全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Effect of Exercise on Gait Kinematics and Kinetics in Patients with Chronic Ischaemic Stroke

DOI: 10.4236/ojtr.2019.74010, PP. 140-150

Keywords: Stroke, Exercise, Rehabilitation, Gait Analysis

Full-Text   Cite this paper   Add to My Lib

Abstract:

Introduction :?In 2014, American Heart Association and American Stroke Association (AHA/ASA) issued exercise guidelines for stroke patients. Aim of the Study: To study the effects of an exercise programme based on AHA/ ASA guidelines, on gait kinematics and kinetics in patients with chronic ischemic stroke. Materials and Methods: Twelve stroke patients, 67.33 ± 9.14 years old, followed an 8-week exercise programme, with 3 hourly sessions per week, consisting of strength, endurance and flexibility training, as well as neuromuscular activities. Patients’ gait kinematics and kinetics were evaluated before and after the intervention using a 3-dimensional gait analysis system. Results: In most cases, patients in the intervention group showed significant increase or no change in gait kinematics, significant increase in joint moments at the anterior-posterior plane during support phase, and non-signi- ficant change in the frontal and transverse planes kinetics. Conclusions: Exercise prevented further deterioration and/or led to improved walking pattern.

References

[1]  Seshadri S., Beiser, A., Kelly-Hayes, M., Kase, C., Au, R., Kannel, W. and Wolf, P. (2006) The Lifetime Risk of Stroke. Estimates from the Framingham Study. Stroke, 37, 345-350.
https://doi.org/10.1161/01.STR.0000199613.38911.b2
[2]  Kwakkel, G., Kollen, B. and Lindeman, E. (2004) Understanding the Pattern of Functional Recovery after Stroke: Facts and Theories. Restorative Neurology and Neuroscience, 22, 281-299.
[3]  Ashe, M., Miller, W., Eng, J. and Noreau, L. (2009) Older Adults, Chronic Disease and Leisure-Time Physical Activity. Gerontology, 55, 64-72.
https://doi.org/10.1159/000141518
[4]  Goljar, N., Burger, H., Vidmar, G., Leonardi, M. and Marincek, C. (2011) Measuring Patterns of Disability Using the International Classification of Functioning, Disability and Health in the Post-Acute Stroke Rehabilitation Setting. Journal of Rehabilitation Medicine, 43, 590-601.
https://doi.org/10.2340/16501977-0832
[5]  Rand, D., Eng, J., Tang, P., Jeng, J. and Hung, C. (2009) How Active Are People with Stroke? Use of Accelerometers to Assess Physical Activity. Stroke, 40, 163-168.
https://doi.org/10.1161/STROKEAHA.108.523621
[6]  Sullivan, K. and Cen, S. (2011) Model of Disablement and Recovery: Knowledge Translation in Rehabilitation Research and Practice. Physical Therapy, 91, 1892-1904.
https://doi.org/10.2522/ptj.20110003
[7]  Banks, G., Bernhardt, J., Churilov, L. and Cumming, T. (2012) Exercise Preferences Are Different after Stroke. Stroke Research and Treatment, 2012, Article ID: 890946.
https://doi.org/10.1155/2012/890946
[8]  Mead, G., Greig, C., Cunningham, I., Lewis, S., Dinan, S., Saunders, D., Fitzsimons, C. and Young, A. (2007) Stroke: A Randomized Trial of Exercise or Relaxation. Journal of the American Geriatrics Society, 55, 892-899.
https://doi.org/10.1111/j.1532-5415.2007.01185.x
[9]  Morris, J., Oliver, T., Kroll, T. and Macgillivray, S. (2012) The Importance of Psychological and Social Factors in Influencing the Uptake and Maintenance of Physical Activity after Stroke: A Structured Review of the Empirical Literature. Stroke Research and Treatment, 2012, Article ID: 195249.
https://doi.org/10.1155/2012/195249
[10]  Rimmer, J., Wang, E. and Smith, D. (2008) Barriers Associated with Exercise and Community Access for Individuals with Stroke. Journal of Rehabilitation Research & Development, 45, 315-322.
https://doi.org/10.1682/JRRD.2007.02.0042
[11]  Simpson, L., Eng, J. and Tawashy, A. (2011) Exercise Perceptions among People with Stroke: Barriers and Facilitators to Participation. International Journal of Therapy and Rehabilitation, 18, 520-530.
https://doi.org/10.12968/ijtr.2011.18.9.520
[12]  Resnick, B., Michael, K., Shaughnessy, M., Kopunek, S., Nahm, E. and Macko, R. (2008) Motivators for Treadmill Exercise after Stroke. Topics in Stroke Rehabilitation, 15, 494-502.
https://doi.org/10.1310/tsr1505-494
[13]  Billinger, S., Arena, R., Bernhardt, J., Eng, J., Franklin, B., Johnson, C., MacKay-Lyons, M., Macko, R., Mead, G. and Roth, E. (2014) Physical Activity and Exercise Recommendations for Stroke Survivors. Stroke, 45, 2532-2553.
https://doi.org/10.1161/STR.0000000000000022
[14]  Fotiadou, S., Aggeloussis, N., Gourgoulis, V., Malliou, P., Papanas, N., Giannakou, E., Iliopoulos, I., Vadikolias, K., Terzoudi, A. and Piperidou, H. (2018) Reproducibility of Gait Kinematics and Kinetics in Chronic Stroke Patients. Neurorehabilitation, 42, 53-61.
https://doi.org/10.3233/NRE-172195
[15]  Roth, E., Merbitz, C., Mroczek, K., Dugan, S. and Suh, W. (1997) Hemiplegic Gait. Relationships between Walking Speed and Other Temporal Parameters. American Journal of Physical Medicine & Rehabilitation, 76, 128-133.
https://doi.org/10.1097/00002060-199703000-00008
[16]  Thompson, W., Gordon, N. and Pescatello, L. (2009) American College of Sports Medicine–ACSM’s Guidelines for Exercise Testing and Prescription. 8th Edition, LWW, Philadelphia, PA.
[17]  Olney, S. and Richards, C. (1996) Hemiparetic Gait Following Stroke. Part I: Characteristics. Gait and Posture, 4, 136-148.
https://doi.org/10.1016/0966-6362(96)01063-6
[18]  Kim, C. and Eng, J. (2004) Magnitude and Pattern of 3D Kinematic and Kinetic Gait Profiles in Persons with Stroke: Relationship to Walking Speed. Gait Posture, 20, 140-146.
https://doi.org/10.1016/j.gaitpost.2003.07.002
[19]  Teixeira-Salmela, L., Nadeau, S., Mcbride, I. and Olney, S. (2001) Effects of Muscle Strengthening and Physical Conditioning Training on Temporal, Kinematic and Kinetic Variables during Gait in Chronic Stroke Survivors. Journal of Rehabilitation Medicine, 33, 53-60.
https://doi.org/10.1080/165019701750098867

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133