The effect of shoe wedges and lifts on symmetry of stance and weight bearing in hemiparetic individuals

Rodriguez, Gianna M.; Aruin, Alexander S.

doi:10.1053/apmr.2002.31197

Cited by 61 publications

(67 citation statements)

References 21 publications

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“…Descarregar e transferir peso entre os hemicorpos é habilidade útil no processo de reabilitação de sujeitos vítimas de acidente vascular encefálico que adquirem hemiparesias [1][2][3][4][5][6][7] . Comumente, em hemiparéticos, a postura em pé é caracterizada por descarga de peso assimetricamente distribuída entre os hemicorpos 1,[3][4][5][6][8][9][10][11][12][13][14] .…”

Section: Introductionunclassified

Comparação entre medidas de descarga, simetria e transferência de peso em indivíduos com e sem hemiparesia

et al. 2011

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Avaliação da Simetria e Transferência de Peso (ASTP) foi indicada para se fazer associação entre simetria e atividades funcionais nas hemiparesias, apontando simétricos como mais capacitados. Contudo, tais relações não são claras e divergem com evidências que sugerem assimetrias como estratégias funcionais. Assim, objetivou-se verificar se as medidas subjetivamente determinadas pela ASTP concordam com medidas calculas pela descarga de peso entre os pés. Realizou-se estudo observacional do tipo transversal para amostra de sujeitos com hemiparesia (n=20) pareados por idade e gênero a controles (n=20). Os participantes submeteram-se a procedimentos para obtenção de escore determinado pela ASTP e para cálculo da razão de simetria (RS) na descarga de peso entre os pés obtido por meio de duas balanças digitais. Os resultados obtidos pela ASTP identificaram apenas um sujeito com hemiparesia apresentando simetria, dentre os quatro sujeitos identificados pela RS como simétricos. Ainda, a ASTP não diferenciou assimetrias com sobrecarga para o lado afetado e apresentou correlação significativa somente quando os escores foram analisados com os valores de RS<1(sobrecarga para o lado não afetado). Conclui-se que a ASTP não foi concordante em identificar sujeitos hemiparéticos com descarga de peso compatível com simetria. Ainda, não identificou sobrecargas para o lado afetado que poderia conduzir a análises equivocadas da associação entre simetria e desempenho funcional.

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Section: Introductionunclassified

Comparação entre medidas de descarga, simetria e transferência de peso em indivíduos com e sem hemiparesia

et al. 2011

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Section: Introductionmentioning

confidence: 99%

“…Individuals with hemiplegia frequently bear most of their body weight on their unaffected lower extremity, and show a distinct asymmetry in stance and weight bearing [3][4][5] . The ideal objective of functional rehabilitation for hemiplegic patients following cerebrovascular accident (CVA), is a reduction in the asymmetrical nature of movement patterns 5,6) . During the stance phase of the gait cycle, a hemiplegic patients typically demonstrates relatively limited weight transfer to the affected limb 7,8) Furthermore, when asked to stand comfortably or straight, hemiplegic patients tend to place more weight on their unaffected than on their affected lower extremity [9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Effects of Self-Controlled Feedback on Balance during Blocked Training for Patients with Cerebrovascular Accident

et al. 2013

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Abstract.[Purpose] The purpose of the present study was to examine the effects of self-controlled feedback on the acquisition and retention of blocked balance training by patients with cerebrovascular accident (CVA).[Subjects] Twenty-four hemiplegics were randomly assigned to a self-controlled feedback, yoked feedback or control group. All subjects were ambulatory with or without an assistive device. The self-controlled feedback group was provided with feedback whenever they requested it, whereas the yoked feedback group had no influence on the feedback schedule. All subjects performed 10 acquisition trials per block × four blocks, and 10 retention trials per block × two blocks one-day later. The data were analyzed using one-way ANOVA and multivariate ANOVA. [Results] In the body sway amplitudes of acquisition phase which was used, to examine practice effect, the left/right (LR) and anterior/posterior (AP) both the self-controlled and yoked feedback groups were significantly smaller than those of the control group, but no significant differences were found between the self-controlled and yoked feedback groups. In the retention phase, to examine learning effect, the left/right (LR) and anterior/posterior (AP) body sway amplitudes of the self-controlled group were significantly smaller than those of both the yoked feedback and control groups.[Conclusion] These results are interpreted to mean that, for hemiplegic patients, self-controlled feedback is a more effective way of restoring balance than yoked feedback.

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“…For stroke patients to walk in a stable and independent manner, basic elements such as the stability and advancement of the lower limbs and the ability to balance the body are required. To address the difficulties in balance and walking of stroke patients, many studies have been conducted including those involving neurophysiological treatment 3) , weight-support treadmill training 4) , task-specific training 2) , training with visual feedback 5) , and the use of aids such as a cane and wedges in shoes 6) . Visual information can compensate for the loss of sensorimotor function through training and boost the therapeutic effect by providing information to the central nervous exercise program 7) .…”

Section: Introductionmentioning

confidence: 99%

Effects of 3D Visual Feedback Exercise on the Balance and Walking Abilities of Hemiplegic Patients

et al. 2011

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Abstract.[Purpose] The purpose of this study was to determine the effects of 3-dimensional exercise with visual feedback on stroke patients.[Subjects] Twenty-two patients with hemiplegia were randomly allocated to either a 3D exercise group (3DG) consisting of 11 members or a weight shifting exercise group (WSG), also of 11 members.[Methods] The 3DG received neurophysiological treatment and performed 3D exercise and the WSG received neurophysiological treatment and performed weight shifting exercise, 5 times a week for 6 weeks. The Berg Balance Scale and 10m walking time were used to evaluate the patients' balance and walking abilities.[Results] Balance and gait abilities of patients improved in both the 3DG and the WSG. A comparison of the two groups found that the 3DG showed a greater improvement in balance ability than the WSG. [Conclusion] 3-dimensional exercise with visual feedback is effective at improving the balance and gait of stroke patients.

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The effect of shoe wedges and lifts on symmetry of stance and weight bearing in hemiparetic individuals

Cited by 61 publications

References 21 publications

Comparação entre medidas de descarga, simetria e transferência de peso em indivíduos com e sem hemiparesia

Comparação entre medidas de descarga, simetria e transferência de peso em indivíduos com e sem hemiparesia

Effects of Self-Controlled Feedback on Balance during Blocked Training for Patients with Cerebrovascular Accident

Effects of 3D Visual Feedback Exercise on the Balance and Walking Abilities of Hemiplegic Patients

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