Walking gait changes after stepping-in-place training using a foot lifting device in chronic stroke patients
Autor: | Hitoshi Asai, Dai Nakaizumi, Pleiades Tiharu Inaoka, Kanichirou Murata |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
030506 rehabilitation
medicine.medical_specialty Heel Chronic hemiplegia Physical Therapy Sports Therapy and Rehabilitation Walking 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Intervention (counseling) Medicine Chronic stroke Stroke Walking gait business.industry Stepping-in-place Gait cycle medicine.disease Preferred walking speed medicine.anatomical_structure Physical therapy Original Article 0305 other medical science business human activities 030217 neurology & neurosurgery Foot (unit) |
Zdroj: | Journal of Physical Therapy Science |
ISSN: | 2187-5626 0915-5287 |
Popis: | [Purpose] The goal of this study was to investigate the efficacy of stepping-in-place training using a foot lifting assist device on the walking gait of chronic hemiparetic stroke patients. [Subjects] Seven patients with chronic hemiplegic stroke (age 80.9±4.9 years) who were attending a local adult daycare facility participated in this study. [Methods] The participants had 2 or 16 weeks of intervention after a baseline period of 2 weeks. Evaluations were performed before the baseline period and before and after the intervention period. The evaluation consisted of a two-dimensional motion analysis of walking and stepping-in-place exercises and a clinical evaluation. [Results] Walking speed increased in three participants after 2 or 16 weeks of intervention. The swing phase percentage increased in the paretic gait cycle, and the time from non-paretic heel contact to paretic heel off decreased during stepping-in-place in these participants. [Conclusion] Given that the transition from the support phase support to the swing phase was shortened after the intervention, the stepping-in-place exercise using the device designed for this study may improve the muscle strength of the lower limb and coordination in the pre-swing phase of the paretic limb. |
Databáze: | OpenAIRE |
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