The kinematics of paretic lower limb in aquatic gait with equipment in people with post-stroke hemiparesis

Pereira, Juliana Aparecida; Souza, Karine Külkamp de; Pereira, Suzana Matheus; Ruschel, Caroline; Hubert, Marcel; Michaelsen, Stella Maris

doi:10.1016/j.clinbiomech.2019.07.024

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…In the following decades, sEMG was used to examine neurological factors such as the coordination between limbs, patterns of muscle activation and co-activation, and biofeedback effects. More recently, sEMG has been used to identify and treat gait disorders in stroke survivors ( Liu et al, 2011 ; Pollock et al, 2014 ; Pereira et al, 2019 ).…”

Section: Methodsmentioning

confidence: 99%

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Effects of health qigong exercise on upper extremity muscle activity, balance function, and quality of life in stroke patients

Yang

Lin

et al. 2023

Front. Neurosci.

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IntroductionThis study explored the effects of Qigong exercises on upper extremity muscle activity, balance function, and quality of life in stroke patients.MethodsA total of 30 stroke patients were randomly allocated to either control group or Qigong group. In the Qigong group, participants completed an intervention of Qigong Baduanjin over 8 weeks. Data on the electromyographic activities of the biceps brachii muscle, triceps brachii muscle, and muscle coordination were obtained using surface electromyography and the co-contraction ratio (CCR). Data on balance were obtained using the PK254P balance function detection system. Quality of life was measured using the brief version of the World Health Organization Quality of Life scale.ResultsThe results for the Qigong group showed a significant difference in CCR of the triceps brachii muscle (p < 0.01). Concerning balance (assessed using the open-eye test), there was a significant decrease (p < 0.05) in Y-axis trajectory deviations and the Y-axis speed in the Qigong group. In the closed-eye test, the peripheral area of the Qigong group was significantly lower than that of the control group (p < 0.05). Significant differences were also observed in physical health (p < 0.05), psychological health (p < 0.01), environment (p < 0.01), and the total scores for quality of life (p < 0.01) in the Qigong group.DiscussionWe conclude that Qigong exercises improve the quality of life in stroke patients and have positive effects on the coordination of limb extremities and balance function.

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Section: Methodsmentioning

confidence: 99%

“…Once the sensory or motor conduction in stroke patients is impaired, they may lose muscle strength or control, partly or wholly ( Vahlberg et al, 2013 , 2017 ). Such impairments can impede patients’ daily activities and lead to long-term weakness, paresis, or falls ( Taylor-Piliae et al, 2014 ; Pereira et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of health qigong exercise on upper extremity muscle activity, balance function, and quality of life in stroke patients

Yang

Lin

et al. 2023

Front. Neurosci.

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“…In chest‐depth water, for stroke patients the energy expenditure of walking in water was essentially equivalent to that of land ambulation, whereas a comparable group of healthy adults required more energy to ambulate in water, probably because of ambulation speed differences 20 . The use of lower extremity ankle flotation devices has been studied to assess gait kinematics, finding that the knee flexion angle of the affected leg in midswing was significantly improved (20° increase) along with an increase in step length, whereas ankle weights facilitated total and single leg support duration 21 . As a consequence, depending upon the clinical picture of a given stroke patient, various therapy options may produce different gains in ambulation energy expenditure and ability.…”

Section: Aquatic Therapy Use In Stroke Carementioning

confidence: 99%

Aquatic Therapy in Contemporary Neurorehabilitation: An Update

Becker

2020

PM&R

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Aquatic therapy has been used extensively in a number of neurologic diseases and pathologies. This review describes disease-specific rehabilitative applications for this population. Recent research has offered scientific support for use in common neurological diseases that are part of rehabilitative practice, and very recent findings may create even firmer support for its use in these as well as other conditions. Stroke, Parkinsonism, and multiple sclerosis are areas that have recently received a significant number of published studies. Dementia is another area that has been more recently studied and received basic science support. Cerebral palsy has also had recent supportive evidence published. Available literature is reviewed to create a more evidence-based support for the use of aquatic therapy in neurorehabilitation.

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“…Treadmill protocols to stroke people can recover impaired gait, improve gait parameters and reduce walking asymmetries 19 . On the other hand, water walking enhances the afferent sensory inflow and improves peak aerobic capacity and walking endurance, being able to affect gait kinematics in patients with stroke 18,[20][21][22] . It is not clear whether walking on water would provide the same or more benefits compared with the standard treadmill walking for chronic stroke people.…”

Section: El Grupo Piscina Caminó Con Un Cinturón De Natación El Grupmentioning

confidence: 99%

The effect of aquatic and treadmill exercise in individuals with chronic stroke

Franciulli

Bigongiari²,

Grilletti³

et al. 2019

Fisioter. Pesqui.

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We compared the effect of gait training on treadmill versus deep water on balance and gait in 12 ischemic stroke chronic survivors randomly sorted to the Pool or Treadmill Groups. Berg Scale (BBS) and timed up and go test (TUG) were applied before and after the interventions. Just one person applied all tests and she was blinded for the aims of the study. Surface EMG of the paretic and non-paretic (NP) side muscles were recorded during walking on a treadmill. Three 100-ms epochs were extracted from the EMG related to gait phases: weight acceptance; propulsion; and pre-strike. For each epoch, we calculated the RMS of the EMG signal. Participants did gait training for 9 weeks (3 times/week, 40 minutes/session). The Pool group did the deep-water walking with a swimming belt. The Treadmill group walked on the treadmill at the maximum speed they could stand. The Manova group compared the effect of training, group, side, muscles, and gait phase into the EMG. Anova was used to test the effect of training, group side, and gait phase into BBS, TUG and EMG variables. Pool and Treadmill had increased balance and agility. The highest EMG RMS occurred at the paretic side, for the Treadmill and after training. The mm. tibialis anterior, gastrocnemius lateralis, vastus lateralis, and biceps femoris presented the highest RMS for the NP side; while for mm. rectus femoris and semitendinosus, the paretic side presented the highest RMS. Thus, the both types of exercise lead to similar functional adaptations with different muscular activations during walking.

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The kinematics of paretic lower limb in aquatic gait with equipment in people with post-stroke hemiparesis

Cited by 4 publications

References 19 publications

Effects of health qigong exercise on upper extremity muscle activity, balance function, and quality of life in stroke patients

Effects of health qigong exercise on upper extremity muscle activity, balance function, and quality of life in stroke patients

Aquatic Therapy in Contemporary Neurorehabilitation: An Update

The effect of aquatic and treadmill exercise in individuals with chronic stroke

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