The correlation between muscle activity of the quadriceps and balance and gait in stroke patients

Yang, Dae Jung; Park, Seung Kyu; Uhm, Yo Han; Park, Sam Heon; Chun, Dong Whan; Kim, Je Ho

doi:10.1589/jpts.28.2289

Cited by 15 publications

(14 citation statements)

References 19 publications

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“…The biceps brachii and brachioradialis are essential muscles that are frequently used in activities of daily living such as eating, dressing, and opening a door [ 3 ]. The rectus femoris, part of the quadriceps, is essential in gait and balance [ 4 ]. The tibialis anterior is a predictor of functional mobility of people with hemiplegia [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Relative and Absolute Interrater Reliabilities of a Hand-Held Myotonometer to Quantify Mechanical Muscle Properties in Patients with Acute Stroke in an Inpatient Ward

Zhao

et al. 2017

BioMed Research International

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Introduction The reliability of using MyotonPRO to quantify muscles mechanical properties in a ward setting for the acute stroke population remains unknown. Aims To investigate the within-session relative and absolute interrater reliability of MyotonPRO. Methods Mechanical properties of biceps brachii, brachioradialis, rectus femoris, and tibialis anterior were recorded at bedside. Participants were within 1 month of the first occurrence of stroke. Relative reliability was assessed by intraclass correlation coefficient (ICC). Absolute reliability was assessed by standard error of measurement (SEM), SEM%, smallest real difference (SRD), SRD%, and the Bland-Altman 95% limits of agreement. Results ICCs of all studied muscles ranged between 0.63 and 0.97. The SEM of all muscles ranged within 0.30–0.88 Hz for tone, 0.07–0.19 for decrement, 6.42–20.20 N/m for stiffness, and 0.04–0.07 for creep. The SRD of all muscles ranged within 0.70–2.05 Hz for tone, 0.16–0.45 for decrement, 14.98–47.15 N/m for stiffness, and 0.09–0.17 for creep. Conclusions MyotonPRO demonstrated acceptable relative and absolute reliability in a ward setting for patients with acute stroke. However, results must be interpreted with caution, due to the varying level of consistency between different muscles, as well as between different parameters within a muscle.

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Section: Introductionmentioning

confidence: 99%

Relative and Absolute Interrater Reliabilities of a Hand-Held Myotonometer to Quantify Mechanical Muscle Properties in Patients with Acute Stroke in an Inpatient Ward

Zhao

et al. 2017

BioMed Research International

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“…In addition, exercises were prescribed to target the lower extremity muscle groups, in particular the quadriceps and gastrocnemius, as these muscle groups are affected more frequently in SBMA ( 2 ). Seated long-arc quad extensions show evidence of a positive correlation between quadriceps strength, balance improvement, and functional ability ( 8 ). Long-arc knee extension exercises were selected to help strengthen the patient’s quadriceps, along with bilateral heel raises, which have been shown to be a useful exercise for preventing falls, building stability, and improving functional movement by enhancing postural control ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

Exercise intervention leads to functional improvement in a patient with spinal and bulbar muscular atrophy

Compo¹,

Joseph²,

Shieh³

et al. 2020

J Rehabil Med-CC

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Introduction: Spinal and bulbar muscular atrophy is a progressive neuromuscular disease that leads to muscle weakness and reduced physical function. Benefits of physical therapy for people with spinal and bulbar muscular atrophy have not been report ed in the literature. Case report: A 62yearold male patient with spinal and bulbar muscular atrophy reported falling, dif ficulty walking and completing upright tasks, and showed clinical signs of low baseline function on examination. Transportation challenges made it difficult for this patient to attend frequent one-onone physical therapy sessions. Interventions and outcomes: A minimally super vised homebased exercise intervention was cho sen with the goal of safely improving his functional capacity. The 5visit clinical intervention, spread over 10 months, provided 3 exercise modules: sea tedtostanding postural alignment and core muscle activation; upright functional and endurance train ing; and balance training and rhythmic walking. Postintervention the patient had increased lower extremity muscle strength, improved balance, and reduced selfreported fatigue. Conclusion: Homebased exercises were well tol erated with no increase in creatine kinase. Multi ple clinical measures of strength and function im proved, possibly related to the patients' excellent motivation and compliance with the programme. Promising utilization of a minimally supervised homebased programme is described here.

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“…A shift in the coordination of the three systems ( Figure 2 ) leads to marked imbalance and accelerated reduction in the related functions during aging. The skeletal musculature and joints have a significant impact in controlling the motor apparatus and balance, and a loss in the vastus lateralis and muscle strength (common with increasing age) enhances fall risk, imbalance, and impaired movement (Yang et al, 2016 ). Moreover, the central nervous system (CNS), which coordinates the overall sensory information, generates signals for motor skills and reflexes and, integrates cognitive and postural controls (Nnodim and Yung, 2015 ).…”

Section: Pathologymentioning

confidence: 99%

Motoric Cognitive Risk Syndrome: Symptoms, Pathology, Diagnosis, and Recovery

Liu

Sun

2022

Front. Aging Neurosci.

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The motoric cognitive risk (MCR) syndrome is a pre-dementia condition, marked by the enhanced risk for Alzheimer's disease (AD) and vascular dementia, together with falls, disability, and abnormal movements. The research studies revealed the distinct neurological and non-neurological clinical gait irregularities during dementia and accelerated functional decline, such as postural and balance impairments, memory loss, cognitive failure, and metabolic dysfunctions. The disabling characteristics of MCR comprise altered afferent sensory and efferent motor responses, together with disrupted visual, vestibular, and proprioceptive components. The pathological basis of MCR relates with the frontal lacunar infarcts, white matter hyperintensity (WMH), gray matter atrophy in the pre-motor and pre-frontal cortex, abnormal cholinergic functioning, inflammatory responses, and genetic factors. Further, cerebrovascular lesions and cardiovascular disorders exacerbate the disease pathology. The diagnosis of MCR is carried out through neuropsychological tests, biomarker assays, imaging studies, questionnaire-based evaluation, and motor function tests, including walking speed, dual-task gait tests, and ambulation ability. Recovery from MCR may include cognitive, physical, and social activities, exercise, diet, nutritional supplements, symptomatic drug treatment, and lifestyle habits that restrict the disease progression. Psychotherapeutic counseling, anti-depressants, and vitamins may support motor and cognitive improvement, primarily through the restorative pathways. However, an in-depth understanding of the association of immobility, dementia, and cognitive stress with MCR requires additional clinical and pre-clinical studies. They may have a significant contribution in reducing MCR syndrome and the risk for dementia. Overall, the current review informs the vital connection between gait performance and cognition in MCR and highlights the usefulness of future research in the discernment and treatment of dementiating illness.

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The correlation between muscle activity of the quadriceps and balance and gait in stroke patients

Cited by 15 publications

References 19 publications

Relative and Absolute Interrater Reliabilities of a Hand-Held Myotonometer to Quantify Mechanical Muscle Properties in Patients with Acute Stroke in an Inpatient Ward

Relative and Absolute Interrater Reliabilities of a Hand-Held Myotonometer to Quantify Mechanical Muscle Properties in Patients with Acute Stroke in an Inpatient Ward

Exercise intervention leads to functional improvement in a patient with spinal and bulbar muscular atrophy

Motoric Cognitive Risk Syndrome: Symptoms, Pathology, Diagnosis, and Recovery

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