Download or read book EFFECT OF DIFFERENT TREADMILL WALKING TRAINING ON BALANCE AND GAIT IN STROKE PATIENTS written by Ieva Egle Jamontaite and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: EFFECT OF DIFFERENT TREADMILL WALKING TRAINING ON BALANCE AND GAIT IN STROKE PATIENTSIeva Eglu0117 Jamontaite1,2, Paulius Laguninas1, Kristina Bartkiene2, Julius Gudavicius2, Tadas Margelis2 1 Vilnius University Faculty of Medicine, the Department of Rehabilitation, Physical and Sports Medicine; 2Vilnius University Hospital Santaros klinikos, Rehabilitation, Physical and Sports Medicine Centre, Lithuania Introduction: Balance and walk disorders for patients after cerebral vascular diseases are the major factors restricting the patientu2019s daily activities. Effectiveness of rehabilitation programs with patientu2019s after stroke has been proved by research, but which methods works most effectively and should be widely applied, are still in discussion. Purpose: Investigate the effect of different treadmill walking training on gait and balance in stroke patients. Materials and methods: A total of 36 stroke subjects who underwent rehabilitation at Vilnius University Hospital Santaros klinikos, Rehabilitation, Physical and Sports Medicine Centre were recruited in this study. Subjects were randomly assigned into two groups. All subjects received a routine individual physiotherapy two times per day for 30 u2013 45 minutes, 5 days per week. The subjects in the 1st group additional received 10-20 minutes gait training of walking forward on treadmill. The subjects in the 2nd group also received additional 10-20 minutes gait training of walking backward on treadmill. Balance parameters were assessed using Berg Balance Test, gait parameters were evaluated using 10 Meter Walk Test and measuring step length and width. Results: The results of balance and gait parametres have increased significantly in both groups during the research (p0,05). However, there was no significantly difference between the groups (p0,05) comparing the results of balance. Analysis of results of gait parametres tests revealed that in group which received backward training on treadmill significantly more improved gait speed and decreased the asymmetry of step length and width than in the group which received forward walking training on treadmill (p

Download or read book Clinical Pathways in Stroke Rehabilitation written by Thomas Platz and published by Springer Nature. This book was released on 2021-01-14 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.

Download or read book The Effects of Treadmill Training on Balance and Ambulation in a Person with Chronic Stroke written by Gina Marie Baker and published by . This book was released on 2009 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: PURPOSE: The purpose of this study was to determine if walking speed, walking endurance, and balance can improve in a patient who is 19 years post cerebellar stroke in response to treadmill training. BACKGROUND: There is an increased incidence in stroke in the United States. While the incidence of stroke has increased, the mortality rate has decreased leaving more people in the community living with chronic effects of stroke. Treadmill training has been used as a successful intervention for recovery of walking in people with stroke. SUBJECT: The subject was a 64 year old male who sustained a cerebellar stroke 19 years ago. METHODS: A single subject participated in treadmill gait training two times a week for eight weeks. The Tinetti PUMA, Six-Minute Walk Test, and the 10 Meter Walk Test were used to evaluate walking and balance prior to, immediately following, and one month following the training period. ANALYSIS: Descriptive analysis was performed. RESULTS: Change scores were compared to Smallest Real Difference (SRD) values reported in the literature and did not reveal a level of clinical significance. Small improvements from pre-training to post-training sessions occurred that were not sustained one month post-training. Our subject did show an upward trend in total walking time, duration of longest walking period per training session, and systolic blood pressure. CONCLUSION: Improvements in total walking time, longest duration of walking per treatment session, and systolic blood pressure may be suggestive of a training effect. The small improvements from pre-training to post-training sessions that were not sustained one month post-training may suggest treadmill training as a useful intervention for people with chronic effects of stroke.

Download or read book Locomotor Training written by Susan J. Harkema and published by . This book was released on 2011 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical rehabilitation for walking recovery after spinal cord injury is undergoing a paradigm shift. Therapy historically has focused on compensation for sensorimotor deficits after SCI using wheelchairs and bracing to achieve mobility. With locomotor training, the aim is to promote recovery via activation of the neuromuscular system below the level of the lesion. What basic scientists have shown us as the potential of the nervous system for plasticity, to learn, even after injury is being translated into a rehabilitation strategy by taking advantage of the intrinsic biology of the central nervous system. While spinal cord injury from basic and clinical perspectives was the gateway for developing locomotor training, its application has been extended to other populations with neurologic dysfunction resulting in loss of walking or walking disability.

Download or read book Evidence Based Review written by Sarah J. Jambard and published by . This book was released on 2002 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: ABSTRACT Purpose: The purpose of this study is to examine the effectiveness of treadmill walking with or without partial body-weight support (PBWS) in improving or restoring gait ability in patients post-CVA through an evidence based review of literature. Methods: A literature search was done for the years 1960 to February 2002. Selection criteria included randomized controlled trials. Study quality was assessed using four criteria and seven indicators. Treatment effect was assessed using effect sizes and confidence intervals. Results: Twenty-four studies were retrieved and reviewed. Of these, five studies were selected and outcome data were obtained for walking speed and balance. Effect sizes for walking speed were calculated for all five studies, ranging from -0.25 to 3.67. Effect sizes for balance were calculated for two studies and values ranged from 0.038 to 2.52. Discussion and Conclusions: Treadmill training with or without partial body-weight support appears to be an effective treatment for improving gait in patients post-CVA; however, the results do not conclusively indicate superiority to conventional forms of gait training. Given the evidence of little or no difference between intervention strategies, therapists need to consider cost, availability of resources, and patient preference when selecting the most appropriate therapy.

Download or read book Knowledge Translation in Health Care written by Sharon E. Straus and published by John Wiley & Sons. This book was released on 2011-08-24 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care systems worldwide are faced with the challenge of improving the quality of care. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation (KT), the scientific study of methods for closing the knowledge-to-action gap and of the barriers and facilitators inherent in the process, is gaining significance. Knowledge Translation in Health Care explains how to use research findings to improve health care in real life, everyday situations. The authors define and describe knowledge translation, and outline strategies for successful knowledge translation in practice and policy making. The book is full of examples of how knowledge translation models work in closing the gap between evidence and action. Written by a team of authors closely involved in the development of knowledge translation this unique book aims to extend understanding and implementation worldwide. It is an introductory guide to an emerging hot topic in evidence-based care and essential for health policy makers, researchers, managers, clinicians and trainees.

Download or read book Adult Hemiplegia written by Berta Bobath and published by . This book was released on 1973 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Effects of Speed dependent Treadmill Training on Gait and Balance Performance in Patients with Sub acute Stroke written by Wing-kwong Kelvin Lau and published by . This book was released on 2010 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Movement Therapy in Hemiplegia written by Signe Brunnstrom and published by Facts and Comparisons. This book was released on 1970 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Immediate Effects of Backward Treadmill Walking on Gait and Balance in People Post stroke written by Eunbi Lee and published by . This book was released on 2019 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Hemiparetic gait and impaired balance are common motor deficits following stroke. Backward walking has become an alternative mode of locomotive training and has shown positive outcomes. Limited studies investigated the effects of backward walking in people post-stroke. This study aimed to compare the immediate effects of backward versus forward walking on gait and balance in individuals post-stroke. METHODS: A total of 5 people post-stroke (aged 60.00±3.44) completed this study protocol. Participants performed a 15-minute treadmill walk either forward or backward on two separate visits at a comfortable speed. Spatiotemporal and kinematic gait variables including walking speed, cadence, stride length, and stride time were collected using a three-dimensional motion analysis system. Three balance tests, including Limit of Stability (LOS), Modified Clinical Test of Sensory Interaction on Balance, and Sit to Stand, were conducted using a computerized dynamic post urography system. Both gait and balance assessments took place immediately before and after the treadmill walking protocol. RESULTS: People post-stroke did not show significant differences in all spatiotemporal and kinematic gait variables after both FW and BW. People post-stroke, however, showed significant changes in two balance variables after BW: the MXE scores of the LOS test improved by 29% in the posterior direction (from 33.20±9.73 to 42.80±4.92, p

Download or read book Neurological Rehabilitation 2 e written by Janet H. Carr and published by Elsevier India. This book was released on 2011-07-06 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt: Janet Carr and Roberta Shepherd head up a new team of eminent authors for the second edition of this definitive text on neurological physiotherapy. In the first edition, the authors described a model of neurological rehabilitation for individuals with motor dysfunction based on scientific research in the areas of neuromuscular control, biomechanics, motor skill learning, and the link between cognition and action, together with developments in pathology and adaptation. The new edition continues to advance this model while identifying and incorporating the many advances that have occurred in the last decade in the understanding and treatment of adults with neurological conditions, whether caused by accident or disease. Among these advances is the knowledge that the brain retains a plastic potential to reorganize, even in old and/or lesioned brains, and that neural plasticity can be influenced by task-related mental and physical practice in a stimulating environment. There is also an increasing body of knowledge related to the musculoskeletal system's adaptability and the need to prevent length and stiffness- related changes in muscle contractility, together with loss of aerobic fitness and endurance. There is an expanding body of clinical research that appears to support the model provided here. The training guidelines outlined in Neurological Rehabilitation are based on biomechanical constructs and motor relearning research, applied to enhance brain reorganization and muscle contractility, and encourage functional recovery of the patient. It connects science and clinical practice enabling students and practitioners to develop their knowledge and use new clinical methods based on modern scientific understanding. All chapters have been revised, some with the collaboration of five specialists who are engaged in high level scientific research and clinical practice Biomechanical models are presented to provide a framework for action-specific training and exercise to improve performance Clinical guidelines are science- and evidence-based Emphasis is on new approaches to the delivery of neurological rehabilitation that increase the time spent in mental and physical activity, and the intensity of practice and exercise Up-to-date referencing

Download or read book The Effects of Partial Body Weight Supported Treadmill Training on Gait Balance and Balance Confidence in a Subject with Chronic Stroke written by Logan Simmons and published by . This book was released on 2006 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Physical Rehabilitation Outcome Measures written by Elspeth Finch and published by Lippincott Williams & Wilkins. This book was released on 2002 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: The revised and expanded second edition of this easy-to-use manual reflects current methods used by today's rehabilitation professionals to establish and measure outcomes. Chapters cover the development of an outcome measure plan, how to choose the appropriate outcome measure, measure properties and terms used in review of measures, the application of outcome measures to individual clients, and how outcome data can be used in client programme planning and evaluation. New to this edition are: a new template for reviewing outcome measures, updated terminology, case histories, and a new appendix including a critical appraisal form. A dual-platform CD-ROM accompanying the book contains a new template for reviewing outcome measures, revised terminology and reviews and references for over 70 measures.

Download or read book PNF in Practice written by Susan S. Adler and published by Springer Science & Business Media. This book was released on 2013-04-17 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: The approach here is based on the concepts set out by Dr. Herman Kabat and taught by Margaret Knott, and this second edition adds many new illustrations including demonstrations of the techniques and pictures of actual patient treatment. The gait section has been expanded with an introduction to normal components and photos of patient treatment. The mat section has also been enlarged and includes illustrations of patient treatment.

Download or read book Effects of Treadmill Walking with Visual Feedback on Gait Outcomes in People Post Stroke written by Ileana Hurtado and published by . This book was released on 2016 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: Compromised gait is prevalent in people post stroke. Gait training is one of the major components in stroke rehabilitation. Treadmill walking is often used for gait training in people post stroke. Limited studies have examined the effects of a visual feedback system in combination with treadmill-based gait training. Purpose: The purpose of this study was to investigate the effects of treadmill walking with realtime visual feedback on gait outcomes in people post stroke. Methods: 6 participants (age 59.3+/-12.34 years old) participated in this case study. They were assigned to either visual feedback gait training group or control based on initial walking speed. Both groups performed 30 minutes of treadmill walking, three times a week, for eight weeks. The control group performed the training with no visual feedback (NVF). The experimental treatment group received real-time visual feedback (VF) on a LCD screen which displayed foot placement and prompts. Data collection was performed before and after the eight weeks, as well as four weeks after the completion of intervention. The kinematic and spatiotemporal variables were recorded and analyzed by using a 3D motion analysis system. (VICON Bonita System). Data process and analysis was performed using VICON Polygon software. x Results: Group averages demonstrated an increase in walking speed and cadence in the VF group. The VF group demonstrated an increase of 11.7% in cadence of the AF and NAF limb. Walking speed of the VF group increased by 21.7% from .95m/s to 1.16m/s. NVF group revealed no notable change in spatiotemporal, or kinematic variables. Neither VF nor NVF group demonstrated notable changes in the kinematic values or gait symmetry. Conclusion: The findings indicate that gait training with visual feedback can be more effective in improving gait spatiotemporal values than conventional treadmill walking.

Download or read book Cerebral Palsy written by Freeman Miller and published by JHU Press. This book was released on 2006-05-08 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.

Download or read book Gait Analysis written by Jacquelin Perry and published by CRC Press. This book was released on 2024-06-01 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: The extensive and ground-breaking work of Dr. Jacquelin Perry is encompassed and detailed in the world renowned text, Gait Analysis: Normal and Pathological Function. The medical, healthcare, and rehabilitation professions key text for over 18 years on gait.... Now available in a much anticipated New Second Edition Dr. Jacquelin Perry is joined by Dr. Judith Burnfield to present today's latest research findings on human gait. Gait Analysis, Second Edition has been updated and expanded to focus on current research, more sophisticated methods, and the latest equipment available to analyze gait. What is New: • A new chapter covering running • Synergy of motion between the two limbs • A new chapter covering pediatrics • A new chapter covering stair negotiation • New and updated clinical examples • A section on power inside each chapter covering normal gait • New methods and equipment to analyze gait This Second Edition to Gait Analysis offers a re-organization of the chapters and presentation of material in a more user-friendly, yet comprehensive format. Essential information is provided describing gait functions, and clinical examples to identify and interpret gait deviations. Learning is further reinforced with images and photographs. Features: • Six sections cover the fundamentals, normal gait, pathological gait, clinical considerations, advanced locomotor functions, and gait analysis systems • Clinical significance of the most common pathological gait patterns • Over 470 illustrations and photographs, as well as 40 tables • Patient examples to illustrate elements of normal and pathological gait Tens of thousands of orthopedic, orthotic and prosthetic, physical therapy, and other rehabilitation professionals have kept a copy of Gait Analysis by their side for over 18 years...join the thousands more who will bring the Second Edition into their clinics, classrooms, and personal collections.