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Gait re-education

Francesco Fusco, Helen Campbell, Karen Barker
OBJECTIVE: To assess the costs, effects, and cost-utility of an accelerated physiotherapy programme versus a standard physiotherapy programme following resurfacing hip arthroplasty. DESIGN: A cost-utility analysis alongside a randomized controlled trial. SETTING: A UK National Health Service hospital and patients' homes. SUBJECTS: A total of 80 male resurfacing hip arthroplasty patients randomized post procedure to one of the two programmes...
February 12, 2019: Clinical Rehabilitation
Timothy Tsz Ting Yam, Man Sang Wong, Shirley Siu Ming Fong
OBJECTIVE: This study aimed to evaluate the effectiveness of Kinesio tape (KT) on lower limb muscle activation pattern in children with developmental coordination disorder (DCD) during walking. DESIGN: A parallel-group randomized controlled trial. SETTING: University laboratory setting. PARTICIPANTS: Twenty-five children with DCD were randomly allocated to the KT group (mean age = 7.97 years) and 24 to the control group (mean age = 8...
February 2019: Medicine (Baltimore)
Stefano Masiero, Irene Maghini, Maria Eleonora Mantovani, Leila Bakdounes, Kostas Koutsikos, Alessandra Del Felice, Patrizio Sale
Many authors showed that aquatic physiotherapy could improve quality of life and reduce postural instability and risk of falling in elderly subjects. The aim of this research was to explore if the thermal aquatic environment is a suitable place for rehabilitative training in person with Parkinson disease (PwP) with results comparable to the standard physiotherapy. A retrospective study was conducted on a database of 14 persons with Parkinson who were admitted to a thermal aquatic rehabilitation to undergo treatments made to improve gait and balance impairments...
November 5, 2018: International Journal of Biometeorology
Alfredo Musumeci, Giulia Pranovi, Stefano Masiero
Nowadays, some spa centers are suitable for providing rehabilitative and preventive treatment in association with traditional spa therapy. This study aims to evaluate the feasibility and the effectiveness of an intensive rehabilitation program after hip arthroplasty in an Italian spa center. Early after total hip arthroplasty for severe osteoarthritis (≤ 10 days after the intervention), 12 consecutive patients (5 males and 7 females) aged between 50 and 85 years were enrolled for this study. All the patients performed a 2-week thermal multimodal rehabilitation program, which consisted of education and physical rehabilitative measures...
August 2018: International Journal of Biometeorology
Alice De Luca, Honoré Vernetti, Cristina Capra, Ivano Pisu, Cinzia Cassiano, Laura Barone, Federica Gaito, Federica Danese, Giovanni Antonio Checchia, Carmelo Lentino, Psiche Giannoni, Maura Casadio
BACKGROUND: Gait re-education is a primary rehabilitation goal after stroke. In the last decades, robots with different mechanical structures have been extensively used in the clinical practice for gait training of stroke survivors. However, the effectiveness of robotic training is still controversial, especially for chronic subjects. In this study, we investigated the short-term effects of gait training assisted by an endpoint robot in a population of chronic stroke survivors. METHODS: Subjects were evaluated before and after training with clinical scales and instrumented gait analysis...
May 9, 2018: Disability and Rehabilitation. Assistive Technology
Raudah M Yunus, Noran N Hairi, Wan Y Choo, Maw P Tan, Farizah Hairi, Rajini Sooryanarayana, Norliana Ismail, Shatanapriya Kandiben, Devi Peramalah, Zainudin M Ali, Sharifah N Ahmad, Inayah A Razak, Sajaratulnisah Othman, Fadzilah Hm Mydin, Karuthan Chinna, Awang Bulgiba
OBJECTIVES: To examine the cross-sectional and longitudinal relationships between elder abuse and neglect (EAN) and chronic pain in rural older Malaysians. DESIGN: Two-year prospective cohort study. SETTING: Kuala Pilah, a district in Negeri Sembilan approximately 100 km from the capital city, Kuala Lumpur. PARTICIPANTS: Community-dwelling older adults aged 60 and older. Using a multistage cluster sampling strategy, 1,927 respondents were recruited and assessed at baseline, of whom 1,189 were re-assessed 2 years later...
July 2018: Journal of the American Geriatrics Society
Mohammad Al-Amri, Hilal Al Balushi, Abdulrhman Mashabi
Self-paced treadmill walking is becoming increasingly popular for the gait assessment and re-education, in both research and clinical settings. Its day-to-day repeatability is yet to be established. This study scrutinised the test-retest repeatability of key gait parameters, obtained from the Gait Real-time Analysis Interactive Lab (GRAIL) system. Twenty-three male able-bodied adults (age: 34.56 ± 5.12 years) completed two separate gait assessments on the GRAIL system, separated by 5 ± 3 days. Key gait kinematic, kinetic, and spatial-temporal parameters were analysed...
December 2017: Computer Methods in Biomechanics and Biomedical Engineering
Andrew Roberts, David Roscoe, David Hulse, Alexander N Bennett, Sharon Dixon
Chronic exertional compartment syndrome (CECS) has been hypothesised, following clinical observations, to be the result of abnormal biomechanics predominantly at the ankle. Treatment of CECS through running re-education to correct these abnormalities has been reported to improve symptoms. However no primary research has been carried out to investigate the movement patterns of those with CECS. This study aimed to compare the running kinematics and muscle activity of cases with CECS and asymptomatic controls...
October 2017: Gait & Posture
Gillian D Baer, Lisa G Salisbury, Mark T Smith, Jane Pitman, Martin Dennis
OBJECTIVE: This phase II study investigated the feasibility and potential effectiveness of treadmill training versus normal gait re-education for ambulant and non-ambulant people with sub-acute stroke delivered as part of normal clinical practice. DESIGN: A single-blind, feasibility randomized controlled trial. SETTING: Four hospital-based stroke units. SUBJECTS: Participants within three months of stroke onset. INTERVENTIONS: Participants were randomized to treadmill training (minimum twice weekly) plus normal gait re-education or normal gait re-education only (control) for up to eight weeks...
February 2018: Clinical Rehabilitation
T Gandara-Sambade, M Fernandez-Pereira, A Rodriguez-Sotillo
INTRODUCTION: The evidence underlying robotic body weight supported treadmill training in patients with spinal cord injury remains poorly characterized. AIM: To perform a qualitative systematic review on the efficacy of this therapy. PATIENTS AND METHODS: A search on PubMed, CINAHL, Cochrane Library and PEDro was performed from January 2005 to April 2016. The references in these articles were also reviewed to find papers not identified with the initial search strategy...
March 1, 2017: Revista de Neurologia
Stephen J Preece, Richard K Jones, Christopher A Brown, Timothy W Cacciatore, Anthony K P Jones
BACKGROUND: Both increased knee muscle co-contraction and alterations in central pain processing have been suggested to play a role in knee osteoarthritis pain. However, current interventions do not target either of these mechanisms. The Alexander Technique provides neuromuscular re-education and may also influence anticipation of pain. This study therefore sought to investigate the potential clinical effectiveness of the AT intervention in the management of knee osteoarthritis and also to identify a possible mechanism of action...
August 27, 2016: BMC Musculoskeletal Disorders
Jung-Hwan Kim, Sang-Goo Ji, Kang-Jae Jung, Jae-Hyung Kim
A 54-year-old man with poliomyelitis had been using a conventional, passive knee-ankle-foot orthosis (KAFO) with a drop ring lock knee joint for about 40 years. A stance control KAFO (SCKAFO) with an electromagnetically controlled (E-MAG) knee joint system was prescribed. To correct his gait pattern, he also underwent rehabilitation therapy, which included muscle re-education, neuromuscular electrical stimulation, strengthening exercises for the lower extremities, and balance training twice a week for about 4 months...
April 2016: Annals of Rehabilitation Medicine
Edward Barakatt, Bryan Coleman-Salgado, Michael McKeough, David Mandeville, Jillian Gong, Emily Mintz, Joshua Thatch, Anastasia Vourakis, Nicklesh Thakur
PURPOSE. This case report describes the effects of intensive rehabilitation with systemic antispasticity and local neurotoxin pharmacological interventions on gait and activity outcomes for a patient with chronic impairments post-stroke. CASE DESCRIPTION. The 56-year-old male patient was 13 months post-stroke with left hemiparesis and hypertonicity in the left upper and lower extremities. The patient received oral baclofen for widespread hypertonicity and intramuscular onabotulinumtoxin A injections in muscles of the left upper and lower extremities to target local areas of hypertonicity...
2014: Journal of Allied Health
Ylva Hivand Hiorth, Jan Petter Larsen, Kirsten Lode, Kenn Freddy Pedersen
BACKGROUND: Prospective long-term studies of falls in Parkinson's disease (PD) are scarce. OBJECTIVE: To examine the development of falls over 8 years in a population-based cohort of ambulatory patients with PD, and to investigate predictors of future falls in non-fallers at baseline. METHODS: All patients were examined at baseline and after 4 and 8 years, including the UPDRS, MMSE, Montgomery and Aaberg Depression Rating Scale, Functional Comorbidity Index, and a clinical dementia interview...
October 2014: Parkinsonism & related Disorders
A De Luca, C Lentino, H Vernetti, G A Checchia, P Giannoni, P Morasso, M Casadio
Gait re-education is a primary rehabilitation goal after stroke. In this study, we used instrumented gait analysis for evaluating the outcomes of gait training assisted by an endpoint robot in a population of six chronic stroke survivors. The preliminary results, based on spatial-temporal and kinematic analysis, suggest that (a) self-placed walking speed increases, with an improvement of both length and duration of the stride, (b) balance increases during standing and walking, (c) the non-affected side becomes less involved in attempting to correct for the deficiencies of the affected side, thus reducing the importance of compensatory strategies...
June 2013: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
Philip Malloy, Molly Malloy, Peter Draovitch
Rehabilitation guidelines following hip arthroscopy have been presented in the literature with common themes consisting of initial protection, restoration of lumbo-pelvic stability, neuromuscular re-education, and return to sport training. The purpose of this review is to present hip arthroscopy guidelines in 4 phases and to address common pitfalls that may delay the rehabilitative process. The goal of phase 1 should be to protect healing tissues through activity modifications. Phase 2 intends to return the patient to pain-free community ambulation without compensation or irritation...
September 2013: Current Reviews in Musculoskeletal Medicine
Louise Johnson, Jane H Burridge, Sara H Demain
BACKGROUND: Focus of attention is known to play an important role in motor skill learning, yet little is known about how attention is directed within the context of stroke rehabilitation. OBJECTIVE: The aims of this study were: (1) to identify physical therapists' use of internal and external focus of attention during gait rehabilitation for individuals with hemiplegia following stroke and (2) to use the findings to design an experimental study examining the impact of focus of attention on learning poststroke...
July 2013: Physical Therapy
Mariana Moscovich, Danny Estupinan, Muhammad Qureshi, Michael S Okun
BACKGROUND: The psychological pressure on soldiers during World War I (WWI) and other military conflicts has resulted in many reported cases of psychogenic gait as well as other movement disorders. In this paper, psychogenic movement disorders captured in the WWI film footage "War Neuroses" is reanalyzed. METHODS: Two movement disorders specialists re-examined film images of 21 WWI patients with various and presumed psychogenic manifestations, pre- and post treatment...
2013: Tremor and Other Hyperkinetic Movements
Thomas Müller, Angela Pietsch
BACKGROUND: A physiotherapy subtype is gait training (GT), which aims on correction of posture and gait re-education in patients with Parkinson's disease (PD). Osteopathy in the cranial field (OCF) is a gentle manual method to treat dysfunctions of the central nervous system. Therapists may employ GT and OCF to bypass deficient basal ganglia dysfunction, which causes gait disturbances in PD. OBJECTIVES: Objectives of this pilot study were to demonstrate the efficacy of both procedures on gait and to compare their effects within a cross over design...
2013: NeuroRehabilitation
Leonardo Gizzi, Jørgen Feldbæk Nielsen, Francesco Felici, Juan C Moreno, José L Pons, Dario Farina
BACKGROUND: It is hypothesized that locomotion is achieved by means of rhythm generating networks (central pattern generators) and muscle activation generating networks. This modular organization can be partly identified from the analysis of the muscular activity by means of factorization algorithms. The activity of rhythm generating networks is described by activation signals whilst the muscle intervention generating network is represented by motor modules (muscle synergies). In this study, we extend the analysis of modular organization of walking to the case of robot-aided locomotion, at varying speed and body weight support level...
2012: Journal of Neuroengineering and Rehabilitation
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