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2012 | 26 | 1 | 13-18
Tytuł artykułu

Gait kinematics and clinical test changes in post-stroke patients during rehabilitation. Preliminary results of 12 patients of randomized clinical trial

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
More precise knowledge concerning gait patterns of movement in stroke patients incorporating modern diagnostic tools is necessary. Exact information about qualitative and quantitative changes during the process of rehabilitation based on reeducation of functions and relating it to possible changes of motor deficit will possibly lead to better physiotherapy planning. Goal of this study is to assess some components and changes of gait pattern and motor deficit after stroke to develop better physiotherapy this group of patients Materials and methods Consecutively admitting to rehabilitation unit first stroke patients who met inclusion criteria ( time from the onset of stroke between 1st and 3th month, independent walking skills on the distance of 10m, motor deficit, self awareness of disease, signed inform consent form) were enrolled to the study. Patients were participating in physiotherapy five days a week for 12 weeks. Rivermead Motor Assessment (Lower Extremity Section), Fugl-Meyer Motor Deficit Scale, Nottingham Extended Activities of Daily Living Scale and three-dimension motion analysis system Vicon 460 (amplitude of hip joint range of motion, walking speed, cadence, steps length) were used. All measurement procedures were carried out three times: before therapy, after 6 weeks and after 12 weeks of treatment. Results: Twelve patients were enrolled to the study (4 female, 8 man, mean age 58 years old, 5 persons suffering from right side paresis). All patients improved after 6 and 12 weeks. Alterations were related both to clinical assessment and to objective movement analysis and they were positively correlated. Mean motor deficit (FM) stated 140,148, 161p, ADL -30, 42, 47p., walking speed: 0,4m/s, 0,5m/s, 0,6m/s, cadence (steps/min):70, 81, 89. Conclusions: Results indicate relatively constant progress of motor abilities in this group of patients however it decreased during second period. Clinical improvements were accompanied by similar progress of walking speed and cadence. Further studies are necessary
Słowa kluczowe
Wydawca

Rocznik
Tom
26
Numer
1
Strony
13-18
Opis fizyczny
Daty
wydano
2012-03-01
online
2013-08-31
Twórcy
  • Zakład Rehabilitacji Narządu Ruchu Wydziału Rehabilitacji Akademii Wychowania Fizycznego Józefa Piłsudskiego
  • Zespół Fizjoterapii II Kliniki Neurologii Instytutu Psychiatrii i Neurologii
  • Kliniki Rehabilitacji Pediatrycznej Instytut „Pomnik - Centrum Zdrowia Dziecka”
  • Kliniki Rehabilitacji Pediatrycznej Instytut „Pomnik - Centrum Zdrowia Dziecka”
Bibliografia
  • 1. Członkowska A, Drozdowski W, Gąsecki D, Kobayashi A, Krawczyk M i wsp. Postępowanie w udarze mózgu. Wytyczne Grupy Ekspertów Narodowego Programu Profilaktyki i Leczenia Chorób Układu Sercowo-Naczyniowego POLKARD. Neurologia i Neurochirurgia Polska 2008;42,4 (supl3):261-270.
  • 2. Członkowska A, Szarzyńska-Długosz I, Kwolek A, Krawczyk M. Ocena potrzeb w dziedzinie wczesnej rehabilitacji poudarowej w Polsce. Neurologia i Neurochirurgia Polska 2006; 40(6):471-477.
  • 3. Twitchell TE. The restoration of motor function following hemiplegia inman. Brain 1951;74:443-480.[Crossref]
  • 4. Brunnstrom S. Motor testing procedures in hemiplegia: based on sequential recovery stages. Phys Ther 1966; 46: 357-75.[PubMed]
  • 5. Platz T, van Kaick S, Möller L, Freund S, Winter T, Kim IH. Impairment-oriented training and adaptive motor cortex reorganisation after stroke: a fTMS study. Journal of neurology 2005; 252(11):1363-71.
  • 6. Kaczmarczyk K, Wit A, Krawczyk M, Zaborski J. Gait classification in post-stroke patients using artificial neural networks. Gait and Posture 2009; 30(2):207-210.[Crossref][WoS]
  • 7. Fugl-Meyer AR, Jaasko L, Leyman I, Olsson S, Steglind S. The post stroke hemiplegic patient. I. A method for evaluation of physical performance. Scand J Rehabil Med 1975; 7:13-31.
  • 8. Adams SA, Ashburn A, Pickering RM, Taylor D. The scalability of the Rivermead Motor Assessment in acute stroke patients. Clin Rehabil 1997 Feb;11(1):42-51.[PubMed][Crossref]
  • 9. Harwood Rowan H, Gompertz P, Shah E. Handicap one year after a stroke: validity of a new scale. Journal of Neurology, Neurosurgery, and Psychiatry 1994; 57:825-829.[Crossref]
  • 10. Askim T, Mørkved S, Engen A, Roos K, Aas T, Indredavik B. Effects of a Community-Based Intensive Motor Training Program Combined With Early Supported Discharge After Treatment in a Comprehensive Stroke Unit. A Randomized, Controlled Trial. Stroke 2010; Jun 17. [Crossref]
  • 11. Cheol E, Han MA, Schweighofer N. Stroke Rehabilitation Reaches a Threshold. PLoS Comput Biol 2008; 4(8): e1000133.[WoS]
  • 12. Butler AJ, Page SJ. Mental Practice With Motor Imagery: Evidence for Motor Recovery and Cortical Reorganization After Stroke. Arch Phys Med Rehabil 2006; 87;12 (Suppl 2): S2-11.[PubMed][Crossref]
  • 13. Marshall RS, Zarahn E, Alon L, Minzer B, Lazar RM, Krakauer JW. Early Imaging Correlates of Subsequent Motor Recovery After Stroke. Ann Neurol 2009 May; 65(5): 596-602.[WoS][Crossref][PubMed]
  • 14. Bruins SK, Berge E, Dorman P, Lewis S, Dennis M, Sandercock P. Impact of functional status at six months on long term survival in patients with ischaemic stroke: prospective cohort studies. BMJ 2008; 16; 336(7640): 376-379.[WoS]
  • 15. Zarządzenie Prezesa Narodowego Funduszu Zdrowia w sprawie określenia warunków i realizacji umów w rodzaju rehabilitacja lecznicza z dnia 29.10.2009. www.nfz.gov.pl
  • 16. Kwakkel G, Wagenaar RC, Koelman TW, Lankhorst GJ, Koetsier JC. Effects of Intensity of Rehabilitation After Stroke : A Research Synthesis. Stroke 1997; 28: 1550 - 1556.[PubMed][Crossref]
  • 17. Lalit K. Stroke Rehabilitation 2009: Old Chestnuts and New Insights. Stroke 2010; 41: e88 - e90.
  • 18. Krawczyk M, Sideway M. Kliniczne efekty intensywnego leczenia ruchem pacjentów po przebytym udarze mózgu. Neurol Neurochir Pol 2002; 36(supl. 2):241-60.
  • 19. Hsieh Y, Wu C, Lin K, Chang Y, Chen C, Liu J. Responsiveness and Validity of Three Outcome Measures of Motor Function After Stroke Rehabilitation. Stroke 2009; 40: 1386 - 1391. [Crossref][WoS][PubMed]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_rehab-2013-0025
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