An exploration of the effects of weighted garments on balance and gait of stroke patients with residual disability

Pomeroy, Valerie M.; Evans, Brenda Joy; Falconer, M; Jones, D; Hill, Elizabeth; Giakas, Giannis

doi:10.1191/026921501678310199

Cited by 21 publications

(8 citation statements)

References 15 publications

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“…The STEP was found in the present study to have a substantive effect on the gait velocity of stroke survivors. This finding contrasts with the study of Pomeroy et al [12], who reported no significant difference in the gait velocity between the treatment and the control groups among stroke survivors following the STEP. In a related study carried out by States et al [15], on overground physical therapy gait training for chronic stroke patients with mobility deficits, an insignificant finding was also reported.…”

Section: Discussioncontrasting

confidence: 99%

Alterations in gait velocity and grip strength of stroke survivors following a 12-week structured therapeutic exercise programme

Adebisi

Monikhe

Okey

2018

Biomedical Human Kinetics

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Summary Study aim: This study investigated the alterations in gait velocity and grip strength of stroke survivors following a structured therapeutic exercise programme (STEP). Material and methods: This was a pre-test, post-test experimental study of the effectiveness of a 12-week STEP on gait velocity and grip strength of stroke survivors. A total of 30 hemiparetic stroke survivors participated in the study. The instrument for this study was an adaptation of a training protocol for the training and assessment of gait velocity and grip strength. The participants underwent a 12-week STEP of a frequency of 3 times per week and the training programme focused on exercises aimed at improving the gait velocity and grip strength of the participants. The gait velocity and grip strength were measured before and after the training. Data generated were analysed using descriptive statistics of mean and standard deviation to summarize the profile of the participants. The analysis of variance for repeated measures (ANOVA) was used to test the hypotheses. Statistical significance was accepted for a p value of <0.05. Results: The outcome of this study showed that the STEP had significant (p < 0.05) effects on the gait velocity and grip strength of stroke survivors. Meanwhile, there was no significant (p > 0.05) effect of haemorrhagic and ischaemic groups of stroke survivors on gait velocity and grip strength.Conclusion: It was therefore concluded that the use of the STEP can substantially improve the gait velocity and grip strength of stroke survivors.

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Section: Discussioncontrasting

confidence: 99%

Alterations in gait velocity and grip strength of stroke survivors following a 12-week structured therapeutic exercise programme

Adebisi

Monikhe

Okey

2018

Biomedical Human Kinetics

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“…The results of the meta-analyses for interventions related to gait and mobility-related functions and activities are summarized in figure 2 (for details see table S2A in file S1). Pooling was not possible for bilateral leg training with rhythmic gait cueing [30], mirror therapy for the paretic leg [31], mental practice with motor imagery [32], limb overloading with external weights [33], systematic verbal feedback on gait speed [34], maintenance of ankle dorsiflexion by using a standing frame or night splint [35], manual passive mobilization of the ankle [36], range of motion exercises of the ankle with specially designed equipment [37], ultrasound for the paretic leg [38], segmental muscle vibration for a drop foot [39], whole body vibration [40], and wheel chair propulsion [41].…”

Section: Resultsmentioning

confidence: 99%

What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis

et al. 2014

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BackgroundPhysical therapy (PT) is one of the key disciplines in interdisciplinary stroke rehabilitation. The aim of this systematic review was to provide an update of the evidence for stroke rehabilitation interventions in the domain of PT.Methods and FindingsRandomized controlled trials (RCTs) regarding PT in stroke rehabilitation were retrieved through a systematic search. Outcomes were classified according to the ICF. RCTs with a low risk of bias were quantitatively analyzed. Differences between phases poststroke were explored in subgroup analyses. A best evidence synthesis was performed for neurological treatment approaches. The search yielded 467 RCTs (N = 25373; median PEDro score 6 [IQR 5–7]), identifying 53 interventions. No adverse events were reported. Strong evidence was found for significant positive effects of 13 interventions related to gait, 11 interventions related to arm-hand activities, 1 intervention for ADL, and 3 interventions for physical fitness. Summary Effect Sizes (SESs) ranged from 0.17 (95%CI 0.03–0.70; I2 = 0%) for therapeutic positioning of the paretic arm to 2.47 (95%CI 0.84–4.11; I2 = 77%) for training of sitting balance. There is strong evidence that a higher dose of practice is better, with SESs ranging from 0.21 (95%CI 0.02–0.39; I2 = 6%) for motor function of the paretic arm to 0.61 (95%CI 0.41–0.82; I2 = 41%) for muscle strength of the paretic leg. Subgroup analyses yielded significant differences with respect to timing poststroke for 10 interventions. Neurological treatment approaches to training of body functions and activities showed equal or unfavorable effects when compared to other training interventions. Main limitations of the present review are not using individual patient data for meta-analyses and absence of correction for multiple testing.ConclusionsThere is strong evidence for PT interventions favoring intensive high repetitive task-oriented and task-specific training in all phases poststroke. Effects are mostly restricted to the actually trained functions and activities. Suggestions for prioritizing PT stroke research are given.

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“…The use of an anterior ankle-foot orthosis (AFO), giving support to the ankle joint and the ventral side of the tibia, has been shown to increase the maximum weight loaded on the paretic leg from 54% to 61% in 24 patients in the chronic phase of stroke, without affecting postural stability [54]. Weighted garments probably have no effect on functional balance or gait in patients with stroke [55]. In conclusion, aids such as shoe adaptations or AFOs may be able to improve substantially spontaneous weight bearing, whereas canes may be able to improve both weight distribution and stance stability in individuals with stroke.…”

Section: Effects Of Aidsmentioning

confidence: 99%

A review of standing balance recovery from stroke

et al. 2005

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An exploration of the effects of weighted garments on balance and gait of stroke patients with residual disability

Abstract: We found no evidence to support the clinical use of these weighted garments for stroke survivors.

Cited by 21 publications

References 15 publications

Alterations in gait velocity and grip strength of stroke survivors following a 12-week structured therapeutic exercise programme

Alterations in gait velocity and grip strength of stroke survivors following a 12-week structured therapeutic exercise programme

What Is the Evidence for Physical Therapy Poststroke? A Systematic Review and Meta-Analysis

A review of standing balance recovery from stroke

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