Effects of 6 Months Combined Functional Training on Muscle Strength, Postural Balance and Gait Performance in Community-dwelling Individuals with Chronic Stroke Hemiplegia

Hashidate, Hiroyuki; Shiomi, Taizo; Sasamoto, Norio

doi:10.1589/jpts.23.617

Cited by 12 publications

(12 citation statements)

References 62 publications

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“…Recent studies suggested that walking-related indexes were improved by intensive gait rehabilitation or several rehabilitation programs for chronic stroke survivors 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ) . Gait speed has been recognized as an indicator of gait performance 35 ) , and it is composed of step length and cadence 36 ) .…”

Section: Discussionmentioning

confidence: 99%

Improvement of gait ability with a short-term intensive gait rehabilitation program using body weight support treadmill training in community dwelling chronic poststroke survivors

et al. 2015

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[Purpose] Most previous studies have shown that body weight support treadmill training (BWSTT) can improve gait speed poststroke patients. The purpose of this study was to evaluate effectiveness of a short-term intensive program using BWSTT among community dwelling poststroke survivors. [Subjects] Eighteen subjects participated in this study. The treatment group was composed of 10 subjects (2 women; 8 men; mean age, 59.1 ± 12.5 years; time since stroke onset, 35.3 ± 33.2 months), whereas the control group was made up of 8 subjects (3 women; 5 men; mean age, 59.8 ± 6.3 years; time since stroke onset, 39.3 ± 27.3 months). [Methods] The treatment group received BWSTT 3 times a week for 4 weeks (a total of 12 times), with each session lasting 20 minutes. The main outcome measures were maximum gait speed on a flat floor, cadence, and step length. [Results] No differences were observed in the baseline clinical data between the 2 groups. The gait speed in the treatment group was significantly improved compared with that in the control by 2-way ANOVA, while the other parameters showed no significant interaction. [Conclusion] These results suggested that short-term intensive gait rehabilitation using BWSTT was useful for improving gait ability among community dwelling poststroke subjects.

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Section: Discussionmentioning

confidence: 99%

Improvement of gait ability with a short-term intensive gait rehabilitation program using body weight support treadmill training in community dwelling chronic poststroke survivors

et al. 2015

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“…Using functional magnetic resonance imaging (fMRI), Lotze et al showed that the activity of the primary motor cortex is more significantly increased after active training compared with passive activity 27 ) . In stroke patients, deterioration of gait ability is primarily caused by a lack of voluntary control of muscle contraction, thereby resulting in the loss of ability to control the timing and intensity of muscular activity 1 ) . Selective muscular control, however, can be induced by external cues, such as vibratory stimulation, which cause active muscular contraction.…”

Section: Discussionmentioning

confidence: 99%

“…After a stroke, gait is an important determinant of functional ability in the activities of daily living and for an independent life 1 ) . In general, stroke patients continue to have walking difficulties, including reductions in their gait velocity and endurance caused by the weakness of muscles and deterioration of voluntary control function 2 ) .…”

Section: Introductionmentioning

confidence: 99%

The effect of external cues with vibratory stimulation on spatiotemporal gait parameters in chronic stroke patients

2015

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[Purpose] The aim of current study was to investigate the effect of external cues using vibratory stimulation on spatiotemporal gait parameters in patients with chronic stroke. [Subjects] Thirty patients, who had suffered a stroke, were selected from general hospitals in Seoul, Republic of Korea. [Methods] Each participant was subjected to six walking trials: three trials with vibratory stimulation of the tibialis anterior muscle and three trials without any stimulation. The spatiotemporal gait parameters were measured with a GAITRite system. [Results] The global gait parameters—velocity and cadence—were significantly more increased, and the temporal parameters—step time, stride time, and double limb support—were significantly more decreased with vibratory stimulation of the tibialis anterior muscle than with no stimulation. While single limb support was increased under vibratory stimulation, the difference was not significant between the two groups. The spatial gait parameter—stride length—showed a significant improvement; however, there was no significant enhancement in gait symmetry with regard to step length and step time [Conclusion] These results indicate that the application of external cues using vibratory stimulation during gait may control gait parameters and improve gait performance. Thus, this intervention could be used for gait rehabilitation in chronic stroke patients.

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“…ANTONIO MUÑOZ-LLERENA, JESÚS FERNÁNDEZ-GAVIRA, LUISA VÉLEZ COLÓN, JERÓNIMO GARCÍA- FERNÁNDEZ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Hashidate, Shiomi & Sasamoto (2011) examined the effectiveness of a functional training program combined with low intensity on factors related to physical endurance, such as balance, leg strength, or motor function. Twenty-two participants took part in an intervention consisting of one to two sessions per week during six months of combined functional training.…”

Section: Jpes ®mentioning

confidence: 99%

Untitled

2017

JPES

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Abstract:Physical activity has been a point of interest with regard to the motor re-adaptation of those with functional limitations and diseases, being an alternative to pharmacological treatments or other treatments which many times carry negative effects on those who partake. With this in mind, it is fundamental to research the existing literature to understand the different studies and models of physical activity that have been used for the strengthening or re-adaptation of motor capacity of people with hemiplegia, as well as other complementary strategies used to readapt the victims of this traumatic condition. The purpose of this study was to conduct an indepth analysis of the existing literature and offer a holistic vision of the current status of physical neuroadaptation research in adults with hemiplegic cerebral paralysis. For this purpose, four data bases were used: SCOPUS, Medline, Pubmed, and WOK. Four distinct searches using a combination of the keywords "physical activity", "hemiplegia", "ictus", and "spasticity" was performed. The results showed 71 valid publications between 2003 and 2016. The articles were categorized according to their content. The results revealed that the knowledge about physical neuroadaptation in people with hemiplegic cerebral paralysis are heterogeneous. Themes, presented in order of most found to least found number of publications are: functional re-adaptation methods, limitations to participating in physical activities, the victim's limitations when participating in physical activity, and factors that influence physical re-adaptation.

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Effects of 6 Months Combined Functional Training on Muscle Strength, Postural Balance and Gait Performance in Community-dwelling Individuals with Chronic Stroke Hemiplegia

Cited by 12 publications

References 62 publications

Improvement of gait ability with a short-term intensive gait rehabilitation program using body weight support treadmill training in community dwelling chronic poststroke survivors

Improvement of gait ability with a short-term intensive gait rehabilitation program using body weight support treadmill training in community dwelling chronic poststroke survivors

The effect of external cues with vibratory stimulation on spatiotemporal gait parameters in chronic stroke patients

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