Relationships between muscle contributions to walking subtasks and functional walking status in persons with post-stroke hemiparesis

Hall, Allison; Peterson, Carrie L.; Kautz, Steven A.; Neptune, Richard R.

doi:10.1016/j.clinbiomech.2010.12.010

Cited by 84 publications

(85 citation statements)

References 24 publications

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“…Walking is the task where, in a rhythmic way, muscle roles change automatically. During double support, the trailing limb's soleus muscle provides body support (McGowan et al, 2008) while the gastrocnemius medialis is associated with forward progression (Anderson et al, 2003;Hall et al, 2011;Neptune et al, 2001). The leading limb's ankle dorsiflexors attenuate the initial contact, being important in weight acceptance (Winter, 1983).…”

Section: -Postural Control Dysfunction In the Ipsilesional Sidementioning

confidence: 99%

“…Although some authors have already reported neuromotor dysfunctions in the ipsilesional limbs when compared to healthy controls (Hall et al, 2011;Lamontagne et al, 2002;Lamontagne et al, 2000;Milot et al, 2006), they explained the dysfunction as a compensatory strategy rather than as a consequence of the lesion (Higginson et al, 2006;Lamontagne et al, 2002;Lamontagne et al, 2000).…”

Section: -Introductionmentioning

confidence: 96%

“…Although this line of reasoning is supported by neuroscientific knowledge, the research involving stroke subjects has given little attention to the comprehension of the behaviour of the ipsilesional side, usually referred to as the non-affected side (Hall et al, 2011;Lamontagne et al, 2002;Lamontagne et al, 2000;Milot et al, 2006;Peterson et al, 2010). Although some authors have already reported neuromotor dysfunctions in the ipsilesional limbs when compared to healthy controls (Hall et al, 2011;Lamontagne et al, 2002;Lamontagne et al, 2000;Milot et al, 2006), they explained the dysfunction as a compensatory strategy rather than as a consequence of the lesion (Higginson et al, 2006;Lamontagne et al, 2002;Lamontagne et al, 2000).…”

Section: -Introductionmentioning

confidence: 99%

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The role of the ipsilesional side in the rehabilitation of post-stroke subjects

Silva

Sousa

Silva

et al. 2017

Somatosensory & Motor Research

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Section: -Postural Control Dysfunction In the Ipsilesional Sidementioning

confidence: 99%

Section: -Introductionmentioning

confidence: 96%

Section: -Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The role of the ipsilesional side in the rehabilitation of post-stroke subjects

Silva

Sousa

Silva

et al. 2017

Somatosensory & Motor Research

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“…Improved lower limb strength at hospital discharge is moderately related to improved walking capacity (i.e. gait endurance and gait speed) (Danielsson et al, 2011;Hall et al, 2011;Patterson et al, 2007) and functional mobility outcomes (OR 2.27, p = .03) at follow-up assessments (Eng and Tang, 2007). Further, increased ankle dorsiflexion and knee extensor strength has a positive effect on gait speed and endurance after stroke (Dorsch et al, 2012;Moriello et al, 2011).…”

Section: Strengthmentioning

confidence: 99%

“…Loss of muscle strength and control is the most common reported impairment after stroke, affecting anywhere between 50% and 88% of all survivors (Hall et al, 2011;Ng et al, 2005;Jorgensen et al, 1995a). Lower limb muscle strength is not related to total volume of activity in individuals with chronic stroke (Salbach et al, 2013;Fulk et al, 2010).…”

Section: Strengthmentioning

confidence: 99%

Ambulation recovery after stroke

Mahendran¹

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Most stroke survivors regard successful independent ambulation important. However, ambulation recovery is limited following stroke. Historically, limited availability of objective tools and measures to characterise free-living ambulation recovery has restricted investigation of this outcome after survivors return home. However, commercially available devices, including accelerometers and portable global positioning systems, are now available. Thus, this thesis aimed to characterise free-living ambulation recovery over the first six months after stroke survivors returned home from hospital and determine what factors at discharge contributed to ambulation recovery across this time.The first study of this thesis investigated the concurrent validity and retest reliability of accelerometers (ActivPAL TM and Sensewear Pro 2 Armband) and global positioning systems (GPS) (Garmin forerunner 405CX) to measure free-living ambulation after stroke. Measures of step counts, time spent walking, energy expenditure, distance and location were taken during walking tasks that impose demands similar to those encountered when walking in the community as well as free-living community ambulation over four days. This study determined that the ActivPAL TM was valid and reliable for measuring ambulation after stroke. The GPS was valid and reliable for all measures except distance, whereas the Sensewear Pro 2 Armband recorded with high error during all walking tests.The second study aimed to characterise ambulation activity after stroke across the first six months following discharge from hospital and investigate how ambulation activity changed across this time period. Free-living ambulation activity was measured over four days using the ActivPAL TM accelerometer at one, three and six months after stroke survivors left hospital. Measures of volume (daily step counts and time spent walking, sitting/lying, standing and upright), frequency (total number of ambulation bouts; number of bouts and total time spent in short, medium and long duration ambulation bouts) and intensity (number of bouts and total time per day spent in low, moderate and high intensity ambulation bouts) of ambulation activity were collected. This study highlighted that volume of ambulation activity was low across the first six months following hospital discharge, with a majority of ambulation bouts short and low in intensity. Stroke survivors rarely engaged in long duration and high intensity ambulation bouts across the first six months.Daily volume of ambulation activity increased from one month to both three and six months after iv discharge from hospital through an increase in medium duration and moderate intensity ambulation only.The third study aimed to determine what factors at discharge were related to and predicted ambulation activity outcomes over the first six months following hospital discharge in stroke.Factors including age, fatigue, mood, executive function, gait speed, gait endurance, perceived stroke recovery, pre-stroke physical activity, ambulat...

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Wearable devices for tracking physical activity in the community after an acquired brain injury: A systematic review

Veerubhotla

Krantz

Ibironke

et al. 2021

PM&R

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Objective The application of wearable devices in individuals with acquired brain injury (ABI) resulting from stroke or traumatic brain injury (TBI) for monitoring physical activity (PA) has been relatively recent. The current systematic review aims to provide insights into the adaption of these devices, the outcome metrics, and their transition from the laboratory to the community for PA monitoring of individuals with ABI. Literature Survey The PubMed and Google Scholar databases were systematically reviewed using appropriate search terms. A total of 20 articles were reviewed from the last 15 years. Methodology Articles were classified into three categories: PA measurement studies, PA classification studies, and validation studies. The quality of studies was assessed using a quality appraisal checklist. Synthesis It was found that the transition of wearable devices from in‐lab to community‐based studies in individuals with stroke has started but is not widespread. The transition of wearable devices in the community has not yet started for individuals with TBI. Accelerometer‐based devices were more frequently chosen than pedometers and inertial measurement units. No consensus on a preferred wearable device (make or model) or wear location could be identified, although step count was the most common outcome metric. The accuracy and validity of most outcome metrics used in the community were not reported for many studies. Conclusions To facilitate future studies using wearable devices for PA measurement in the community, we recommend that researchers provide details on the accuracy and validity of the outcome metrics specific to the study environment. Once the accuracy and validity are established for a specific population, wearable devices and their derived outcomes can provide objective information on mobility impairment as well as the effect of rehabilitation in the community.

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Relationships between muscle contributions to walking subtasks and functional walking status in persons with post-stroke hemiparesis

Cited by 84 publications

References 24 publications

The role of the ipsilesional side in the rehabilitation of post-stroke subjects

The role of the ipsilesional side in the rehabilitation of post-stroke subjects

Ambulation recovery after stroke

Wearable devices for tracking physical activity in the community after an acquired brain injury: A systematic review

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