Comparison of the Effect of Lateral and Backward Walking Training on Walking Function in Patients with Poststroke Hemiplegia

Abstract

Advanced ACCREDITATION: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The Effect of Exercise Training on Gait, Balance, and Physical Fitness Asymmetries in Persons With Chronic Neurological Conditions: A Systematic Review of Randomized Controlled Trials

“…Table 1 summarizes the study, participant, and exercise training characteristics. Although the search included persons with stroke, MS, and PD, the articles retrieved yielded studies involving persons with stroke (n = 8) (Tung et al, 2010;Sungkarat et al, 2011;Kim et al, 2015Kim et al, , 2017Liu et al, 2016;Sheikh et al, 2016;e Silva et al, 2017;Lewek et al, 2018) or MS (n = 1) only (Escudero-Uribe et al, 2017). Overall, the interventions were prescribed for 30-100 min/session, 2-6 sessions/week for 3-12 weeks.…”

“…Overall, the interventions were prescribed for 30-100 min/session, 2-6 sessions/week for 3-12 weeks. In addition to exercise training, other intervention components included constraint movement therapy (e Silva et al, 2017), task-oriented training (Kim et al, 2015), gait training (Sungkarat et al, 2011;Sheikh et al, 2016;Kim et al, 2017;Lewek et al, 2018), sit-to-stand training (Tung et al, 2010;Liu et al, 2016), balance training, and whole-body vibration training (Escudero-Uribe et al, 2017). Table 2 summarizes the efficacy of the interventions on asymmetry and symmetry outcomes grouped by exercise training modality, and describes the method of calculation for each outcome.…”

“…Table 2 summarizes the efficacy of the interventions on asymmetry and symmetry outcomes grouped by exercise training modality, and describes the method of calculation for each outcome. Five studies reported gait asymmetry or symmetry outcomes (Kim et al, 2015(Kim et al, , 2017Escudero-Uribe et al, 2017;e Silva et al, 2017;Lewek et al, 2018), while two included balance asymmetry or symmetry outcomes (Tung et al, 2010;Liu et al, 2016) and two studies included both gait and balance asymmetry or symmetry outcomes (Sungkarat et al, 2011;Sheikh et al, 2016). No studies reported on asymmetry in physical fitness outcomes.…”

“…Physical fitness outcomes were included in two studies (Tung et al, 2010;Kim et al, 2015), both reported as lower limb strength. Physical function outcomes were reported in six studies (Tung et al, 2010;Sungkarat et al, 2011;Liu et al, 2016;e Silva et al, 2017;Kim et al, 2017;Lewek et al, 2018), with four studies assessing balance (e.g., Berg balance scale and static and dynamic weight bearing) (Tung et al, 2010;Sungkarat et al, 2011;Liu et al, 2016;e Silva et al, 2017), two assessing lower limb function (e.g., sit-to-stand and time-to-rise) (Tung et al, 2010;Liu et al, 2016), two assessing agility (e.g., Timed-Upand-Go) (Sungkarat et al, 2011;e Silva et al, 2017), and two assessing mobility (e.g., 10-m walking test and comfortable gait speed) (Kim et al, 2017;Lewek et al, 2018). The effects of the interventions on asymmetry and physical fitness are described below by exercise training modality.…”

Impact of Early High-protein Diet on Neurofunctional Recovery in Rats with Ischemic Stroke

“…Residual motor dysfunction is often observed in stroke survivors and patients’ lives are adversely affected. The affected limb functions in post-stroke hemiplegia can be gradually improved by training and drug treatment [ 31 , 32 ]. Nowadays, hospitals use exercise therapies, such as teaching healthy side posture, relearning of movement patterns, and elbow flexor and extensor training.…”