共查询到20条相似文献,搜索用时 15 毫秒
1.
Byoung-Sun Park Mee-Young Kim Lim-Kyu Lee Seung-Min Yang Won-Deok Lee Ji-Woong Noh Yong-Sub Shin Ju-Hyun Kim Jeong-Uk Lee Taek-Yong Kwak Tae-Hyun Lee Ju-Young Kim Jaehong Park Junghwan Kim 《Journal of Physical Therapy Science》2015,27(9):2837-2840
[Purpose] The purpose of this study was to evaluate the effects of a progressive
resistance training (PRT) program on the walking ability of chronic stroke patients with
hemiparesis following chronic stroke. [Subjects and Methods] The participants of this
study were fifteen hemiplegic patients. The main outcomes measured for this study were the
peak torque of the knee extensor; the gait ability as measured by electric gait analysis
of walking speed, walking cycle, affected side stance phase, affected side stride length,
symmetry index of stance phase, and symmetry index of stride length; and 10-m walking
speed; and the Berg balance scale test. [Results] Walking speed and affected side stride
length significantly increased after the PRT program, and 10-m walking time significantly
decreased after RPT in stroke patients. [Conclusion] These results suggest that the
progressive resistance training program may, in part, improve the stride of the affected
side leg of stroke patients after stroke and also positively impact walking speed.Key words: Progressive resistance training program, Walking ability, Stroke 相似文献
2.
[Purpose] The aim of this study was to examine the effects of balance training and muscle
training around the ankle joints on the gait of elderly people who have experienced a
fall. [Subjects] Twenty-six elderly people with a risk of falling and a Berg Balance Scale
score of 37 to 50 points who had experienced a fall in the last year were randomly and
equally assigned to either a balance training group or an ankle training group. The
balance training group received training on a hard floor, training while maintaining
balance on a cushion ball in a standing position, and training while maintaining balance
on an unstable platform in a standing position; the ankle training group received training
to strengthen the muscles around the ankle joints and conducted stretch exercise for the
muscles around the ankle joints. [Results] There were significant changes in gait
velocity, step length, and stride length in the balance training group after the
intervention; there were significant changes in gait velocity, cadence, step time, cycle
time, step length, and stride length in the ankle training group after the intervention.
In a between-group comparison, the gait velocity of the balance training group showed a
significant improvement compared with the ankle training group. [Conclusion] Both balance
training and ankle joint training are effective in enhancing the gait ability of elderly
people with a risk of falling; in particular, balance training is effective in improving
the gait velocity of elderly people who have experienced a fall compared with ankle joint
training.Key words: Elderly people, Balance training, Ankle training 相似文献
3.
EunJung Chung Sang-In Park Yun-Yung Jang Byoung-Hee Lee 《Journal of Physical Therapy Science》2015,27(2):513-516
[Purpose] The purpose of this study was to determine the effects of brain-computer
interface (BCI)-based functional electrical stimulation (FES) on balance and gait function
in patients with stroke. [Subjects] Subjects were randomly allocated to a BCI-FES group
(n=5) and a FES group (n=5). [Methods] The BCI-FES group received ankle dorsiflexion
training with FES according to a BCI-based program for 30 minutes per day for 5 days. The
FES group received ankle dorsiflexion training with FES for the same duration. [Results]
Following the intervention, the BCI-FES group showed significant differences in Timed Up
and Go test value, cadence, and step length on the affected side. The FES group showed no
significant differences after the intervention. However, there were no significant
differences between the 2 groups after the intervention. [Conclusion] The results of this
study suggest that BCI-based FES training is a more effective exercise for balance and
gait function than FES training alone in patients with stroke.Key words: Brain-computer interface, Functional electrical stimulation, Gait 相似文献
4.
[Purpose] The aim of this study was to verify the effect of sideways treadmill training
with and without visual blocking on the balance and gait function of patients with brain
lesions. [Subjects] Twenty-four stroke and traumatic brain injury subjects participated in
this study. They were divided into two groups: an experimental group (12 subjects) and a
control group (12 subjects). [Methods] Each group executed a treadmill training session
for 20 minutes, three times a week, for 6 weeks. The sideways gait training on the
treadmill was performed with visual blocking by the experimental group and with normal
vision by the control group. A Biodex Gait Trainer 2 was used to assess the gait function.
It was used to measure walking speed, walking distance, step length, and stance time on
each foot. The Five-Times-Sit-To-Stand test (FTSST) and Timed Up and Go test (TUG) were
used as balance measures. [Results] The sideways gait training with visual blocking group
showed significantly improved walking speed, walking distance, step length, and stance
time on each foot after training; FTSST and TUG times also significantly improved after
training in the experimental group. Compared to the control group, the experimental group
showed significant increases in stance time on each foot. [Conclusion] Sideways gait
training on a treadmill with visual blocking performed by patients with brain lesions
significantly improved their balance and gait function.Key words: Brain lesions, Treadmill training, Visual block 相似文献
5.
[Purpose] The aim of this study was to examine the the effects of hippotherapy on gait
and balance ability in patients with stroke. [Subjects and Methods] Thirty stroke patients
were randomly divided into a hippotherapy group and a treadmill group and they conducted
exercise for eight weeks. [Results] Berg Balance Scale score, gait velocity, and step
length asymmetry ratio were significantly improved in the group receiving hippotherapy
training. However, in the group receiving treadmill training, only step length asymmetry
ratio was significantly improved. In the comparison between the hippotherapy group and
treadmill group, there was no significant difference in Berg Balance Scale score, but a
significant difference was found in gait velocity and step length asymmetry ratio.
[Conclusion] The results of this study indicated that hippotherapy is a helpful treatment
for stroke patients.Key words: Stroke, Balance, Hippotherapy 相似文献
6.
Young Jun Shin Jung Hoon Lee Yu Won Choe Myoung Kwon Kim 《Journal of bodywork and movement therapies》2019,23(3):671-677
ObjectivesThe purpose of this study is to assess the immediate effects of applying ankle eversion taping using kinesiology tape in patients with foot drop after stroke.DesignRandomized cross-over trial.MethodIn this study, fifteen subjects with stroke underwent three interventions in a random order. Subjects were randomly initially assigned to an ankle balance taping, placebo taping, and no taping each group. The ankle eversion taping was used for mechanical correction. Ankle eversion taping is involved in ankle dorsiflexion and eversion. The placebo taping began from both malleolus and was applied up to the middle point of the lower limb. Gait ability was assessed by the GAITRite System. The measured gait variables are gait velocity, step length, stride length, H-H base support, and cadence. All of the measurements were performed immediately after intervention.ResultsOur results showed gait function in chronic stroke patients was improved after ankle eversion taping. Velocity, step length, stride length and cadence under the ankle eversion taping conditions significantly increased (p < 0.05) compared to the placebo and no taping conditions. Ankle eversion taping significantly reduced (p < 0.05) H-H base support compared to the no taping condition.ConclusionsWe conclude that the application of ankle eversion taping that uses kinesiology tape instantly increased the gait ability of chronic stroke patients with foot drop. However, more research is necessary to identify the long-term effects of the ankle eversion taping. 相似文献
7.
[Purpose] Balance and gait ability determine to a large degree the level of independence
of daily living which is an important goal of rehabilitation. This study was conducted in
order to examine the effectiveness of an ankle proprioceptive control program on ankle
muscle strength, balance, and gait of chronic stroke patients. [Methods] Thirteen chronic
stroke patients more than six months post-stroke were recruited. All subjects received
ankle proprioceptive control training for 30 minutes per session, two days per week, over
a period of six weeks. Outcome measures were ankle strength (BTE-Primus), the Timed Up and
Go test (TUG), and spatiotemporal parameters measured by a GAITRite instrument. [Results]
Significant improvements in ankle dorsiflexor strength, TUG, gait speed and cadence, step
length, and stride length were observed on the paretic side. [Conclusion] The results of
this study provide evidence in support of incorporation of an ankle proprioceptive control
program for effective improvement of both balance and gait ability of chronic stroke
patients. The findings of this study suggest the feasibility and suitability of an ankle
proprioceptive control program for chronic stroke patients.Key words: Stroke, Proprioception, Ankle 相似文献
8.
[Purpose] This study examined the effects of foot orthosis on the gait ability of college
students in their 20s with flat feet. [Subjects and Methods] The subjects were 20 college
students who had been diagnosed with flat feet. The subjects’ step time, step length,
stride time, stride length, and gait velocity were measured using the VICON Motion System
(Vicon, Oxford, UK) prior to and while wearing foot orthoses. The resulting data were
analyzed using SPSS v. 12.0. [Results] The subject’s step time and stride time
significantly decreased for both feet after they began using foot orthosis, and stride
length and gait velocity significantly increased in both feet orthosis; however, step
length did not significantly increase on either side. [Conclusions] College students with
flat feet saw an improvement in elements of their gait while using the foot orthosis. The
results of this study verified that students with flat feet might walk more efficiently if
they received active gait training via long-term use of foot orthosis.Key words: Flat feet, VICON, Gait performance 相似文献
9.
[Purpose] This study implement ankle joint dorsiflexion training for ankle muscle the
weakness that impairs stroke patients’ gait performance, to examine the effect of the
training on stroke patients’ plantar pressure and gait ability. [Subjects and Methods] In
this study, 36 stroke patients diagnosed with stroke due to cerebral infarction or
cerebral hemorrhage performed the training. Static muscle stretching was performed four
times a week for 20 minutes at a time for 6 weeks by the training group. Ankle dorsiflexor
training was performed four times a week, two sets per time in the case of females and
three sets per time in the case of males for 6 weeks, by another group. Center of pressure
sway amplitude was measured using the F-scan system during gait. All subjects were
assessed with the same measurements at a pre-study examination and reassessed at eight
weeks. Data were analyzed statistically using the paired t-test and one-way ANOVA.
[Results] Among the between ankle dorsiflexor training group, static muscle stretching
group, and control group, the difference before and after the training were proven to be
statistically significant. [Conclusion] Compared to other training groups, the ankle
muscle strength training group showed statistically significant increases of forward
thrust at stroke patients’ toe-off which positively affected stroke patients’ ability to
perform gait.Key words: Plantar pressure, Stroke, Muscle stretching 相似文献
10.
[Purpose] The purpose of this study was to examine the effect of treadmill-based gait
training using incremental weight loading on the ankle of the affected side on hemiplegic
stroke patients’ balance. [Subjects] In this study, 30 hemiplegic stroke patients were
randomly divided into an incremental weight load group (IWLG, n=15) and a
no-load group (NLG, n=15). [Methods] The IWLG performed gait training on
treadmills for four weeks wearing a sandbag weighing 3% of the body weight on the affected
side ankle, followed by wearing a sandbag weighing 5% of the body weight from the 5th
week. The NLG performed similar training without sandbags. [Results] Both the IWLG and the
NLG showed significant improvements in balance ability. The IWLG showed a larger decrease
in the area and length of movement of the center of pressure in static standing positions
after the experiment although the difference was not significant. [Conclusion] We
recommend, utilizing the treadmill-based gait training using incremental weight loading on
the affected side ankle as a clinical intervention for improving hemiplegic stroke
patients’ balance ability.Key words: Stroke, Incremental weight load, Treadmill 相似文献
11.
[Purpose] The purpose of this study was to investigate the effects of treadmill training
with a horizontal impeding force applied to the center of upper body mass on the gait and
balance of post-stroke patients. [Subjects and Methods] Twenty-four subjects with
hemiplegia less than 3 months after stroke onset were randomly assigned to 2 groups: an
applied horizontal impeding force on treadmill training (experimental) group (n = 12), and
a control group (n = 12). Both groups walked on a treadmill at a comfortable or moderate
speed for 20 minutes per day, 3 sessions per week for 8 weeks after a pre-test. The
experimental group also had a horizontal impeding force applied to the center of their
upper body mass. [Results] All groups demonstrated significant improvement after 8 weeks
compared to baseline measurements. In intra-group comparisons, the subjects’ gait ability
(CGS, MGS, cadence, and step length) and balance ability (TUG, BBS, and FRT) significantly
improved. In inter-group comparisons, the experimental group’s improvement was
significantly better in CGS MGS, cadence, step length, TUG, and BBS, but not in FRT.
[Conclusion] Treadmill training was identified as an effective training method that
improved gait and balance ability. A horizontal impeding force applied during treadmill
training was more effective than treadmill walking training alone at improving the gait
and dynamic balance of patients with stroke.Key words: Treadmill gait, Horizontal impeding force, Upper body 相似文献
12.
Daisuke Matsuda Shigeki Kubota Yohei Akinaga Yoshihiro Yasunaga Yoshiyuki Sankai Masashi Yamazaki 《Journal of Physical Therapy Science》2022,34(5):410
[Purpose] An ankle disorder (foot drop) caused by common peroneal nerve palsy or cerebrovascular accident (stroke) interferes with patients’ ability to walk and hinders in activities of daily living. A new robotic ankle, the Hybrid Assistive Limb, has been developed for the treatment of foot drop caused by common peroneal nerve palsy or sequelae of stroke. The purpose in this study was to report and examine the efficacy and feasibility of a case who was treated with voluntary ankle dorsiflexion training with the ankle Hybrid Assistive Limb. [Participant and Method] A 60-year-old man with foot drop due to peroneal nerve palsy that occurred without a contributory cause was treated via ankle dorsiflexion training with the use of a new robotic ankle, the “Ankle Hybrid Assistive Limb”. [Results] Following total ankle rehabilitation training with the Ankle Hybrid Assistive Limb, improvements in ankle dorsiflexor strength, gait, and sensory function of the lower leg and foot were observed. [Conclusion] The newly developed ankle Hybrid Assistive Limb could be an effective training tool for foot drop caused by common peroneal nerve palsy. 相似文献
13.
Young-dong Kim Kyoung-bo Lee Dong-geol Lee 《Journal of Physical Therapy Science》2015,27(9):2981-2983
[Purpose] The purpose of this study was to determine alterations of spinal range of
motion while sitting, in hemiplegic patients with or without gait available. [Subjects]
There was a gait group (GG) of 6 subjects, and a non-gait group (NGG) of 6 subjects, both
with hemiplegia after a stroke. [Methods] The subjects in both groups were given an
intervention focusing on ankle dorsi-flexion of the affected foot only once for 30
minutes. The Spinal Mouse was used to gain data of the spinal range of motion before and
after the intervention and 30 minutes later for follow-up test. [Results] Only in the gait
group, lumbar spinal range of motion showed a significant difference when using flexion
extension. Sacral hip and inclination were both increased gradually when upright flexion
and flexion extension were used. [Conclusion] Facilitating foot for ankle dorsi-flexion is
effective on spinal range of motion especially sacrohip, lumbar spine and inclination only
for the subjects in the gait group. The results suggested that ankle dorsi-flexion
exercise influences spinal range of motion in a sitting position. 相似文献
14.
Jin-Seop Kim 《Journal of Physical Therapy Science》2015,27(3):855-857
[Purpose] This study investigated the effects of COP displacement training using visual
feedback had on the gait of patients with hemiplegia due to stroke. [Subjects and Methods]
This study was conducted with 20 patients with hemiplegia due to stroke. The training
consisted of five training sets repeated 10 times and the activity was conducted for 15
minutes each session, three times per week for six weeks immediately after completion of
central nervous system developmental treatment. [Results] A comparison of the results of
before and after the experiment found that the COP displacement training group showed
significant improvements in step length, stride length, gait velocity, and the functional
reach test, while the control group showed significant improvement only in the functional
reach test. In the intergroup comparison, the COP displacement training group showed
significant improvements in paretic side step length, paretic side stride length, gait
velocity, and the functional reach test compared to the control group. [Conclusion] In
conclusion, according to the results of this study, visual feedback training for COP
displacement is more effective at enhancing the gait and balance of hemiplegic patients
due to stroke than only performing feedback training for even weight distribution.Key words: Stroke, Center of pressure, Feedback 相似文献
15.
Seong Doo Park Jin Young Kim Hyun Seung Song 《Journal of Physical Therapy Science》2015,27(3):623-625
[Purpose] The objective of this study was to determine the effect of transcranial direct
current stimulation (tDCS) during task-related training (TRT) on the gait ability of
patients with chronic stroke. [Subjects and Methods] The participants were 24 patients who
were diagnosed with hemiplegia due to stroke. Three groups were created: subjects who
performed TRT for general exercise therapy (TRT), subjects who received sham tDCS during
TRT for general exercise therapy (TST), and subjects who received tDCS during TRT for
general exercise therapy (TT). [Results] The stance phase symmetry profile, the swing
phase symmetry profile, and gait velocity all decreased significantly in the TT group
compared with the TRT group. However, there was no significant difference in the step
length symmetry profile among the groups. [Conclusion] A application of tDCS, that affects
the excitatory regulation in the cortical motor area, is an effective rehabilitation
method for gait improvement.Key words: Gait, Hemiplegia, Transcranial direct current stimulation 相似文献
16.
Byeong-mu Mun Yeon-seop Lee Tae-ho Kim Ji-hyun Lee Sun-mi Sim In-mo Park Jin Park Dong-kwon Seo 《Journal of Physical Therapy Science》2014,26(4):483-485
[Purpose] This study sought to determine the usefulness of sit to stand training in
self-directed treatment of stroke patients. It examined the effect that sit to stand
training has on balance and functional movement depending on the form of support surfaces.
[Subjects and Methods] Thirty stroke patients were randomly sampled and divided into an
unstable support surface group (15) and stable support surface group (15). In order to
identify the effect depending on the form of support surfaces, 15 minutes of support
surface training plus + 15 minutes of free gait training was performed. [Results] The
results of the unstable support surface training showed that the corresponding sample
t-test results were significant for the 7-item 3-point Berg balance scale, timed Up and Go
test, and 6-minute walking test. The independent samples t-test, showed that there were
significant outcomes in step length on the affected side, and step length on the
unaffected side. [Conclusion] In conclusion, the sit to stand training on stable support
surfaces was not as effective as the training using unstable support surfaces, but it is a
simple and stable exercise with less risk of falls during training. It can also be
performed alone by the patient in order to increase endurance and dynamic balance ability.
Therefore, it is considered a useful exercise that can be performed alone by the patient
outside the treatment room.Key words: Stroke, Self-directed treatment, Sit to stand 相似文献
17.
[Purpose] The purpose of this study was to assess the correlation of gait parameters with
fear of falling in stroke survivors. [Subjects] In total, 12 patients with stroke
participated. [Methods] The subjects performed on a Biodex Gait Trainer 2 for 5 min to
evaluate characteristic gait parameters. The kinematic gait parameters measured were gait
speed, step cycle, step length, and time on each foot (step symmetry). All the subjects
also completed a fall anxiety survey. [Results] Correlations between gait parameters and
fear of falling scores were calculated. There was a moderate degree of correlation between
fear of falling scores and the step cycle item of gait parameters. [Conclusions] According
to our results, the step cycle gait parameter may be related to increased fall
anxiety.Key words: Fall anxiety, Gait parameter, Stroke 相似文献
18.
19.
[Purpose] The purpose of the study was to investigate the effects of action observation
training on the static balance and walking ability of patients who had suffered a stroke.
[Subjects] Forty patients with hemiplegia resulting from a stroke were divided into an
action observation gait training group (AOGT group, n=20) and a general gait training
group (GGT group, n=20). [Methods] The AOGT group watched a training video on flatland
gait, slope gait, and stair gait. The GGT group watched a video on nature. Both groups
watched their respective video for 10 minutes and then had gait training for 20 minutes
per day, five times per week, for eight weeks. [Results] The static balance and gait
ability of both groups significantly improved. Although there were significant differences
between the groups, the AOTG group showed greater improvements in sway speed, limit of
stability, and gait ability. [Conclusion] We recommend action observation training over
general gait training for patients with hemiplegia. Action observational training had a
positive effect on static balance and gait ability in stroke patients’ static balance and
gait ability. Further research is needed to generalize the results of this study.Key words: Hemiplegia, Action observation training, Gait 相似文献
20.
Ho-Jung An Jae-Ic Kim Yang-Rae Kim Kyoung-Bo Lee Dai-Joong Kim Kyung-Tae Yoo Jung-Hyun Choi 《Journal of Physical Therapy Science》2014,26(8):1287-1291
[Purpose] This study examined the effects of various dual task gait training methods
(motor dual task gait training, cognitive dual task gait training, and motor and cognitive
dual task gait training) on the balance and gait abilities of chronic stroke patients.
[Subjects and Methods] Thirty-three outpatients performed dual task gait training for 30
minutes per day, three times a week, for eight weeks from June to August, 2012. Balance
ability was measured pre-and posttest using the stability test index, the weight
distribution index, the functional reach test, the timed up and go test, and the four
square step test. Gait ability was measured by the 10 m walk test and a 6 min walk test
before and after the training. The paired t-test was used to compare measurements before
and after training within each group, and ANOVA was used to compare measurements before
and after training among the groups. [Results] Comparisons within each group indicated
significant differences in all variables between before and after the training in all
three groups. Comparison between the groups showed that the greatest improvements were
seen in all tests, except for the timed up and go test, following motor and cognitive dual
task gait training. [Conclusion] In a real walking environment, the motor and cognitive
dual task gait training was more effective at improving the balance and gait abilities of
chronic stroke patients than either the motor dual task gait training or the cognitive
dual task gait training alone.Key words: Stroke, Dual task, Balancing 相似文献