Walking Training and Functioning Among Elderly Persons With Stroke: Results of a Prospective Cohort Study

Karttunen, Auli H; Kallinen, Mauri; Peurala, Sinikka H.; Häkkinen, Arja

doi:10.1016/j.pmrj.2015.06.444

Cited by 10 publications

(7 citation statements)

References 28 publications

(32 reference statements)

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“…In our study, the 6MWT revealed a considerable improvement in the patients’ physical status. Parallel results based on the same test were reported by Deskur-Śmielecka et al 21 Karttunen et al 22 reported that the walking distance and functioning improved during walking rehabilitation with the use of the 6MWT among elderly individuals after stroke. Perkowski et al 23 indicated a positive correlation between the 6MWT and upper and lower limb strength test scores.…”

Section: Discussionsupporting

confidence: 73%

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

Kamińska

Miller²,

Rotter

et al. 2018

CIA

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BackgroundVirtual reality (VR) training using modern game consoles is an innovative rehabilitation method for fall-prone elderly people. The aim of this study was to assess the effectiveness of VR training using the “Xbox 360 Kinect” in people over 60 years of age.Materials and methodsThe study involved 23 people, including 19 women and 4 men (mean age 75.74±8.09 years). The following functional tests were employed as research instruments: the 6-minute walking test (6MWT), the Dynamic Gait Index (DGI), the tandem stance test (TST), the tandem walk test (TWT), and the Beck Depression Inventory (BDI). A “spring hand dynamometer” was also used. The participants underwent 30-day VR training using an Xbox 360 Kinect. They trained 3 times a week, with each exercise lasting 30 minutes.ResultsThe 6MWT (P<0.001), the DGI (P=0.008), the TST (P<0.001), the TWT (P=0.002), and the BDI (P<0.001) outcomes were significantly improved. There were differences in the results for the strength of the “pressing muscles” in the right (P=0.106) and left (P=0.043) hands of the participants. Both participants under 80 years of age and those aged 80 years and over had visibly better results on the 6MWT (P<0.001 and P=0.008, respectively), the TST (P<0.001 and P=0.008, respectively), and the BDI (P=0.003 and P=0.012, respectively).ConclusionTraining based on VR increases the possibilities of motor training and can help reduce the risk of falls by improving the static and dynamic balance.

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Section: Discussionsupporting

confidence: 73%

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

Kamińska

Miller²,

Rotter

et al. 2018

CIA

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“…La frecuencia dos veces por semana ha demostrado ser efectivo en el funcionamiento psicológico (Kekäläinen, Kokko, Sipilä, & Walker, 2017;Pires-Oliveira et al, 2014). Otra investigación obtuvo resultados beneficiosos en el dominio capacidad física del WHOQOL-BREF posterior a un entrenamiento de 6 meses en pacientes que sufrieron accidente cerebro vascular (Karttunen, Kallinen, Physician, Peurala, & Häkkinen, 2015).…”

Section: Discussionunclassified

Efectividad de un entrenamiento de fuerza con característica socializadora y lúdica sobre los dominios de la calidad de vida en adultos mayores con anteposición de cabeza y cuello (Effectiveness of a strength training with socializing and playful charact

Verdugo

Silva

et al. 2020

Retos

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Objetivo: El propósito del estudio es comprobar la efectividad de un entrenamiento de fuerza con característica socializadora y lúdica para mejorar los dominios de la calidad de vida en adultos mayores con anteposición de cabeza y cuello. Metodología: El estudio presenta un diseño experimental, longitudinal, basado en la evaluación de los dominios capacidad física, bienestar psicológico, relaciones sociales y medio ambiente de la calidad de vida realizado a 132 participantes mediante el test WHOQOL-BREF divididos en tres grupos de 44 participantes: un grupo control y dos grupos experimentales. El grupo experimental 1 realizó un entrenamiento de fuerza convencional y el grupo experimental 2 realizó entrenamiento de fuerza con característica socializadora y lúdica. Los grupos experimentales realizaron el entrenamiento 2 sesiones por semana durante 4 meses. Los 3 grupos de investigación cumplieron con los criterios de inclusión: ángulo craneovertebral < 50 grados, adultos mayores > 60 años, sin patologías reumatológicas, infecciosas, osteomusculares y neurológicas. Resultados: Hubo cambios estadísticamente significativos en el grupo que realizó entrenamiento de fuerza con características socializadora y lúdica en los dominios capacidad física, bienestar psicológico y relaciones sociales (p < 0,05). El aumento promedio del puntaje del dominio capacidad física fue de 7,4, el dominio psicológico 5,4 y el dominio relaciones sociales 7 puntos. Conclusión: El entrenamiento de fuerza con característica socializadora y lúdica fue efectivo para mejorar la calidad de vida, en los dominios capacidad física, bienestar psicológico y relaciones sociales en adultos mayores con anteposición de cabeza y cuello de la Ciudad de Talca, Chile. Abstract. Objective: Verify the effectiveness of a strength training with socializing and playful characteristics to improve the domains of quality of life in older adults with forward head posture. Methodology: The longitudinal, experimental design study, based on the evaluation of the domains of physical capacity, psychological wellness, social relationships and the environment of the quality of life, performed on 132 participants using the WHOQOL-BREF test divided into three groups of 44 participants: a control group and two experimental groups. Experimental group 1 performed conventional strength training and experimental group 2 performed strength training with socializing and playful characteristics. The experimental groups performed the training 2 sessions per week for 4 months. The 3 research groups met the inclusion criteria: craniovertebral angle < 50 degrees, older adults > 60 years, without rheumatological, infectious, musculoskeletal and neurological pathologies. Results: There were statistically significant changes in the group with strength training with socializing and playful characteristics in the domains of physical ability, psychological well-being and social relationships (p < 0.05). The average score increase for the physical ability domain was 7.4, the psychological domain 5.4, and the social relationships domain 7 points. Conclusion: Strength training with socializing and playful characteristics was effective to improve the quality of life, in the domains of physical capacity, psychological wellness and social relationships in older adults with forward head posture of the Talca City, Chile.

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“…Treadmills with several add-ons including virtual reality (omnidirectional treadmills) and robotic parts are often applied in elderly patients recovering from stroke as a walking rehabilitation program to improve physical function for affected body areas (e.g., shoulder and arms) and enhance as much as possible their neuroplasticity [ 19 , 56 , 57 , 58 , 59 , 60 , 61 , 62 ]. In this respect, till today, several randomized clinical trials tried to evaluate the walking abilities using numerous approaches and exercises on treadmills, with also the application of obstacle crossing or other cognitive distractions, to evaluate their usability as adjuvant therapies in improving walking rehabilitation among people with stroke [ 18 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 ]. Thus far, the results from these trials suggest that for patients with stroke, retraining gait with the use of a treadmill and a percentage of their body weight supported (e.g., Lokomat ® robotic assistive device) or assisted through several wearables, resulted in improved postural abilities over those with no support on their body weight [ 18 , 24 , 36 , 41 , 44 , 71 , 73 , 74 , 75 , 76 ].…”

Section: Physiotherapy Interventions In the Elderly With Ndsmentioning

confidence: 99%

A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders

Spanakis

Xylouri

Patelarou

et al. 2022

IJERPH

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Neurological physiotherapy adopts a problem-based approach for each patient as determined by a thorough evaluation of the patient’s physical and mental well-being. Τhis work aims to provide a literature review of physical therapy interventions in the elderly with neurological diseases (NDs) and discuss physiotherapy procedures and methods that utilize cutting-edge technologies for which clinical studies are available. Hence, the review focuses on acute NDs (stroke), deteriorating NDs (Parkinson’s disease), and age-related cognitive impairment. The most used physiotherapy procedures on which clinical data are available are balance and gait training (robot-assisted or not), occupational therapy, classical physiotherapy, walking and treadmill training, and upper limb robot-assisted therapy. Respectively, the most often-used equipment are types of treadmills, robotic-assisted equipment (Lokomat® and Gait Trainer GT1), and portable walkway systems (GAITRite®), along with state-of-the-art technologies of virtual reality, virtual assistants, and smartphones. The findings of this work summarize the core standard tools and procedures, but more importantly, provide a glimpse of the new era in physiotherapy with the utilization of innovative equipment tools for advanced patient monitoring and empowerment.

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Walking Training and Functioning Among Elderly Persons With Stroke: Results of a Prospective Cohort Study

Cited by 10 publications

References 28 publications

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

Efectividad de un entrenamiento de fuerza con característica socializadora y lúdica sobre los dominios de la calidad de vida en adultos mayores con anteposición de cabeza y cuello (Effectiveness of a strength training with socializing and playful charact

A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders

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