Gradual adaptation to pelvis perturbation during walking reinforces motor learning of weight shift toward the paretic side in individuals post-stroke

Park, Seoung Hoon; Hsu, Chao‐Jung; Dee, Weena; Roth, Elliot J.; Rymer, William Z.; Wu, Ming

doi:10.1007/s00221-021-06092-x

Cited by 10 publications

(9 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Twelve of these studies included individuals with severe impairments (FMA-LE mean score of 24.3 ± 4.2 29, 39–48, 50 ) while only 1 study included individuals with predominantly mild motor impairment (reported motor impairment as the percent of individuals by severity, with 71% being classified as mild impairment, >29). 49 The critical appraisal tool identified 11 studies with no risk of bias, 12, 29, 30, 39–42, 44, 47, 50, 51 while the rest of the studies were found to have some risk of bias (15 studies presented 1 risk of bias, 26, 28, 38, 45, 48, 49, 52–59 and 10 studies with 2 or more risk of bias 22, 36, 37, 46, 60–65 ) (Supplement 2).…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-one studies were included in this section. 22, 28, 36–38, 40, 41, 43–45, 48, 51, 54, 56–59, 61, 63–65 Study characteristics are summarized in Table 2. EMG activity was measured by surface EMG, while variables extracted were EMG amplitude, 28, 36–38, 43, 45, 48, 51, 54, 56–59, 61, 63–65 EMG onset latency, 43, 51 and time to peak.…”

Section: Resultsmentioning

confidence: 99%

“…22, 28, 36–38, 40, 41, 43–45, 48, 51, 54, 56–59, 61, 63–65 Study characteristics are summarized in Table 2. EMG activity was measured by surface EMG, while variables extracted were EMG amplitude, 28, 36–38, 43, 45, 48, 51, 54, 56–59, 61, 63–65 EMG onset latency, 43, 51 and time to peak. 38 All 21 studies in this section included GM, 1 study included TFL, 28 and 4 studies included adductor magnus (ADD Mag ).…”

Section: Resultsmentioning

confidence: 99%

“…38 All 21 studies in this section included GM, 1 study included TFL, 28 and 4 studies included adductor magnus (ADD Mag ). 22, 43, 48, 51 There are a total of 349 participants (223 males, 126 females; 1 study did not report gender 36 ) in this section, with a mean age of 58.5 ± 5.3, time poststroke of 4.2 ± 3.2 years (3 studies did not report 29, 37, 38 time poststroke), and 140 were right paretic and 146 left paretic (4 studies did not report side of paresis 36, 38, 40, 41 ). Six studies reported the FMA-Le 40, 41, 43–45, 48 with a mean value of 24.9 ± 5.5, and 1 study reported the percentage of individuals inside the FMA-LE classification, with 71% being classified as mild.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The Importance of Hip Abductor and Adductor Muscles in Balance and Mobility Tasks After a Stroke: A Systematic Review

Lanza,

Frakes,

Callaghan

et al. 2023

Journal of Stroke Medicine

View full text Add to dashboard Cite

The aim of this systematic review was to identify the association between muscle strength, activation, and structure of the hip abductor-adductor muscles and balance and mobility tasks in individuals post stroke. The present systematic review is comprised of 37 research articles, with 911 individuals that had a stroke. The extracted data included the study population, sample size, sex, stroke side of paresis, time poststroke, and evaluated measurements. We concluded that stronger hip abductors and adductors (both paretic and nonparetic legs) resulted in quicker voluntary step, and faster walking speed and cadence. Also, stronger paretic hip abductors were associated with a faster completion of the timed up and go test, higher ambulation ability, better control of the centre of mass, and quicker stair climbing. Overall, it demonstrated a lateral induced step to the paretic side, increased muscle activation of the gluteus medius of the paretic leg, and increased nonparetic hip abductor muscle activation. The strength and ability to activate the hip abductor and adductor muscles appears to be related to better performance during balance or mobility tasks in individuals with stroke. Therefore, the present systematic review results suggest that improving muscle strength and activation of the hip abductor and adductor muscles might help individuals with stroke to avoid falls.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Importance of Hip Abductor and Adductor Muscles in Balance and Mobility Tasks After a Stroke: A Systematic Review

Lanza,

Frakes,

Callaghan

et al. 2023

Journal of Stroke Medicine

View full text Add to dashboard Cite

show abstract

“…Therefore, the difficulty in restoring symmetry of body weight distribution experienced by many post-stroke patients is more likely to be due to a learned reluctance to take weight on the affected lower limb. Therapy using forced weight bearing on the directly affected lower limb reduces the process of learned disuse of the affected limb and maximizes neuroplasticity to restore the ability and normalize weight bearing on that limb [ 37 , 48 ]. Studies have shown that therapy that improves the ability to symmetrically transfer body weight (equal weight distribution on the affected and unaffected lower limb) leads to increased stability during gait and improves sensation in the affected foot [ 17 , 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effect of SPIDER System Therapy on Weight Shifting Symmetry in Chronic Stroke Patients—A Randomized Controlled Trial

Ostrowska

Studnicki

Rykaczewski

et al. 2022

IJERPH

View full text Add to dashboard Cite

(1) Background: The Strengthening Program for Intensive Developmental Exercises and Activities for Reaching Health Capability (SPIDER) system is dedicated to patients with motor deficits resulting from damage to the peripheral or central nervous system (including post-stroke patients). It enables the conduct of forced-weight-bearing therapy to the lower limb affected by the paresis. In this study, the TYMO® measuring platform was used to quantify the impact of therapy using the SPIDER system and therapy that did not use this system. The TYMO® device is a portable posturography platform that monitors the tilting of the body’s center of mass and reports the results of the rehabilitation process. (2) Objective: To evaluate the effect of therapy based on neurophysiological methods (proprioceptive neuromuscular facilitation (PNF), neurodevelopmental treatment according to the Bobath concept (NDT-Bobath)) and the SPIDER system on body weight transfer shifting, in post-stroke patients in the chronic phase, compared to therapy based on neurophysiological methods (PNF, NDT-Bobath), without the use of the SPIDER system. (3) Methods: This is a randomized controlled trial in which patients (n = 120; adults, post-ischemic stroke—first stroke episode, in chronic phase—up to 5 years after the stroke incident) were assigned to one of two groups: study, n = 60 (with therapy using PNF, NDT-Bobath methods and the SPIDER system); and control, n = 60 (with therapy using PNF and NDT-Bobath methods, without the SPIDER system). In patients in both groups, before and after the training (2 weeks of therapy), body weight distribution was measured on the TYMO® platform. (4) Results and Conclusions: The results of the statistical analysis demonstrated a greater reduction in the tilt of the body’s center of mass in therapy using the SPIDER system, compared to therapy in which the system was not used.

show abstract

Different modulation of oscillatory common neural drives to ankle muscles during abrupt and gradual gait adaptations

et al. 2022

View full text Add to dashboard Cite

Gradual adaptation to pelvis perturbation during walking reinforces motor learning of weight shift toward the paretic side in individuals post-stroke

Cited by 10 publications

References 46 publications

The Importance of Hip Abductor and Adductor Muscles in Balance and Mobility Tasks After a Stroke: A Systematic Review

The Importance of Hip Abductor and Adductor Muscles in Balance and Mobility Tasks After a Stroke: A Systematic Review

Evaluation of the Effect of SPIDER System Therapy on Weight Shifting Symmetry in Chronic Stroke Patients—A Randomized Controlled Trial

Different modulation of oscillatory common neural drives to ankle muscles during abrupt and gradual gait adaptations

Contact Info

Product

Resources

About