Download or read book The Effect of Treadmill Vs Nustep Recumbent Cross Trainer on Gait and Lower Extremity Electromyography After Chronic Stroke written by Nicholas Joseph Siekirk and published by . This book was released on 2018 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: EMG was measured bilaterally at 6 separate lower extremity muscles during five different stepping protocols (self-selected level 1 [SSL1], self-selected level 8 [SSL8], +20% self-selected [SS+20], -20% self-selected [SS-20], and 80 steps per min resistance level 1 [80SL1]). 22 healthy male and female adults (aged = 23.52 ± 4.23 years) signed an informed consent prior to the study. Self-selected cadence was established during 10 mins of stepping with a RPE between 12 and 16. Participants then performed all 5-min protocols in randomized order with 5 min of rest between each. Due to parametric violations, mean EMG (mEMG) and peak EMG (pEMG) were analyzed with non-parametric tests. A 1 x 4 Friedman test was conducted to determine statistical significant difference in mEMG and pEMG between min 2 and min 4 of stepping in each muscle. Following a statistically significant Friedman test (p

Download or read book The effect of treadmill compliance and foot type on electromyography of lower extremity muscles during running written by Christine Kay Backmann and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Effect of Treadmill Compliance and Foot Type on Electromyography of Selected Lower Extremity Muscles During Running written by Christine Kay Backmann and published by . This book was released on 1997 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Improving Community Walking After Stroke written by Daan Paul Meester and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 BODY WEIGHT SUPPORTED TREADMILL TRAINING S EFFECT ON GAIT SPEED IN AMBULATORY ADULTS WITH CHRONIC STROKE written by Melinda Daugherty and published by . This book was released on 2013 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 Predicting Recovery and Outcomes for the Lower Limb After Stroke written by Marie-Claire Smith and published by . This book was released on 2017 with total page 620 pages. Available in PDF, EPUB and Kindle. Book excerpt: Regaining the ability to walk after stroke is the most common rehabilitation goal for patients. Recovery from motor impairment plays a role in achieving independent walking and the symmetry of the walking pattern. The objectives of this thesis were to identify predictors of recovery from lower limb motor impairment and walking outcome at the subacute stage of stroke, and to investigate an intervention for improving gait symmetry at the chronic stage of stroke. Two prediction studies were conducted using clinical measures, transcranial magnetic stimulation (TMS), and magnetic resonance imaging (MRI), within the first week of stroke, with follow-up assessments at 6 and 12 weeks post-stroke. The first study (n = 32) found that patients recovered about 70% of their initial lower limb motor impairment, with baseline motor impairment (lower limb Fugl-Meyer score) the only predictor of recovery. This is the first report of proportional recovery from lower limb motor impairment. The second study (n = 41) identified variables that predicted whether a patient would walk independently by six or 12 weeks, or remain dependent at 12 weeks post-stroke. The study produced the Time to Walking Independently after STroke (TWIST) algorithm that made accurate predictions for 95% of patients, and is the first to predict when a patient will walk independently post-stroke. TMS and MRI measures were not significant predictors in either study, which may be due to the presence of alternate descending pathways to the lower limb. The final study investigated unilateral step training and conventional treadmill training in 20 patients with chronic stroke. The effects of training were dependent on the direction of gait asymmetry, as both types of training improved step-length asymmetry only for participants who took a shorter step with their paretic leg. This highlights the need to identify subsets of patients who are most likely to respond to a given intervention. In summary, this thesis presents novel findings of proportional recovery from lower limb impairment, and the TWIST algorithm for predicting when a patient will achieve independent walking. Unilateral step training in the chronic stage had modest effects, but may have benefit at the subacute stage.

Download or read book A Comparison of Lower Extremity Kinematics and Electromyography of Overground and Treadmill Running written by and published by . This book was released on 1982 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Reducing Gait Asymmetry After Stroke with Strength Training written by Mi Jung Jeon and published by . This book was released on 2015 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hemiparesis is a common sequel to stroke that typically results in an asymmetrical gait pattern. An experiment was designed to test the hypothesis that plantarflexor (PF) and dorsiflexor (DF) strength training reduces gait asymmetry, and improves neuromuscular activation. Fourteen chronic stroke patients with a comfortable walking velocity (mean = 0.65 m/s (SD 0.48), range between 0.11 and 1.41 m/s) conducted strength training using Thera-bands, 3 days a week over six weeks. Maximum voluntary isometric contraction was assessed using a custom-built apparatus. The twitch interpolation technique was used to determine increases in PF and DF voluntary activation. Timing of muscle activity was also assessed using surface electromyography (EMG) during walking, while a Vicon motion capture system recorded patients’ kinematic data, and kinetic data were recorded from a force-plate embedded in the walkway. Co-contraction of PF and DF was assessed during single muscle voluntary contraction. Patterns of muscle activation were also assessed during walking. Two pre-intervention measures were taken 2-4 weeks apart, one set of post-intervention measures was taken immediately after the training period, and the retention of effects was assessed 6 weeks later. Strength training improved paretic limb PF strength by 45% immediately following strength training, and gains were retained over the following 6 weeks. Reduced effects of stimulation using the twitch interpolation technique supported this finding. Strength also increased by 54% for the non-paretic PF that did not receive training, however this gain was not evident until 6 weeks after the training had been completed. Unwanted co-contraction of gastrocnemius medialis (GM) during tibialis anterior (TA) maximum voluntary activation reduced by 18%. There was an 8% reduction in paretic limb stance time, and a 6% reduction in paretic limb double support time. No significant reductions in other gait asymmetries, EMG timing, or in propulsive forces were revealed. These results provided minimal support for the hypothesis that unilateral strength training of paretic ankle muscles reduces the asymmetry of gait. However, the strength gains in ankle muscles of both limbs, the reduced paretic limb double support time, and the reduced voluntary co-contraction of the paretic limb GM, suggest that strength training is capable of initiating improvements in the control of ankle muscles during walking. The study therefore provided some promising insights into the potential for a simple home-based protocol to enhance ambulatory function in people with chronic stroke.

Download or read book Recovery After Stroke written by Michael P. Barnes and published by Cambridge University Press. This book was released on 2005-03-10 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering neuroscience and rehabilitation strategies, an essential handbook and reference for multidisciplinary stroke rehabilitation teams.

Download or read book ACSM s Resources for the Exercise Physiologist written by Benjamin Gordon and published by Lippincott Williams & Wilkins. This book was released on 2021-07-12 with total page 906 pages. Available in PDF, EPUB and Kindle. Book excerpt: An essential preparation book for the ACSM Certified Exercise Physiologist examination, ACSM’s Resources for the Exercise Physiologist, 3rd Edition, is an essential volume for certification candidates and practicing Exercise Physiologists looking to boost their exam confidence and achieve success in practice. This updated edition is fully aligned with the eleventh edition of ACSM’s Guidelines for Exercise Testing and Prescription and reflects the most current standards and practices in exercise physiology. Published by the American College of Sports Medicine, this practical resource is organized around the scope of ACSM-EP practice domains. A clear introduction to understanding exercise, physical activity, and pre-exercise screening opens the book, followed by thorough coverage of assessment and programming for healthy populations, assessment and programming for special populations, counseling and behavioral strategies for encouraging exercises, and legal, management and professional issues relevant to practice.

Download or read book Pathokinesiology written by and published by . This book was released on 1986-01-01 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book ACSM s Health fitness Facility Standards and Guidelines written by American College of Sports Medicine and published by Human Kinetics Publishers. This book was released on 2012 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: "ACSM's Health/Fitness Facility Standards and Guidelines, Fourth Edition, " presents the current standards and guidelines that help health and fitness establishments provide high-quality service and program offerings in a safe environment. This text is based in large part on both the work that has begun through the NSF international initiative to develop industry standards to serve as the foundation for a voluntary health and fitness facility certification process and the third edition of "ACSM's Health/Fitness Facility Standards and Guidelines." The ACSM's team of experts in academic, medical, and health and fitness fields have put together an authoritative guide for facility operators and owners. By detailing these standards and guidelines and providing supplemental materials, "ACSM's Health/Fitness Facility Standards and" "Guidelines" provides a blueprint for health and fitness facilities to use in elevating the standard of care they provide their members and users as well as enhance their exercise experience. The fourth edition includes new standards and guidelines for pre-activity screening, orientation, education, and supervision; risk management and emergency procedures; professional staff and independent contractors; facility design and construction; facility equipment; operational practices; and signage. This edition includes these updates: -Standards and guidelines aligned with the current version of the pending NSF international health and fitness facility standards -New guidelines addressing individuals with special needs -New standards and guidelines regarding automated external defibrillators (AEDs) for both staffed and unstaffed facilities -Revised standards and guidelines to reflect changing directions and business models within the industry, including 24/7 fitness facilities, medically integrated facilities, and demographic-specific facilities -New standards and guidelines to better equip facilities that are dealing with youth to ensure the proper care of this segment of the clientele With improved organization, new visual features, and additional appendixes, the fourth edition offers a comprehensive and easy-to-use reference of health and fitness facility standards and guidelines. Readers can readily apply the information and save time and expense using over 30 templates found within the appendixes, including questionnaires, informed consent forms, and evaluation forms. Appendixes also contain more than 30 supplements, such as sample preventive maintenance schedules, checklists, and court and facility dimensions. Included in appendix A is Blueprint for Excellence, which allows readers to search efficiently for specific information regarding the standards and guidelines within the book. Health and fitness facilities provide opportunities for individuals to become and remain physically active. As the use of exercise for health care prevention and prescription continues to gain momentum, health and fitness facilities and clubs will emerge as an integral part of the health care system. The fourth edition of "ACSM's Health/Fitness Facility Standards" "and Guidelines" will assist health and fitness facility managers, owners, and staff in keeping to a standard of operation, client care, and service that will assist members and users in caring for their health through safe and appropriate exercise experiences.

Download or read book Clinical Electrotherapy written by Roger M. Nelson and published by Prentice Hall. This book was released on 1991 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text begins with a review of relevant physiology, instrumentation and the general principles of electrical stimulation. It goes on to examine specific areas of electrotherapy and some more clinical aspects of electrotherapy, and offers two new chapters on magnetic stimulation and TENS. Electrotherapy nomenclature has been updated to reflect the current standards in practice.

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.

Download or read book Exercise Physiology Laboratory Manual written by William C Beam and published by McGraw-Hill Education. This book was released on 2019-01-04 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exercise Physiology Laboratory Manual is a comprehensive resource for instructors and students interested in practical laboratory experiences related to the field of exercise physiology. This program can be used as both a standalone lab manual or as a complement to any exercise physiology textbook. Students will come away with thorough instruction on the measurement and evaluation of muscular strength, anaerobic and aerobic fitness, cardiovascular function, respiratory function, flexibility, and body composition.