Self-efficacy Mediates the Relationship between Balance/Walking Performance, Activity, and Participation after Stroke

French, Margaret A; Moore, Meghan F; Pohlig, Ryan T.; Reisman, Darcy S.

doi:10.1080/10749357.2015.1110306

Cited by 65 publications

(55 citation statements)

References 46 publications

(38 reference statements)

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“…1, A and B). Walking dysfunction after stroke may result from a variety of deficits, ranging from reduced balance (51,52) to atypical biomechanics. We expected exosuits to have an immediate effect on key biomechanical subtasks that are impaired after stroke, specifically ground clearance by assisting ankle DF during swing phase and propulsive force generation by assisting ankle push-off during stance phase (Fig.…”

Section: Resultsmentioning

confidence: 99%

A soft robotic exosuit improves walking in patients after stroke

et al. 2017

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Stroke-induced hemiparetic gait is characteristically slow and metabolically expensive. Passive assistive devices such as ankle-foot orthoses are often prescribed to increase function and independence after stroke; however, walking remains highly impaired despite-and perhaps because of-their use. We sought to determine whether a soft wearable robot (exosuit) designed to supplement the paretic limb's residual ability to generate both forward propulsion and ground clearance could facilitate more normal walking after stroke. Exosuits transmit mechanical power generated by actuators to a wearer through the interaction of garment-like, functional textile anchors and cable-based transmissions. We evaluated the immediate effects of an exosuit actively assisting the paretic limb of individuals in the chronic phase of stroke recovery during treadmill and overground walking. Using controlled, treadmill-based biomechanical investigation, we demonstrate that exosuits can function in synchrony with a wearer's paretic limb to facilitate an immediate 5.33 ± 0.91°increase in the paretic ankle's swing phase dorsiflexion and 11 ± 3% increase in the paretic limb's generation of forward propulsion (P < 0.05). These improvements in paretic limb function contributed to a 20 ± 4% reduction in forward propulsion interlimb asymmetry and a 10 ± 3% reduction in the energy cost of walking, which is equivalent to a 32 ± 9% reduction in the metabolic burden associated with poststroke walking. Relatively low assistance (~12% of biological torques) delivered with a lightweight and nonrestrictive exosuit was sufficient to facilitate more normal walking in ambulatory individuals after stroke. Future work will focus on understanding how exosuit-induced improvements in walking performance may be leveraged to improve mobility after stroke.

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Section: Resultsmentioning

confidence: 99%

A soft robotic exosuit improves walking in patients after stroke

et al. 2017

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“…The results agree with those of a previous study that demonstrated that the BBS score was an independent predictor of the RNLI score in a sample of 63 community-dwelling chronic stroke survivors [ 5 ]. It is plausible that good balance performance augments the level of self-efficacy in carrying out daily activities and participating in social life, as demonstrated in a previous study [ 41 ]. A fear of falling [ 42 ] and balance-related self-efficacy [ 5 ] were also found to be independent predictors of community integration in stroke survivors.…”

Section: Discussionmentioning

confidence: 83%

A structural equation model of the relationship between muscle strength, balance performance, walking endurance and community integration in stroke survivors

Kwong

Chung

et al. 2017

PLoS ONE

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PurposeTo use structural equation modelling (SEM) to determine (1) the direct and indirect associations of strength of paretic lower limb muscles with the level of community integration, and (2) the direct association of walking endurance and balance performance with the level of community integration in community-dwelling stroke survivors.Materials and methodsIn this cross-sectional study of 105 stroke survivors, the Subjective Index of Physical and Social Outcome (SIPSO) was used to measure the level of community integration. Lower-limb strength measures included isometric paretic ankle strength and isokinetic paretic knee peak torque. The Berg Balance Scale (BBS) and the 6-minute walk test (6MWT) were used to evaluate balance performance and walking endurance, respectively.ResultsSEM revealed that the distance walked on the 6MWT had the strongest direct association with the SIPSO score (β = 0.41, p <0.001). An increase of one standard deviation in the 6MWT distance resulted in an increase of 0.41 standard deviations in the SIPSO score. Moreover, dorsiflexion strength (β = 0.18, p = 0.044) and the BBS score (β = 0.21, p = 0.021) had direct associations with the SIPSO score.ConclusionsThe results of the proposed model suggest that rehabilitation training of community-dwelling stroke survivors could focus on walking endurance, balance performance and dorsiflexor muscle strengthening if the aim is to augment the level of community integration.

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“…Studies showed that there was a correlation between sitting balance and Barthel index score, and sitting balance and gait ability in neurologic disorders 22,[24][25][26][27] . One study showed that trunk control, balance and gait were correlated with daily living activities and functions in patients with chronic stroke 28 . There is evidence in many studies that exercises such as core stability and proprioceptive neuromuscular facilitation improve trunk control, balance, gait and functional independence in patients with stroke [29][30][31] .…”

Section: Discussionmentioning

confidence: 99%

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Tomruk

Göz²,

Şengül

et al. 2019

Cukurova Medical Journal

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Öz Purpose: Trunk control is the key component for functional movements and affected by limited blood circulation in neurological diseases. Although the relationship between trunk control, gait and functional independence is clear neurological conditions as stroke, it is not known in patients who underwent surgery for brain tumor. The aim of this study is to determine the relationship between trunk control, functional independence and functional capacity in patients with brain tumors early period after surgery. Materials and Methods: Trunk control, functional mobility and independence of twelve patients with brain tumor were evaluated by 2-Minute Walk Test (2MWT), Trunk Impairment Test (TIS) and Barthel Index, respectively in early postoperative period. Results: Functional mobility was positively correlated with total and static trunk control (p=0.028, r=0.629 for total trunk control and p=0.029, r=0.627 for static trunk control). Functional independence was correlated to total trunk control (p=0.023, r=0.674). Conclusion: Functional mobility was closely associated with trunk control and functional independence in patients with brain tumor early period after surgery. Intensive evaluation that targets trunk control early after surgery should be done to regain better functional mobility for functional independence.

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Self-efficacy Mediates the Relationship between Balance/Walking Performance, Activity, and Participation after Stroke

Cited by 65 publications

References 46 publications

A soft robotic exosuit improves walking in patients after stroke

A soft robotic exosuit improves walking in patients after stroke

A structural equation model of the relationship between muscle strength, balance performance, walking endurance and community integration in stroke survivors

Beyin tümör cerrahisi geçiren hastalarda gövde kontrolü fonksiyonel durumla ilişkilidir

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