Balance and walking performance are improved after resistance and aerobic training in persons with chronic stroke

Lund, Caroline; Dalgas, Ulrik; Grønborg, Therese Koops; Andersen, Henning; Severinsen, Kåre Eg; Riemenschneider, Morten; Overgaard, Kristian

doi:10.1080/09638288.2017.1336646

Cited by 43 publications

(28 citation statements)

References 40 publications

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“…The low R 2 value of 0.17 in the multiple regression model suggests that there are other factors explaining more of the changes in balance. Gait and balance are both complex tasks that rely on the functioning of multiple systems, such as improved vestibular function (Tramontano et al, 2018); improved postural stability (Puckree and Naidoo, 2014); and improved muscle strength (Lund et al, 2018), and it is likely that these systems also can be associated with changes in balance.…”

Section: Discussionmentioning

confidence: 99%

Associations between changes in gait parameters, balance, and walking capacity during the first 3 months after stroke: a prospective observational study

Norvang

Askim

Egerton

et al. 2020

Physiotherapy Theory and Practice

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Background: Independent ambulation is a common rehabilitation goal after stroke, requiring adequate balance and efficiency of gait. Spatiotemporal gait parameters are expected to improve in the first 3 months and their association with balance and efficiency of gait may provide useful insights into the recovery of safe and independent mobility. Objective: Examine the associations between changes in spatiotemporal gait parameters, balance, and walking capacity during the first 3 months after stroke. Methods: This prospective observational study included participants diagnosed with stroke. Within the first 2 weeks after stroke onset and again 3 months (±2 weeks) later, gait was assessed using a GAITRite mat at self-selected gait speed, balance using the Berg Balance Scale (BBS), and walking capacity using the 6-minute walk test (6 MWT). Changes in gait parameters, balance, and walking capacity were assessed using paired sample t-tests, and linear regression analyses were used to assess associations between changes in spatiotemporal gait parameters, BBS, and 6MWT. Results: Seventy-nine participants (mean (SD) age 75.4 (8.5) years; 44 men) were included. Gait parameters, balance, and walking capacity all improved during follow-up. The bivariate regression analyses showed associations between improvements in all gait parameters, except walk ratio, with improvement in balance, and in all gait parameters with improvement in walking capacity. Only gait speed was associated with balance (13.8 points, 95% CI 0.5, 27.8, p = .0042) and walking capacity (256 m, 95% CI 173,340, p < .001) in the multivariate analyses. Conclusion: Improved spatiotemporal gait parameters were associated with improved balance and walking capacity within the first 3 months after stroke.

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Section: Discussionmentioning

confidence: 99%

Associations between changes in gait parameters, balance, and walking capacity during the first 3 months after stroke: a prospective observational study

Norvang

Askim

Egerton

et al. 2020

Physiotherapy Theory and Practice

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“…Treadmill training and progressive resistance training are the two most commonly used techniques to improve locomotor function after stroke (Leon et al, 2017; Manella and Field-Fote, 2013; Pak and Patten, 2008; Polese et al, 2013; Seo et al, 2017; Visintin et al, 1998). These interventions have demonstrated improvements in gait performance, although outcomes are known to vary between studies, particularly for resistance training (Lamberti et al, 2017; Lund et al, 2017; Mehta et al, 2012; Nadeau et al, 2013; Park et al, 2015; Vahlberg et al, 2017). It is to be noted that resistance training is typically performed in a “nonfunctional” manner (e.g., exercises performed in seated or standing positions); whereas, it is known that training should be functional (i.e., specific to the task being targeted) to address sensorimotor deficits during functional tasks, such as walking because of practice specificity (Barnett et al, 1973; Dobkin, 2004; El Amki et al, 2017; Henry, 1968; Kleim and Jones, 2008; Manini et al, 2007; Proteau et al, 1992; Schmidt and Lee, 1988; Takahashi et al, 2008; Williams et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

A wearable resistive robot facilitates locomotor adaptations during gait

Washabaugh

Krishnan

2018

Restorative Neurology and Neuroscience

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“…[ 10 ] The ability to maintain balance has a large influence on the ability to walk, and trunk balance in particular is a determinant of motor function in stroke patients. [ 11 ] Balance performance largely affects the quality of life of stroke survivors. [ 12 ] In the frontal plane, the upper limbs contribute to maintaining balance during walking.…”

Section: Introductionmentioning

confidence: 99%

Effects of Tai Chi Yunshou on upper limb function and balance in stroke survivors

et al. 2020

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Background: Functional disability is the most common disorder that occurs after stroke and seriously affects the quality of life of stroke survivors. Tai Chi Yunshou (TCY), a fundamental form of Tai Chi, is a simple, convenient, and economical exercise therapy from ancient China. Some clinical trials have reported that it improves upper limb function and balance during stroke rehabilitation. Thus, we plan to conduct a systematic review to investigate the effects of TCY in stroke survivors. Methods: This review will follow the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. We will search English and Chinese databases for randomized controlled trials on TCY for stroke survivors from the dates when the databases were established to 1 July 2020. The English databases will include MEDLINE (PubMed), EMBASE (embase.com), and the Cochrane Central Register of Controlled Trials (Cochrane Library). In addition, the Chinese databases will include the Chinese National Knowledge Infrastructure, the Chinese Biomedical Literature Database, the Chinese Science and Technology Periodical Database, the Wanfang database, and the Chinese Dissertation Database. The primary outcomes will include upper limb function and balance function, as measured by the Fugl-Meyer assessment and Berg balance scale, respectively. Two reviewers will independently screen the studies on the basis of the inclusion criteria and extract data. Review Manager (v5.3) will be used for data synthesis, and Cochrane Collaboration's tool will be used to assess the risk of bias. A fixed effects model or a random effects model will be selected based on the level of heterogeneity. The grading of recommendations assessment, development, and evaluation system will be used to evaluate the quality of the outcomes. Results: This systematic review results will be carried out after the completion of the protocol. Conclusions: This protocol aims to guide a systematic review and meta-analysis investigating the effects of JCY on upper limb function and body balance in stroke survivors, which will provide evidence for post-stroke rehabilitation training. PROSPERO registration number: CRD42020169549.

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Balance and walking performance are improved after resistance and aerobic training in persons with chronic stroke

Cited by 43 publications

References 40 publications

Associations between changes in gait parameters, balance, and walking capacity during the first 3 months after stroke: a prospective observational study

Associations between changes in gait parameters, balance, and walking capacity during the first 3 months after stroke: a prospective observational study

A wearable resistive robot facilitates locomotor adaptations during gait

Effects of Tai Chi Yunshou on upper limb function and balance in stroke survivors

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