• Title/Summary/Keyword: Dynamic gait index

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The Effect of Action Observation Training with Acoustic Stimulation on Balance and Gait in Stroke Patients

  • Kim, Young-Mi;Lee, Ho-Jeong;Lee, Jong-Su
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.4
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    • pp.13-21
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    • 2021
  • PURPOSE: This study examined the effects of action observational training with acoustic stimulation (AOTA) on the balance and gait ability in stroke patients. METHODS: Forty-five chronic stroke patients were divided into three groups. The AOTA group (n = 15) received training via a video that showed a normal gait with the sound of footsteps. The action observation training (AOT) group (n = 15) received AOT without acoustic stimulation. The control group (n = 15) received physical training. Each intervention was applied once per day, three times per week for six weeks. The participants in the AOTA and AOT groups had five minutes of AOT. The participants in the all group had 20 minutes of physical training. All participants were measured using the Berg Balance Scale, the Timed Up and Go Test, the Functional Reaching Test, 10 Meter Walk Test, six Minute Walk Test, and Dynamic Gait Index. The collected data were analyzed using SPSS version 20.0 for Windows. The between- and within-group comparisons were analyzed using the one-way analysis of variance (ANOVA) test and a paired t-test, respectively. For all statistical analyses, the significance level was set to .05. RESULTS: The one-way ANOVA test identified significant differences among the measurement results of the three groups (p < .05). Post hoc analyses indicated the AOTA group to undergo more significant balance and gait changes than the control group (p < .05). CONCLUSION: The gait and balance abilities could be improved effectively for patients with stroke when action observation training and acoustic stimulation were applied simultaneously.

The Effects of Dual-task Action Observation Physical Training on the Walking Ability and Activities of Daily Living in Chronic Stroke Patients (이중과제 동작관찰 신체훈련이 만성 뇌졸중 환자의 보행 능력과 일상생활 활동에 미치는 영향)

  • Lee, Hyun-Min;Lee, Jeong-A
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.2
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    • pp.83-91
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    • 2016
  • PURPOSE: The purpose of this study was to determine the efficacy of dual-task action observation training (AOT) and single-task AOT related with daily living task on walking ability and ADL performance in chronic stroke patients. METHODS: Twenty-seven chronic stroke subjects were included in the study. They were randomly assigned to three task categorieds as follows: whole dual-task AOT or partial dual-task AOT or single-task AOT rehabilitation. Whole dual-task AOT observed the movement at once and partial dual-task AOT observed the movement divided into 4 parts related functional gait and activities of daily living task for 2 minutes 30 seconds. Single-task AOT observed the movement related functional gait for 2 minutes 30 seconds. Both groups had physical training session for 12 minutes 30 seconds. The study was conducted for four weeks, with three training sessions a week, for twelve weeks. All subjects were evaluated for their walking ability and activities of daily living through devices, 10m walking test (10MWT), dynamic gait index (DGI), and Korea-Modified Barthel Index (K-MBI). RESULTS: A significant improvement of walking ability and ADL performance happened among dual-task AOT subjects, compared with a single-task AOT subjects, during the 4-weeks course treatment. The results of the study showed statistically significant differences in 10MWT (p<0.05) and DGI (p<0.05), and K-MBI (p<0.05). CONCLUSION: Our results indicated that dual-task AOT has a positive additional impact on recovery of walking ability and ADL performance in chronic stroke patients.

Fall experience and dual-task during gait performance for community-dwelling persons with stroke

  • Kim, Min-Kyu;Kim, Eunjeong;Hwang, Sujin;Son, Dongwook
    • Physical Therapy Rehabilitation Science
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    • v.7 no.3
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    • pp.109-113
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    • 2018
  • Objective: The purpose of this study was to investigate the effects of fall experience and task complexity on gait performance in community-dwelling persons with chronic hemiparetic stroke. Design: Cross-sectional study. Methods: Thirty-three persons who had a history of stroke participated in this study. The participants included 18 persons (aged mean 54.0, mean score of 24.6 points on the Montreal Cognitive Assessment, MoCA) with fall experience (faller group) and 15 persons (aged mean 53.7, mean score of 24.7 points on the MoCA) without fall experience (non-faller group) in the previous six months. This study measured balance and gait performance at two different conditions (with/without 70% of water filled in a 200 cc cup). The participants were clinically assessed using the 10-meter walk test (10MWT), 6-minute walk test (6MWT), Berg Balance scale (BBS), Dynamic Gait Index (DGI), and Timed Up-and-Go (TUG) test. Results: After analyzation, persons in the faller group performed significantly better on the 10MWT, 6MWT, BBS, DGI, and the TUG test in the no-cup-carrying condition than those in the cup-carrying condition (p<0.05). The persons in the non-faller group also performed significantly better in all outcome measures with the no-cup-carrying condition than those in the cup-carrying condition (p<0.05). However, there was no interaction between fall experience and task complexity in the two groups. Conclusions: Our results showed that balance and gait performance depended on fall experience and task complexity but fall experience did not interact with task complexity. Clinicians should consider fall prevention and task complexity during therapeutic approaches in persons with hemiparetic stroke.

The Effects of Trunk Control Ability on Balance, Gait, and Functional Performance Ability in Patients With Stroke (뇌졸중 환자의 체간 조절 수준이 균형과 보행 및 기능적 수행 능력에 미치는 영향)

  • An, Seung-Heon;Chung, Yi-Jung;Park, Sei-Yeon
    • Physical Therapy Korea
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    • v.17 no.2
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    • pp.33-42
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    • 2010
  • The aim of this study was to investigate correlations of the Trunk Control Test (TCT), Postural Assessment Scale for Stroke (PASS-TC), and Trunk Impairment Scale (TIS) and to compare the TCT, PASS-TC, TIS and its subscales in relation to balance, gait and functional performance ability after stroke. Sixty-two stroke patients attending a rehabilitation program participated in the study. Trunk control was measured with the use of TCT, PASS-TC, TIS balance (Berg Balance scale; BSS), gait ability (10 m walk test), functional performance ability (Tuned Up and Go Test TUG) and the mobility part of the Modified Barthel index (MBI), Fugl Meyer-Upper/Lower Extremity ($FM-U{\cdot}L/E$), The scatter-plot (correlation coefficient) was composed for the total scores of the TCT, PASS-TC, and TIS. The multiple regression analysis was performed to evaluate the impact of trunk control on balance, gait, and functional performance ability. Twenty eight participants (45.2%) and twenty participants (32.3%) obtained the maximum score on the TCT and PASS-TC respectively; no subject reached the maximum score on the Trunk Impairment Scale. There were significant correlations between the TIS and TCT (r=.38, p<.01), PASS-TC (r=.30, p<.05), TCT and PASS-TC (r=.59, p<.01). Stepwise multiple regression analysis showed that the BBS score (${\beta}=.420{\sim}.832$) had slightly more power in predicting trunk control than the $FM-U{\cdot}L/E$. TIS-dynamic sitting balance, TUG and the MBI-mobility part. This study 치early indicates that trunk control is still impaired in stroke patients. Measures of trunk control were significantly related with values of balance, gait and functional performance ability. The results imply that management of trunk rehabilitation after stroke should be emphasized.

The Relationship between the Plantar Center of Pressure Displacement and Dynamic Balance Measures in Hemiplegic Gait (편마비 보행 시 족저압력중심의 이동특성과 동적균형능력의 상관관계 연구)

  • Park, Ji-Won;Nam, Ki-Seok;Back, Mi-Youn
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.11-21
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    • 2005
  • The purpose of this study was to investigate how COP displacement of a hemiplegic foot in stance phase during gait is related to clinical balance measures and the recovery stage in hemiplegic stroke patients. Twenty-eight functionally ambulant hemiplegic patients who had suffered from strokes and thirty age-matched healthy subjects participated in this study. COP parameters were calculated. Clinical balance was measured using the Functional Reach Test (FRT) and Timed Up and Go Test (TUGT). The recovery stage, proprioception, and clonus of the ankles or lower extremities were also measured for physical impairment status. The COPx max-displacement in the medial-lateral side of the stroke patients was significantly longer than that of the normal group (p=.038). The COPy max-displacement in the anterior-posterior side of the stroke patients was significantly shorter than that of normal group (p<.001). Significant differences in the COPx and COPy displacement asymmetry index were found between the two groups (p<.01). The FRT was correlated with the COPx displacement (r=.552) and COPy displacement (r=.765). The TUGT was correlated with the COPy displacement (r=-.588) only. The recovery stage of the lower extremities was correlated with COPy displacement (r=.438). The results of the study indicate that the characteristic of COP displacement in hemiplegic feet in stance phase during gait is related to balance ability and recovery in stroke patients. COP parameters acquired by the mapping of foot pressure in stance phase during gait will provide additional useful clinical information. This information can be used by clinicians to assess objectively the pathologic gait with other diseases and to evaluate the therapeutic effects on gait in stroke patients.

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Effectiveness of Ankle Visuoperceptual-Feedback Training on Balance and Gait Functions in Hemiparetic Patients (발목 시지각-되먹임 훈련이 편마비 환자의 균형과 보행 기능에 미치는 영향)

  • Seo, Dong-Kwon;Oh, Duck-Won;Lee, Sang-Ho
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.35-41
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    • 2010
  • Purpose: This study aimed to determine the effects of sensory feedback training of the ankle with visuoperceptual stimulation on static balance and gait functions in patients with chronic post-stroke hemiparesis. Methods: This study included 16 patients with chronic post-stroke hemiparesis. The subjects were randomly assigned toeither the experimental group (EG) or the control group (CG), with 8 subjects in each group. All the subjects received a routine physical therapy. The EG subjects received a 30-min sensory feedback training for the foot and ankle with visuoperceptual stimulation by using Tetrax Portable Multiple System. This training was conducted 3 times a week for 4 weeks. The scores of balance ability, timed up and go (TUG), and dynamic gait index (DGI) were assessed before and after the intervention. Results: In the EG, the scores of static balance, TUG, and DGI obtained afterthe intervention significantly differed from those obtained before the intervention (p<0.05). Further, in the EG, a significant difference was noted in the rate of change of all the variables when compared with those of the CG (p<0.05). However, in the CG, post-intervention score were only significantly different for DGI. Conclusion: Our findings indicate that the sensory feedback training with visuoperceptual stimulation improves balance and gait functions of patients with chronic post-stroke hemiparesis. Further studies are needed to generalize the results of this study.

The Effects of Action Observational Physical Training with Rhythmic Auditory Stimulation on Muscle Activity of the Lower Extremity and Gait Ability in Patients with Chronic Stroke (리듬청각자극을 동반한 동작관찰 신체훈련이 만성 뇌졸중 환자의 하지 근활성도와 보행능력에 미치는 영향)

  • Song, Su-Young;Song, Yo-Han;Lee, Hyun-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.2
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    • pp.137-145
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    • 2018
  • PURPOSE: The purpose of this study was to investigate the effect of action observational physical training with rhythmic auditory stimulation on muscle activity and gait ability in patients with stroke. METHODS: Twenty-six chronic stroke patients participated in this study were assigned into three groups, experimental group 1 (10% faster tempo rhythmic auditory stimulation with action observation training) n=8, experimental group 2 (average tempo rhythmic auditory stimulation with action observation training) n=9, and control group (action observation training) n=9. In this experiment, the corresponding exercise were applied into the subjects of three group for 30 minute a day, 3 time a week during 4 weeks. All participants were measured to muscle activity of lower limb, 10 meter walking test, Figure of 8 walk test, Dynamic gait Index. The collected data were analyzed by using SPSS (version 18.0 for window) and verified that each data was a normal distribution based on Shapiro-Wilk test. Between-group and within-group comparison was analyzed by using One-way ANOVA test, Paired t-test respectively. In all statistical analyses, significance level, ${\alpha}$ was set by .05. RESULTS: The above results revealed that the all experimental group 1 and experimental group 2 and control group were all effective to improve the lower limb muscle activities, gait ability. However more positive effects shown action observational physical training with rhythmic auditory stimulation experimental group. CONCLUSION: This study suggest that action observation physical training with rhythmic auditory stimulation is effective intervention for improvement of muscle activity and walking ability in chronic stroke patients.

Reliability of the Functional Gait Assessment in Patients With Stroke (뇌졸중 환자에 대한 기능적 보행평가의 신뢰도)

  • Won, Jong-Im;Yu, Kyung-Hoon
    • Physical Therapy Korea
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    • v.18 no.1
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    • pp.64-73
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    • 2011
  • After stroke, many people have problems with balance during movement. Balance is essential for the optimal functioning of the locomotor system and the performance of many activities of daily living. The Functional Gait Assessment (FGA) is a clinical tool for evaluating balance ability during walking. The test consists of ten tasks, seven tasks of the Dynamic Gait Index and three additional tasks. The purpose of this study was to evaluate the reliability and internal consistency of data obtained with the Korean version of the FGA when used with people after suffering a stroke. One-hundred participants, at least three months poststroke and able to walk at least six meters with or without a walking aid, participated in the study (age range=30~83 years; $mean{\pm}SD=58.8{\pm}10.9$). Two physical therapists and two physical therapy students rated the FGA. Intrarater and interrater reliability of the FGA were assessed using kappa statistic and intraclass correlation coefficients (2,1). The internal consistency of the FGA was assessed using the Cronbach alpha. The Cronbach alpha was good (${\alpha}$=.86~.93). The intrarater (intraclass correlation coefficient=.92~.95) and interrater reliability (intraclass correlation coefficient=.91, .95) of the total scores administered by the therapists and students were good, whereas the reliability for single item scores when administered by the physical therapists was moderate to good (kapa value=.42~.97). This study found that intrarater and interrater reliability for total FGA scores and internal consistency were good. Therefore, the Korean version of the FGA can be used as a reliable tool to assess the functional gait performance of patients after stroke.

Analysis of Personal Gait Characteristics According to Legs Imbalance Gait (하지 보행 불균형 상태에 따른 개인별 보행 특성 분석)

  • Cho, Woo-Hyeong;Kim, Yeon-Wook;Kwon, Jang-Woo;Lee, Sangmin
    • Journal of the Institute of Electronics and Information Engineers
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    • v.54 no.5
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    • pp.109-119
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    • 2017
  • In the present study, to determine walking imbalance using the walking analysis method, where limitations in the existing walking analysis have been minimized, we propose a new walking analysis method that adopts the following: self-developed equipment to measure the angles of left-right hip joints and knee joints; a determination system using symmetry index (SI); and dynamic time warping (DTW) similarity analysis algorithm to analyze individual walking styles. Normal and imbalanced walking tests were conducted for 12 subjects without walking disorder. From the SI calculation to determine imbalanced walking, both the normal and imbalanced walking styles can be determined using the angle measurements of the left-right hip joints and knee joints. In the analysis of the individual walking styles, the similarities at the center of the lower back, left-right thighs, and dorsum of the feet of the 12 subjects in both normal and imbalanced walking cases were compared. From the similarity analysis of the measured values during the normal and imbalanced walking tests, I determined that the walking pattern does not maintain the same stance when the body parts move during walking.

The Effect of Korean Medical Treatment on Imbalance and Gait Difficulty of Cerebral Hemorrhage Patient: Report of Three Cases (균형감각 및 보행 장애 뇌출혈 환자에 대한 한방치료 치험 3례)

  • Kim, Jin Youp;Jo, Hee Jin;Nam, Sang Soo;Kim, Young Suk
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.185-193
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    • 2014
  • Objectives : The purpose of this study is to find the effectiveness of Korean medical treatment on sense of balance by cerebral hemorrhage. Gaitview analysis and Berg balance scale(BBS) research were used to evaluate it. Methods : We selected patients who were hospitalized at the Kangnam Korean Hospital, Kyung Hee University Hospital from May 2014 to August 2014 that satisfied inclusion/exclusion criteria. Before taking treatment, we took gaitview analysis and BBS first to analyze the ability of balance and gait of patients. In gaitview analysis, we checked Center of gravity(COG), pressure ratio, ave pressure, gait time ratio, statistic score. For about 10 days, patients were given acupuncture treatment, herbal medicine and physical therapy. Afterwards, we compared patients' progression between before-treatment and after-treatment with the same evaluation scale. Results : In the period of treatment, patients showed static and dynamic index change within the normal range or increase. And in statistic score, 2 cases score are increased. In BBS, all cases score are increased. Conclusions : Korean medical treatment improves imbalance symptom of cerebral hemorrhage patient. So the ability of gait and activity of daily living is improved. But, this study has only 3 cases, and has no comparable study. Prospective and Larger study will be necessary.