Rhythmic arm swing integrated into treadmill training in patients with chronic stroke: A single-subject experimental study.
Normal walking includes coordinated and controlled movement of the legs and arms. However, patients following stroke often present with inappropriate motor control which limits coordinated movement patterns of the affected limbs. This study aimed to compare the effects of rhythmic arm swing and arm...
| Publicado en: | Physiotherapy Theory & Practice Vol. 34; no. 8; pp. 613 - 622 |
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| Autores principales: | , , , |
| Formato: | case study research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129059131&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129059131 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Aug2018 vid: 34 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 129059131 129059131 129059131 10.1080/09593985.2017.1423430 129059131 ppf: 613 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Rhythmic arm swing integrated into treadmill training in patients with chronic stroke: A single-subject experimental study. aug: au: Kang, Tae-Woo Oh, Duck-Won Lee, Ji-hyun Cynn, Heon-Seok affil: Department of Physical Therapy, Wonkwang University School Of Medicine & Hospital, Iksan, Jeollabuk-do, Republic of Korea sug: subj: Stroke Rehabilitation Hemiplegia Rehabilitation Arm Physiology Gait Training Methods Biomechanics Human Treadmills Clinical Assessment Tools Energy Metabolism Evaluation Statistical Significance Walking Neuropsychological Tests Female Middle Age Descriptive Statistics NIH Stroke Scale Barthel Index Data Analysis Software Paired T-Tests P-Value Middle Aged: 45-64 years Female ab: Normal walking includes coordinated and controlled movement of the legs and arms. However, patients following stroke often present with inappropriate motor control which limits coordinated movement patterns of the affected limbs. This study aimed to compare the effects of rhythmic arm swing and arm fixation during treadmill walking in patients with poststroke hemiparesis. We used an alternating study design with multiple baselines across subjects. Three patients with chronic stroke participated in this study. During treadmill walking, rhythmic arm swing and arm fixation conditions were alternately applied. Outcome measures included the 10-meter walk test (10MWT) and energy expenditure index (EEI). In the intervention phase, all subjects showed significantly greater improvements in the 10MWT and EEI scores for rhythmic arm swing condition compared to those for arm fixation condition (<italic>p</italic> < 0.05). 10MWT improvement rates: Subject 1—34.81% vs. 15.75%; Subject 2—40.00% vs. 17.95%; and Subject 3—38.08% vs. 21.85%; and EEI improvements: Subject 1—23.19% vs. 14.08%; Subject 2—26.15% vs. 20.43%; and Subject 3—22.99% vs. 14.49%. These findings suggest that rhythmic arm swing is clinically feasible as a more favorable option to enhance the effects of treadmill walking training. However, larger studies with a different study design are needed to be able to make any judgment about the usefulness of the treatment. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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