The effect of gait training and exercise programs on gait and balance in post-stroke patients

Mochizuki, Luís; Bigongiari, Aline; Franciulli, Patrícia Martins; Francica, Juliana Valente; Alonso, Angélica Castilho; Ervilha, Ulysses Fernandes; Kiyomoto, Henry Dan; Greve, Júlia Maria D’Andréa

doi:10.5935/medicalexpress.2015.04.01

Cited by 7 publications

(7 citation statements)

References 27 publications

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“…Therefore, shorter step time stabilizes fixation of the opposite leg, provides a strong stimulus to improve function of the opposite leg, and decreases cycle time and double support time, ultimately improving the quality of gait. Mochizuki et al 44 observed changes in gait velocity and step length depending on balance, and reported that this was related to improvements in gait ability and fall risk. In particular, in stroke patients, various surfaces exercise affects limb coordination and gait ability by improving static and dynamic balance, and this ultimately increases physical stability and improves the quality of gait.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Training on Different Surfaces, on Balance and Gait Performance in Stroke Hemiplegia

Rhyu

Rhi

2021

Rev Bras Med Esporte

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Although many studies have focused on balance exercises for elderly or stroke patients, no comprehensive studies have investigated the use of training on different surfaces (TDS) with analysis of gait performance in elderly male stroke patients. The active properties of balance and subjective reporting of functional gait ability were used to identify the effects of TDS. Static balance (SB), dynamic balance (DB) and gait analysis was measured in 30 elderly stroke patients. The patients were divided into the TDS group (n=15) and a control group (CG, n=15). Fifteen elderly stroke patients underwent TDS five times a week for 12 weeks. The data was analyzed using repeated measures analysis of variance. Significant differences were observed between the two groups (TDS and Control): SB (p < 0.0001), DB (OSI: p < 0.0001, APSI: p < 0.001, MLSI: p < 0.004) and gait analysis (right: temporal step time: p < 0.0001, temporal cycle time: p < 0.001, temporal double support time: p < 0.0001; left: temporal step time: p < 0.0001, temporal cycle time: p < 0.0001, temporal double support time: p < 0.0001). TDS in elderly male stroke patients suggests that the characteristics of gait performance in these patients may be improved by increasing static balance, dynamic balance and gait velocity. It is hoped that the results of this trial will provide new information on the effects of TDS on balance stability and gait ability in stroke patients, through changes in stability of the lower extremities. Level III, Case-control Study.

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Section: Discussionmentioning

confidence: 99%

The Effects of Training on Different Surfaces, on Balance and Gait Performance in Stroke Hemiplegia

Rhyu

Rhi

2021

Rev Bras Med Esporte

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“… 10 According to previous studies, gait training decreased the risk of falling and increased the gait speed in chronic stroke patients. 11 Loaded gait training increased the dynamic stability and functional performance of stroke patients. 12 Limb-loading during knee flexion and extension movements on the ground also increased electromyography (EMG) activity of the RF muscle, 13 and limb-loaded walking increased RF muscle activity during walking on a treadmill in older adults.…”

Section: Introductionmentioning

confidence: 99%

Regional neuromuscular regulation within rectus femoris muscle following three-month limb-loaded walking in older adults

Narouei

Akatsu

Watanabe

2022

Sports Medicine and Health Science

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“…The degeneration of such systems due to aging is associated to lower functional performance and to higher risk of falling, thus possibly making these individuals dependent on others. However, many different treatments have been used; among them, conventional physical therapy can be highlighted, featuring many intervention techniques to reduce the aging effects, such as the combination of balance and strength training [9], gait training [10] and others, thus helping these people to return to their daily life activities with better quality.…”

Section: Introductionmentioning

confidence: 99%

Effects of aquatic physiotherapy versus conventional physical therapy on the risk of fall in the elderly: a randomized clinical trial

Silva¹,

Magalhães²,

Chaves³

et al. 2020

Fisioter Bras

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Objective: To identify whether physiotherapy treatment in water is more effective than the treatment in land environment, aiming at improving the process of physical limitation or functional inability (gait speed, balance, motor abilities) caused by lack of balance in elderly with risk of fall. Methods: Randomized clinical trial, experimental study. The sample was composed of 35 senior individuals of both sexes, with average age of 65. Nineteen people composed the control Group /Conventional Physiotherapy, while the rest composed the experimental Group/Aquatic Physical therapy. Both groups were submitted to twenty sessions of physical therapy, twice a week, for 50 minutes in individual treatment. Aerobic activities were conducted for both groups separately. Exercises using water specific therapy, such as Halliwick rotation control and Bad Ragaz ring method, were used in the aquatic group and in the conventional group, physiotherapeutic techniques were applied, approaching the concepts of proprioceptive neuromuscular facilitation (PNF) and decubitus change training. The following tests were used to measure the risk of fall/balance: Timed Up and Go Test, Sit-to-Stand in 30 seconds and Functional Reach. Results: Both physiotherapeutic interventions, aquatic and conventional, showed to be greatly efficient however aquatic physiotherapy showed certain advantages compared to conventional physical therapy, promoting more beneficial effects in the gait speed, balance, motor abilities and, mainly, in the reduction of the risk of fall.Keywords: elderly, Halliwick, Bad Ragaz, Physical therapy, aquatic, risk of fall.

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The effect of gait training and exercise programs on gait and balance in post-stroke patients

Cited by 7 publications

References 27 publications

The Effects of Training on Different Surfaces, on Balance and Gait Performance in Stroke Hemiplegia

The Effects of Training on Different Surfaces, on Balance and Gait Performance in Stroke Hemiplegia

Regional neuromuscular regulation within rectus femoris muscle following three-month limb-loaded walking in older adults

Effects of aquatic physiotherapy versus conventional physical therapy on the risk of fall in the elderly: a randomized clinical trial

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