and Treatment of Post-stroke Infection

2016 ◽  
Vol 5 (3) ◽  
pp. 69-74
Author(s):  
Hongtao Zhang
Keyword(s):  
Immune System ◽  
Inflammatory Responses ◽  
The Body ◽  
Main Mechanism ◽  
Inflammatory Factors ◽  
Stroke Patients ◽  
Lesion Area ◽  
Peripheral Immune System ◽  
Post Stroke ◽  
Stroke Center

AbstractPost-stroke infection hinders the recovery of stroke patients and can even cause death. The main mechanism of post-stroke infection is related with the post-stroke center, the activation of the peripheral immune system, and the release of inflammatory factors caused by the lesion area and pathophysiological changes in the body. Therefore, elucidating the body’s abnormal immune inflammatory responses after stroke is crucial for the prevention, treatment, and alleviation of post-stroke infection.

scholarly journals Rancang bangun alat monitoring fisioterapi pasien pasca stroke menggunakan sensor MPU6050 melalui media transmisi bluetooth

JURNAL ELTEK ◽  
2021 ◽  
Vol 19 (2) ◽  
pp. 39
Author(s):  
Lis Diana Mustafa ◽  
Azam Muzakhim Imamuddin ◽  
Yoyok Heru Prasetio
Keyword(s):  
Transient Ischemic Attack ◽  
Knee Flexion ◽  
The Body ◽  
Stroke Patients ◽  
Post Stroke ◽  
Elbow Movement ◽  
Mild Stroke ◽  
Ischemic Attack ◽  
The Brain ◽  
Average Angle

Stroke Transient Ischemic Attack (TIA ) adalah kondisi stroke ringan. Stroke ringan diakibatkan oleh berkurangnya suplai darah menuju otak. Kelumpuhan disebabkan oleh kurangnya aliran darah ke otak, sehingga sisi tubuh akan mengalami kelumpuhan terutama pada siku dan lutut. Fisioterapi pada pasien pasca stroke ringan dilakukan dengan metode terapi gerakan antara lain seperti penggunaan alat bantu fisioterapi pasien pasca stroke menggunakan sensor MPU6050 melalui media transmisi Bluetooth. Sistem rancangan ini membantu latihan pada pasien berbentuk sensor MPU6050 yang digunakan untuk  mendeteksi sudut serta banyaknya gerakan rehabilitasi pasien pasca stroke. Sensor gyroscope menghasilkan deteksi sudut pada siku sebesar 150  dan sudut pada  lutut sebesar 135 . Data yang didapatkan diproses oleh arduino nano menggunakan metode I2C. Penelitian ini bertujuan untuk merancang alat bantu fisioterapi pasien pasca stroke berbasis mikrokontroler guna memperoleh hasil yang maksimal karena bentuk alat ini yang portable. Stroke Transient Ischemic Attack (TIA) is a mild stroke condition that can be caused by reduced blood supply to the brain due to blocked blood vessels. Lack of blood flow to the brain can cause paralysis, usually only on one side of the body such as the elbows and knees. Physiotherapy in post-stroke patients is carried out using movement therapy methods, including elbow and knee flexion. Currently, patients come to the therapist or vice versa to perform therapeutic movements, so a telemonitoring system for post-stroke patient physiotherapy tools is made using the MPU6050 sensor which is connected to ESP 232 and the internet network and can be monitored by therapists and clinic admins where the therapy is done. This system helps monitor elbow and knew flexion exercises using the MPU6050 sensor which is used to detect the angle and number of rehabilitation movements of post-stroke patients. . From the results of testing the accuracy of this sensor is able to detect the angle of elbow movement from 00-1500 and knee flexion angle of 00-1350 by 99%.The telemonitoring application for physiotherapy tools for post-stroke patients based on Android is equipped with a therapist menu so that the number of movements and the average angle of movement of the knees and elbows can be monitored by the therapist, this tool can also be used anywhere and anytime due to the portable form of this tool.

scholarly journals Persons post-stroke improve step length symmetry by walking asymmetrically

2020 ◽  
Author(s):  
Purnima Padmanabhan ◽  
Keerthana Sreekanth ◽  
Shivam Gulhar ◽  
Kendra M. Cherry-Allen ◽  
Kristan A. Leech ◽  
...  
Keyword(s):  
Center Of Mass ◽  
Metabolic Cost ◽  
Step Length ◽  
Gait Pattern ◽  
Future Research ◽  
Cost Of Transport ◽  
Post Stroke ◽  
Paretic Limb ◽  
Gait Parameters ◽  
The Many

Abstract Background Restoration of step length symmetry is a common rehabilitation goal after stroke. Persons post-stroke often retain the ability to walk with symmetric step lengths ("symmetric steps"); however, the resulting walking pattern remains effortful. Two key questions with direct implications for rehabilitation have emerged: 1) how do persons post-stroke generate symmetric steps, and 2) why do symmetric steps remain so effortful? Here, we aimed to understand how persons post-stroke generate symmetric steps and explored how the resulting gait pattern may relate to the metabolic cost of transport. Methods We recorded kinematic, kinetic, and metabolic data as nine persons post-stroke walked on an instrumented treadmill under two conditions: preferred walking and symmetric stepping (using visual feedback). Results Gait kinematics and kinetics remained markedly asymmetric even when persons post-stroke improved step length symmetry. Impaired paretic propulsion and aberrant movement of the center of mass were evident during both preferred walking and symmetric stepping. These deficits contributed to diminished positive work performed by the paretic limb on the center of mass in both conditions. Within each condition, decreased positive paretic work correlated with increased metabolic cost of transport and decreased walking speed across participants. Conclusions It is critical to consider the mechanics used to restore symmetric steps when designing interventions to improve walking after stroke. Future research should consider the many dimensions of asymmetry in post-stroke gait, and additional within-participant manipulations of gait parameters are needed to improve our understanding of the elevated metabolic cost of walking after stroke.

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