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 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 Comparing the Effects of Rhythmic Auditory Stimulation and Visual Feedback on Hemiparetic Gait in Chronic Stroke written by Nnamdi Mbanugo and published by . This book was released on 2017 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 80% of individuals post stroke experience some form of mobility impairment associated with hemiparesis. Impaired mobility leads to reduced independence and quality of life. Gait rehabilitation is often the primary goal of individuals post stroke. As clinical understanding of human locomotion has evolved, there has been a shift in recent years from more traditional gait rehabilitation methods towards the inclusion of sensory stimuli such as rhythmic auditory stimulation (RAS) and visual feedback (VFB). There is however limited knowledge about the comparative effects of stimulation to the visual and auditory cortex during gait rehabilitation training. Purpose: The aim of this study was to compare the effects of visual feedback and rhythmic auditory stimulation on walking performance in individuals with hemiparetic gait. Design: A total of 5 participants (age 61± 6.928) with hemiparesis completed 5 weeks of treadmill walking incorporating visual feedback and 5 weeks of treadmill walking incorporating rhythmic auditory stimulation. Participants first completed 5 weeks of VFB training using the BIODEX Gait Trainer II® treadmill followed by a 5 week detraining period and then a final 5 weeks of treadmill walking with RAS via digital metronome. Gait analysis was performed using the VICON 3D motion analysis system. Participants had their gait analyzed using the VICON plug-ingait model before and after each 5 week training intervention. Gait outcomes included stride length, step length, walking speed, cadence and lower extremity joint excursion at the hip, knee and ankle. Results: A paired t-test revealed significant increases in walking cadence, stride length in the affected limb and step length symmetry (all p values
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 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 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 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 Treadmill and Overground Walking written by Roain Bayat and published by . This book was released on 2004 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The gait pattern during treadmill walking is comparable with overground walking in healthy subjects, but the effects due to the mode of walking in stroke subjects have not been established. Purpose. (1) To compare the maximum gait speed of stroke subjects walking on treadmill vs. the ground. (2) To estimate the temporal-distance determinants of the maximal gait speed. (3) To compare temporal distance factors and body kinematics of stroke subjects walking at comfortable vs. maximum speeds during the two modes of locomotion. Subjects. Ten subjects (aged 63 +/- 19 years) with a hemiparesis due to a stroke (
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 The Effects of Gait Training with Visual Feedback on Motor Outcomes in Individuals with Lower Limb Amputations written by Leora Tova Gabay and published by . This book was released on 2014 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 120,000 lower limb amputations are performed each year, and vascular diseases account for 70% (Davis et al., 2004). Many people with amputations regain their mobility using prosthetics, however, their gait patterns are significantly changed. Altered gait patterns such as asymmetrical loading and asymmetrical stance time can increase the risk of developing musculoskeletal complications (Lemaire et al., 1994). In addition to orthopedic compromises, many people with lower limb amputations undergo challenging issues associated with their balance. Exercise can help people with amputations improve their gait. A reduction in gait asymmetry has been documented with the implementation of exercise in amputees (Lloyd et al., 2010). Real time visual feedback has been shown to improve gait efficiency by diminishing energy consumption while walking at a steady pace on a treadmill along with reduced heart rate and improved in asymmetry (Davis et al., 2004). The use of a visual feedback system may be an effective way to retrain gait. The Biodex Gait Trainer Treadmill has been used to assess and train gait performance in those with neurological gait dysfunctions. Instant visual feedback has been demonstrated to be effective in improving gait patterns among people with hemiparesis (Chen et al., 2004). No research has examined the use of gait trainer with instant visual feedback as a form of retaining gait patterns in people with unilateral lower limb amputations. Therefore, the purpose of this study was to evaluate the effects of treadmill gait programs with and without visual feedback in individuals with lower limb amputations. A total of 4 participants were recruited for the study. The adults participated in an intervention for a total of 15 sessions. The program consisted of a warm up, 30-minute treadmill walk and a cool down. Participants were measured for kinematic gait parameters, spatial-temporal variables, balance variables and quality of life. Although there were no consistent patterns with the groups after the intervention, individual changes in kinematic, spatial-temporal, balance and quality of life variables presented individual improvements based on each participant’s current condition. These trends imply that a visual feedback treadmill exercise is an effective way to maintain and improve gait parameters, balance and quality of life in individuals with unilateral lower limb amputations.
Download or read book Constraint induced Movement Therapy written by G. Uswatte and published by Ios PressInc. This book was released on 2006 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Constraint-Induced Movement therapy (CI therapy) is a behavioral approach to neurorehabilitation based on a program of neuroscience experiments conducted with monkeys. Evidence has accumulated to support the efficacy of CI therapy for rehabilitating hemiparetic arm use in individuals with chronic stroke. This book addresses the related topics.
Download or read book Textbook of Stroke Medicine written by Michael Brainin and published by Cambridge University Press. This book was released on 2014-09-11 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.
Download or read book Balance Gait and Falls written by and published by Elsevier. This book was released on 2018-11-24 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: Balance, Gait, and Falls, Volume 159 presents the latest information on sensorimotor anatomy, sensory integration, gravity and verticality, standing balance, balance perturbations, voluntary stepping and gait initiation, gait and gait adaptability, disorders of balance and gait that result from aging and neurological diseases. The book provides a brief overview of age-related changes in the structure and function of sensorimotor and central processes, with sections specifically devoted to Parkinson's disease, parkinsonism, cerebellar ataxia, stroke, corticobasal degeneration, multiple sclerosis, Huntington's disease, dystonia, tremor, Alzheimer's disease, frontotemporal dementia, cerebral palsy, polio, motor neuron disease, brainstem lesions, spinal lesions, peripheral nerve disease, and psychogenic conditions. Diseases covered have a common structure comprising background and epidemiology, pathology, balance disorders, gait disorders, falls, therapies (including fall prevention), and future directions. - Covers all aspects of basic and clinical research on disorders of balance and gait in neurological disease - Presents a multidisciplinary review of balance and gait physiology, the epidemiology and natural history of balance and gait impairments in aging, and a broad range of neurological diseases - Addresses impairments of balance and gait for basic and clinical researchers in neuroscience, human movement science, physiotherapy and exercise physiology
Download or read book The Use of Visual Feedback to Improve Temporal Gait Asymmetry Post Stroke written by Jessica Noelle Powers and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Temporal gait asymmetry (TGA) is common post-stroke and particularly resistant to conventional therapy. Therefore new rehabilitation approaches are required. One approach may be visual feedback (FB) during gait training. Optimal parameters for providing visual FB during motor skill acquisition are well established for healthy adults but remain largely unknown for motor learning in people with stroke. This study aimed to determine the effect of visual displays and frequencies for visual FB about TGA during an overground walking practice session and its effects during a retention session. Participants received feedback at 50% or 100% frequency in one of two display formats (A and B). The largest effect sizes were seen in the group that received Display B at 100%, and 50%. Individuals that received FB during practice showed significant changes in TGA at the retention while those individuals who did not receive feedback showed no changes at retention.
Download or read book Exercise for Cardiovascular Disease Prevention and Treatment written by Junjie Xiao and published by Springer. This book was released on 2017-11-02 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book provides an intensive overview on exercise for cardiovascular disease prevention and treatment, from basic research to clinical practice. The volume firstly summarizes the acute and chronic response to exercise. Secondly, evidence for exercise as medicine for the heart based on clinical studies and basic research is summarized. Thirdly, molecular mechanisms mediating the beneficial effects of exercise including IGF-1-PI3K-AKT signalling, NO signalling, C/EBPB-Cited4 signalling, Non-coding RNAs, epigenetic regulators, mitochondria adaption and exosomes are presented. Finally, exercise dosing, prescription and future prospects are provided. This book will provide valuable reference for researchers in cell biology, physiology, as well as physician, physical therapist in cardiology, sport medicine, etc.
Download or read book Doing Interviews written by Svend Brinkmann and published by SAGE. This book was released on 2018-09-03 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a concise introduction to the richness and scope of interviewing in social science research, teaching the craft of interview research with practical, hands-on guidance. Incorporating discussion of the wide variety of methods in interview-based research and the different approaches to reading the data, this book will help you to navigate the broad field of qualitative research with confidence and get out there and start collecting your data.
Download or read book Observational Gait Analysis written by Rancho Los Amigos National Rehabilitation Center and published by . This book was released on 2001-01-01 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Observational Gait Analysis is written to assist physical therapists and physicians to effectively evaluate pathological gait. It presents a method of gait analysis which can easily be applied in the clinic. The first edition, Normal and Pathological Gait Syllabus, was published in 1981. In 1989 theObservational Gait Analysis Handbook was published. The third edition contains changes in the normal joint ranges of motion as a result of more sophisticated and accurateequipment. Muscle actively has been revised to reflect data from a larger sample size. The phases and functional tasks are defined, and a problem solving approach to observational gaitanalysis is presented.
