Treino em esteira com suporte parcial de peso associado à estimulação elétrica funcional melhora a marcha de hemiparéticos crônicos e efeitos da inclinação da esteira na marcha de sujeitos hemiparéticos
Autor: | Lindquist, Ana Raquel Rodrigues |
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Přispěvatelé: | Salvini, Tânia de Fátima, Mattioli, Rosana |
Jazyk: | portugalština |
Rok vydání: | 2005 |
Předmět: | |
Zdroj: | Repositório Institucional da UFSCAR Universidade Federal de São Carlos (UFSCAR) instacron:UFSCAR |
Popis: | Universidade Federal de Minas Gerais The purpose of this study was to evaluate the effect of the combined use of functional electrical stimulation (FES) and treadmill training with body weight support (BWS) in walking functions and voluntary limb control in chronic hemiparetic patients. Eight hemiparetic individuals (mean age, 56.6 ± 10.26 years) were evaluated in the present clinical trial. The stroke interval was 17.3 ± 10.9 months. The stroke etiology of the subjects was ischemia (75%) or haemorrhage (25%) in the middle cerebral artery region. An A1-B-A2 single-case study design was applied. Phases A1 and A2: three weeks of gait training on a treadmill with body weight support, and phase B: three weeks of treadmill training plus FES. FES was applied to the peroneal nerve to improve ankle dorsiflexion during the swing phase and heel strike on the initial floor contact. Stroke Rehabilitation Assessment of Movement (STREAM, 0-60) was used to assess motor recovery. Kinematical analysis was used to assess cycle length (m); cycle duration (s); gait velocity (m/s); stance duration (s); swing duration (s) and cadence (steps/min). The results showed substantial improvement in the motor functions during phase B (from 54.9% to 71.0%). The space-temporal variables of cycle duration, stance and cycle cadence as well as cycle symmetry presented improvements when compared to treadmill training with BWS but without FES (p |
Databáze: | OpenAIRE |
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