Comparison of Energy Expenditure Between Aquatic and Overground Treadmill Walking in People Post-Stroke

Jung, Taeyou; Ozaki, Yoshi; Lai, Byron; Vrongistinos, Konstantinos

doi:10.1002/pri.1564

Cited by 23 publications

(18 citation statements)

References 47 publications

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“…Indeed, recognizing and correcting MH as early as possible could allow patients better recovery in physical autonomy. This is a key point in reducing the risk of recurrent strokes, cardiovascular disease, metabolic syndrome, muscle atrophy, osteoporosis, and type II diabetes [91]. It is imperative that dysphagic stroke subjects are administered adequate amounts of high quality protein.…”

Section: Discussionmentioning

confidence: 99%

Unaffected Arm Muscle Hypercatabolism in Dysphagic Subacute Stroke Patients: The Effects of Essential Amino Acid Supplementation

Aquilani¹,

Boselli²,

D’Antona

et al. 2014

BioMed Research International

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Alterations in muscle protein turnover of the unaffected side of stroke patients could contribute to physical disability. We investigated whether hypercatabolic activity occurred in unaffected arm muscle and whether supplemented essential amino acids (EAAs) could limit muscle hypercatabolism (MH). Thirty-eight dysphagic subacute stroke subjects (<3 months after acute event) (29 males + 9 females; 69.7 ± 11.4 yrs) were enrolled and randomized to receive 8 g/day EAAs (n = 19; EAA group) or isocaloric placebo (maltodextrin; n = 19, Plac group). Before randomization, all patients had their arterial (A) and venous (V) amino acids measured and muscle (A − V) differences calculated in the unaffected arm. Eight matched and healthy subjects served as controls. When compared to healthy controls, the entire stroke population showed significant muscle release (= negative value A − V) of the amino acid phenylalanine (phenyl-) indicating a prevalence of MH. Moreover, randomized EAA and Plac groups had similar rates of MH. After 38 days from the start of the protocol, the EAA group but not the Plac group had MH converted to balanced protein turnover or anabolic activity. We concluded that muscle protein metabolism of the unaffected arm of dysphagic subacute stroke individuals could be characterized by MH which can be corrected by supplemented EAAs.

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Section: Discussionmentioning

confidence: 99%

Unaffected Arm Muscle Hypercatabolism in Dysphagic Subacute Stroke Patients: The Effects of Essential Amino Acid Supplementation

Aquilani¹,

Boselli²,

D’Antona

et al. 2014

BioMed Research International

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“…27 Most of the work comparing EE in disabled and healthy populations has been done on walking and activities of daily living. [28][29][30][31][32][33] People who experience neurologic conditions that manifest with altered movement have altered EE relative to able-body controls. Within the neurologic populations, many of the studies on PA have been conducted with adults poststroke [28][29][30][31][32][33] and children with CP.…”

Section: Introductionmentioning

confidence: 99%

“…[28][29][30][31][32][33] People who experience neurologic conditions that manifest with altered movement have altered EE relative to able-body controls. Within the neurologic populations, many of the studies on PA have been conducted with adults poststroke [28][29][30][31][32][33] and children with CP. [34][35][36][37] Both people poststroke and children with CP present with altered movement patterns, decreased coordination, and weakness as a result of some common etiologies that produce their brain injuries.…”

Section: Introductionmentioning

confidence: 99%

Is There Evidence That Active Videogames Increase Energy Expenditure and Exercise Intensity for People Poststroke and with Cerebral Palsy?

Deutsch

Guarrera-Bowlby

Myslinski

et al. 2015

Games for Health Journal

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This article asked and answered the question of whether there was evidence to support the use of videogames for promotion of wellness and fitness for people poststroke and those with cerebral palsy (CP). A literature search of PubMed, CINAHL, and PEDro using a population, intervention, and outcome (PIO) approach and the key words "stroke (or CP) AND video games (and synonyms) AND energy expenditure (EE) (and synonyms)" was conducted. It yielded two relevant references for people poststroke and five references for people with CP. The literature extraction and synthesis by the categories of the PIO indicated that most studies used only the population of interest, except two that compared the EE with that of healthy controls. The main finding is that both people poststroke (moderate severity) and people with CP (mild severity) can achieve moderate EE playing Wii(™) (Nintendo, Kyoto, Japan), PlayStation(®) (Sony, Tokyo, Japan), and Kinect(™) (Microsoft, Redmond, WA) games. Adults with CP of mild severity played the videogames at vigorous levels, whereas those with severe CP played them at low levels. There appears to be an interaction between development and severity that influences the exercise intensity measured by EE. The findings suggests that videogames are a gateway for wellness promotion.

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“…It has been documented that gait rehabilitation in water is effective in individuals with neurological impairment (Jung, Ozaki, Lai, & Vrongistinos, 2014;Salem et al, 2011;Vivas, Arias, & Cudeiro, 2011); however, it has not been documented which depth is ideal for aquatic gait training in people with TBI. Although it did not involve individuals with TBI, Jung, Kim, Lim, and Vrongistinos (2018) investigated walking patterns of healthy individuals at different depths of water and found that significant differences exist when water becomes deeper.…”

mentioning

confidence: 99%

Aquatic treadmill walking at three depths of water in people with traumatic brain injury

Narasaki‐Jara

Wagatsuma

Holt

et al. 2019

Physiotherapy Res Intl

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Objective The purpose of this study was to analyse kinematic and spatiotemporal gait characteristics of aquatic treadmill walking among three different depths of water in individuals with traumatic brain injury. Methods A total of 13 individuals with traumatic brain injury participated in the study and completed walking trials at three different depths as follows: waist, chest, and neck level, which was adjusted by a movable floor pool. A self‐selected comfortable walking speed at the waist level was used as a matched speed for all walking trials. Participants completed three aquatic treadmill walking trials under each of the three water depths. Each participant's gait was captured by a customized underwater motion analysis system and processed by a two‐dimensional motion analysis software. Results The repeated measures analysis of variance showed significant differences in spatiotemporal and joint kinematic variables across three conditions: stance swing ratio (p = .023), peak hip flexion (p = .001), hip range of motion (p = .047), and peak ankle dorsiflexion (p = .000). Various water properties in conjunction with motor impairments might have contributed to alterations in gait kinematics. Conclusion Our findings suggest that walking in neck‐depth water may not be ideal for gait training as it appears to limit hip flexion and ankle dorsiflexion. It is recommended that waist to chest‐depth water be used to provide an accommodating environment for aquatic gait rehabilitation.

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Comparison of Energy Expenditure Between Aquatic and Overground Treadmill Walking in People Post-Stroke

Cited by 23 publications

References 47 publications

Unaffected Arm Muscle Hypercatabolism in Dysphagic Subacute Stroke Patients: The Effects of Essential Amino Acid Supplementation

Unaffected Arm Muscle Hypercatabolism in Dysphagic Subacute Stroke Patients: The Effects of Essential Amino Acid Supplementation

Is There Evidence That Active Videogames Increase Energy Expenditure and Exercise Intensity for People Poststroke and with Cerebral Palsy?

Aquatic treadmill walking at three depths of water in people with traumatic brain injury

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