Trunk kinematics in hemiplegic gait and the effect of walking aids

Tyson, Sarah

doi:10.1191/026921599666307333

Cited by 100 publications

(80 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If this treatment pattern is valid, gaining control of and strengthening, "normal" pelvic motions should improve lower extremity function and balance [38][39][40].Tyson SF in 1999 and Messier S, Bourbonnais D, Desrosiers J et alstudied the trunk kinematics during walking in stroke patients. They reported that there is unstable and asymmetrical pelvic movements during walking and these movements are executed by the upper trunk with very little lower trunk (pelvic movement) after strokethus affecting the balance and gait [41,42]. The result of the present study found improvement in trunk performance in terms of static sitting balance and dynamic sitting balance that positively affects the gait and balance.…”

Section: Experimental Groupsupporting

confidence: 64%

Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Technique on Facilitation of Trunk Movement in Hemiparetic Stroke Patients

Khanal¹

2013

IOSR-JDMS

View full text Add to dashboard Cite

Section: Experimental Groupsupporting

confidence: 64%

Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Technique on Facilitation of Trunk Movement in Hemiparetic Stroke Patients

Khanal¹

2013

IOSR-JDMS

View full text Add to dashboard Cite

“…This may indicate that improved trunk control affects dynamic balance in patients with stroke. According to a study on trunk movement during gait in stroke patients, the patients had unstable and asymmetric trunk movements (Tyson 1999), and an improvement in trunk control affected walking speed and symmetry (Karthikbabu et al 2011b). The significantly improved TUG scores after training in this study may have been affected by improved trunk control that influenced balance during gait.…”

Section: Discussionmentioning

confidence: 99%

Weight-Shift Training Improves Trunk Control, Proprioception, and Balance in Patients with Chronic Hemiparetic Stroke

Jung

Kim

Chung

et al. 2014

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

Trunk instability is one of main problems in survivors following stroke. We investigated the effects of weight-shift training (WST) on an unstable surface in sitting position on trunk control, proprioception, and balance in individuals with chronic hemiparetic stroke. Eighteen participants with chronic hemiparetic stroke were recruited and were allocated to either WST or control group. The WST group received a weight-shift training program for 30 min and then received a conventional exercise program for 30 min, while the control group received conventional exercise program for 60 min, five times a week for four weeks for both groups. In this randomized control study, we used three outcome measures: trunk reposition error (TRE), Trunk Impairment Scale (TIS), and Timed Up and Go (TUG) test. TRE was measured by each participant's reposition error to the target angle during his/her active trunk movement. TIS and TUG were examined for trunk control abilities and dynamic balance abilities, respectively. After training, TRE showed significantly greater improvement in the WST group (mean change, 1.67 ± 1.45˚) than the control group (mean change, 0.08 ± 1.05˚). The TIS score was significantly higher in the WST group (mean change, 2.33 ± 1.50) than the control group (mean change, 0.13 ± 0.83). The TUG test also showed a significant improvement in the WST group (mean change, 5.03 ± 1.88 sec) than the control group (mean change, 2.59 ± 1.86 sec). Our findings indicate that weight-shift training is beneficial for improving trunk control and proprioception in patients with chronic hemiparetic stroke.

show abstract

“…9 Thus, patients with hemiparesis walking with either a standard cane or a quad cane showed increases in stride period, stride length, and step length of the affected limb, as well as decreased cadence and step width, in comparison with those walking without a cane. 9 Data from another study 16 also indicate that the use of a walking aid and the type of walking aid do not affect the asymmetrical trunk movements characteristic of patients with hemiparesis. Furthermore, no differences have been found between the peak and integrated forces applied to either a standard cane or a quad cane during ambulation.…”

mentioning

confidence: 94%

The Effect of Walking Aids on Balance and Weight-Bearing Patterns of Patients With Hemiparesis in Various Stance Positions

Laufer

2003

Physical Therapy

View full text Add to dashboard Cite

Background and Purpose. Standard and quad canes are often prescribed to patients with hemiparesis, yet their effect on postural control remains unclear. Thus, the objective of this study was to examine the effects of standard and quad canes on postural sway and on weightbearing patterns in patients with hemiparesis. Subjects. Thirty subjects with a diagnosis of unilateral hemiparesis following a stroke (patient group; mean ageϭ71.2 years, SDϭ7.0) and 20 age-matched, community-dwelling volunteers without hemiparesis (comparison group; mean ageϭ72.1 years, SDϭ5.2) participated in the study. Methods. Postural sway and percentage of body weight (%BW) borne by each extremity were measured in 3 positions: with the heels aligned with each other (aligned position) and in staggered foot positions with either the affected or unaffected extremity placed forward (affected FW and unaffected FW positions). All subjects were tested in each position with no cane, a standard cane, and a quad cane. The order of tests was randomized, and analysis of data included use of an analysis of variance and adjusted Tukey-Kramer tests. Results. In both the aligned and unaffected FW positions, postural sway was reduced only with the quad cane. Both types of canes reduced postural sway in the affected FW position; however, the quad cane had a greater effect. An asymmetrical weight distribution between the lower extremities did not change in the patient group across positions, even with walking aids. Discussion and Conclusion. A quad cane appears to be more effective than a standard cane in decreasing postural sway in patients with moderate impairment secondary to hemiparesis during stance. The greatest effect on postural sway occurred when the assistive device was contralateral to the foot placed forward. The use of a cane does not appear to adversely affect the asymmetrical weight-bearing pattern during stance that is characteristic of patients with hemiparesis, even when balance is challenged by decreasing the base of support.[Laufer Y. The effect of walking aids on balance and weight-bearing patterns of patients with hemiparesis in various stance positions.

show abstract

Trunk kinematics in hemiplegic gait and the effect of walking aids

Abstract: These results give baseline values for trunk movements during hemiplegic gait and the relationship between the movements and walking ability. The use of walking aid and the type of walking aid did not affect the subjects' trunk movements or walking ability.

Cited by 100 publications

References 21 publications

Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Technique on Facilitation of Trunk Movement in Hemiparetic Stroke Patients

Effectiveness of Pelvic Proprioceptive Neuromuscular Facilitation Technique on Facilitation of Trunk Movement in Hemiparetic Stroke Patients

Weight-Shift Training Improves Trunk Control, Proprioception, and Balance in Patients with Chronic Hemiparetic Stroke

The Effect of Walking Aids on Balance and Weight-Bearing Patterns of Patients With Hemiparesis in Various Stance Positions

Contact Info

Product

Resources

About