Deficits in Intersegmental Trunk Coordination During Walking Are Related to Clinical Balance and Gait Function in Chronic Stroke

Hacmon, R.; Krasovsky, Tal; Lamontagne, Anouk; Levin, Mindy F.

doi:10.1097/npt.0b013e31827374c1

Cited by 47 publications

(52 citation statements)

References 38 publications

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“…Thus, it appears that differences in results may stem from differences in intervention methods involving the use of sling equipment. The balance ability of stroke patients is related to trunk intersegmental movement27 ) ; therefore, significant differences in improvement between groups after intervention must be due to the use of intersegmental exercise. Correspondingly, when no intersegmental exercise is used, no significant difference in improvement is observed between groups.…”

Section: Discussionmentioning

confidence: 99%

Effects of Sling Exercise Therapy on Trunk Muscle Activation and Balance in Chronic Hemiplegic Patients

Lee¹,

Lee

2014

J Phys Ther Sci

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Weakening of trunk muscles in stroke patients hinders functional ability, safety and balance. To confirm whether strengthening trunk muscles could facilitate rehabilitation of stroke patients, we investigated the effectiveness of sling exercise therapy (SET) using closed kinetic chain exercises to activate trunk muscles and improve balance in stroke patients. [Subjects and Methods] Twenty stroke patients with chronic hemiplegia were equally divided into 2 groups, a SET group and a control group that performed regular exercises on a mat with the assistance of a table. Patients in both groups exercised for 30 min, three times per week for 4 weeks. Trunk muscle activity was measured using surface electromyography, whereas balance was measured using the Berg Balance Scale, Frailty and Injuries Cooperative Studies of Intervention Technique, Timed Up & Go test, and BioRescue before and after the 4-week experimental period. [Results] Trunk muscle activity and balance before and after intervention in both groups were significantly different. However, no significant differences were observed between the 2 groups. [Conclusion] Although SET was not more effective than regular exercise, significant improvement was observed before and after SET. Therefore, SET can be considered effective in strengthening trunk muscles in stroke patients with chronic hemiplegia.

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Section: Discussionmentioning

confidence: 99%

Effects of Sling Exercise Therapy on Trunk Muscle Activation and Balance in Chronic Hemiplegic Patients

Lee¹,

Lee

2014

J Phys Ther Sci

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“…The lower walking speed might cause compensation of thoracic motion to pelvic movement. In literature, it was showed that persons after stroke used more thoracic ROM than pelvic transverse ROM in comfortable and equivalent walking speed (0.97 m/s-0.98 m/s) compared to subjects without disability [38]. This may be the reason why we could not find any statistically significant differences in the peak angle of horizontal pelvic motion.…”

Section: S361mentioning

confidence: 64%

“…Further studies combined with electrophysiology information (i.e. EMG) and muscles strength are necessary to help better understanding the mechanism about the control of pelvis with VR + BWSTT [38,39]. In addition, a larger sample size of random control trial study or multi-center design which compares VR + BWSTT, BWSTT only and over-ground training is warrant to draw further conclusion about the outcome of VR + BWSTT for gait disorder with persons after stroke.…”

Section: S361mentioning

confidence: 99%

Changes of pelvis control with subacute stroke: A comparison of body-weight- support treadmill training coupled virtual reality system and over-ground training

Mao¹,

Chen²,

Li³

et al. 2015

THC

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Abstract. BACKGROUND:Gait recovery is very important to stroke survivors to regain their independence in activity of daily life. OBJECTIVE: This study aimed to investigate the effects of virtual reality (VR) coupled body weight support treadmill training (BWSTT) on pelvic control at the early stage of stroke. METHODS: Kinematic and kinetic changes of pelvic motion were evaluated by a 3D gait analysis system and were compared to the results from over-ground walking training. Twenty-four patients having unilateral hemiplegia with subacute stroke were recruited to a VR coupled BWSTT group (n = 12) and a conventional therapy (CT) group (n = 12). Both of the groups received training of 20-40 min/day, 5 days/week, for 3 weeks. RESULTS:The results showed the tilt of pelvis in sagittal plane improved significantly (P = 0.038) after treatment in the BWSTT+VR group, in terms of decreased amplitude of anterior peak (mean, from 10.99• to 6.25 • ), while there were no significant differences in the control group. CONCLUSION: The findings suggested that VR coupled BWSTT gait training could decrease anterior tilt of pelvis in early hemiparetic persons following a modest intervention dose, and the training may have advantages over conventional over-ground gait training and can assist the therapists in correcting abnormal gait pattern of stroke survivors.

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“…AsM5 is located within the anterior parts of the MCA territory which is hypothesized to represent sensory and motor areas of the cortex, the right M5 location could be hypothesized to have a greater role in the regulation of trunk control than left.Early information about lesion location together with assessment of trunk control may help guide therapists in their treatment choices and emphasis in intervention, which ultimately may positively affect the patients overall function and independence. Several authors recommend interventions aimed at improving trunk control post stroke [13,14,[47][48][49][50][51], and this is also recommended in a recent systematic review [52].…”

Section: Clinical Relevancementioning

confidence: 99%

Trunk Control and Lesion Locations According to Alberta Stroke Program Early CT Score in Acute Stroke: A Cross-Sectional Study

Gjelsvik

Strand²,

Næss³

et al. 2014

Int J Phys Med Rehabil

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Deficits in Intersegmental Trunk Coordination During Walking Are Related to Clinical Balance and Gait Function in Chronic Stroke

Abstract: Changes in segmental transverse ROM and coordination were associated with poor gait and with balance abilities in individuals with stroke. Interventions focusing on recovery of these movement characteristics may lead to better clinical outcomes.

Cited by 47 publications

References 38 publications

Effects of Sling Exercise Therapy on Trunk Muscle Activation and Balance in Chronic Hemiplegic Patients

Effects of Sling Exercise Therapy on Trunk Muscle Activation and Balance in Chronic Hemiplegic Patients

Changes of pelvis control with subacute stroke: A comparison of body-weight- support treadmill training coupled virtual reality system and over-ground training

Trunk Control and Lesion Locations According to Alberta Stroke Program Early CT Score in Acute Stroke: A Cross-Sectional Study

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