Knee Muscle Strength, Gait Performance, and Perceived Participation After Stroke

Flansbjer, Ulla-Britt; Downham, David; Lexell, Jan

doi:10.1016/j.apmr.2006.03.008

Cited by 189 publications

(153 citation statements)

References 39 publications

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“…The 10-m walk test was measured with a stopwatch; the test was repeated three times, and the average time was calculated (Lord et al 2004). The 6-min walk assessment measures gait length and speed for 6 min (Flansbjer et al 2006). Subjects walked at a comfortable speed inside a rectangular line with a 30-m perimeter.…”

Section: Measurementsmentioning

confidence: 99%

Community Walking Training Program Improves Walking Function and Social Participation in Chronic Stroke Patients

Kim

Cho

Lee

2014

Tohoku J. Exp. Med.

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Stroke patients live with balance and walking dysfunction. Walking is the most important factor for independent community activities. The purpose of this study was to investigate the effect of a community walking training program (CWTP) within the real environment on walking function and social participation in chronic stroke patients. Twenty-two stroke patients (13 male, 50.45 years old, post stroke duration 231.64 days) were randomly assigned to either the CWTP group or the control group. All subjects participated in the same standard rehabilitation program consisting of physical and occupational therapy for 60 min per day, five times a week, for four weeks. In addition, the CWTP group participated in CWTP for 30 min per day, five times a week, for four weeks. Walking function was assessed using the 10-m walk test (measurement for 10-meter walking speed), 6-min walk assessment (measurement of gait length for 6-minutes), and community gait assessment. Social participation was assessed using a social participation domain of stroke impact scale. In walking function, greater improvement was observed in the CWTP group compared with the control group (P < 0.05). In addition, social participation improved more in the CWTP group compared with the control group (P < 0.05). These findings demonstrate the efficacy of CWTP on walking function and social participation in chronic stroke patients. Therefore, we suggest that CWTP within the real environment may be an effective method for improving walking function and social participation of chronic stroke patients when added to standard rehabilitation.

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Section: Measurementsmentioning

confidence: 99%

Community Walking Training Program Improves Walking Function and Social Participation in Chronic Stroke Patients

Kim

Cho

Lee

2014

Tohoku J. Exp. Med.

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“…Practice and training are likely to reduce the amount of co-contraction and facilitate proper timing, resulting in a greater net force generated in the desired direction of movement 38) . Additionally, 1RM is mainly a measure of the strength of hip extensors 3 9 ) , knee extensors 4,40) , and ankle plantarflexors 41) and it may be an important determinant of gait speed. The observed improvement in 1RM can be explained, in part, by an increased ability to activate specific muscle groups.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, in Japan, exercise intervention by home-based rehabilitation and adult day-care services provided by the long-term care insurance system play an important role in maintaining and/or improving the physical function and ADL in community-dwelling people with chronic poststroke hemiplegia. This is particularly true when there is a close correlation between lower extremity muscle strength and gait function 3,4) . Moreover, since gait function is an important characteristic which is closely related to ADL 5) , amount of activity 6) , participation 4) , and falls 7) , it is important to verify the influence of exercise intervention on lower extremity muscle strength and gait performance.…”

Section: Introductionmentioning

confidence: 99%

Effects of 3-month Combined Functional Training at an Adult Day-care Facility on Lower Extremity Muscle Strength and Gait Performance in Community-dwelling People with Chronic Hemiplegia

Hashidate

Shiomi

Sasamoto³

2011

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to examine the effects of low-frequency combined functional training over a 3-month period on lower extremity muscle strength and gait performance in community-dwelling people with chronic post-stroke hemiplegia.[Subjects] The subjects were 23 individuals with chronic post-stroke hemiplegia, utilizing the services of an adult day-care facility.[Methods] All subjects performed functional training programs consisting of stretching, strengthening, postural balance training, and gait training once or twice a week for 3 months. Leg muscle strength measured using a leg press machine at one repetition maximum (1RM), comfortable gait speed (CGS), maximal gait speed (MGS), and the difference between MGS and CGS (ΔGS) were assessed before and after intervention.[Results] Comparison of each outcome before and after intervention revealed significant increases in 1RM, CGS, MGS, and ΔGS. The change rate of ΔGS was correlated only with that of MGS.[Conclusion] Three-month combined functional training was effective at enhancing lower extremity muscle strength and gait performance, and ΔGS was increased by enhancement of MGS in community-dwelling people with chronic post-stroke hemiplegia.

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“…The test consists of standing up from a chair with armrest pads, walking 3m, turning 180º and returning to the chair. In order to apply TUG, the protocol proposed by Podsiadlo et al 15 was adopted, and the mean time of three repetitions was used with a digital chronometer 16 . When time is equal to or higher than 14 seconds in TUG, it indicates higher risks of falls 15,17 .…”

Section: Measurement Instruments For Evaluationmentioning

confidence: 99%

Eight-point binding as a physical therapeutic resource for rehabilitation of functional performance after a stroke

et al. 2014

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| A stroke may leave neurological, motor and sensory sequelae, interfering with the function of movements and culminating in gait and balance changes. Therefore, it is necessary to demonstrate the efficacy of eight-point binding, a low-cost technique that functions to provide proprioceptive information and promote the biomechanical alignment of the ankle, acting against mechanisms that lead to equinovarus foot. This study aims to determine the immediate effect of eight-point binding as a physical therapy resource for the rehabilitation of function performance after a stroke. To this end, 22 patients who were able to walk alone without an orthosis were evaluated, and performed the Timed Up and Go (TUG) functional mobility test, a gait speed assessment and the Berg Balance Scale, with and without the eight-point binding in the paretic lower limb. When comparing the results after the eight-point binding, it was possible to observe a statistically significant difference (p<0.05) in all of the studied variables. After analyzing the results, it was concluded that after a single application of eight-point binding, it is possible to identify statistically significant improvement in gait speed, functional mobility and balance after a stroke.

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Knee Muscle Strength, Gait Performance, and Perceived Participation After Stroke

Abstract: Knee muscle strength is a moderate to strong predictor of walking ability in individuals with chronic mild to moderate poststroke hemiparesis. Walking ability influences perceived participation, but the strengths of the relations indicate that other factors are also important.

Cited by 189 publications

References 39 publications

Community Walking Training Program Improves Walking Function and Social Participation in Chronic Stroke Patients

Community Walking Training Program Improves Walking Function and Social Participation in Chronic Stroke Patients

Effects of 3-month Combined Functional Training at an Adult Day-care Facility on Lower Extremity Muscle Strength and Gait Performance in Community-dwelling People with Chronic Hemiplegia

Eight-point binding as a physical therapeutic resource for rehabilitation of functional performance after a stroke

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