Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Thursday, August 10, 2017

Hip Abductor Muscle Strength Associations with Gait Speed and Gait Independence Level of Hemiparetic Stroke Patients

Measurement only, NO mention of what protocol would increase hip abductor strength to get to gait independence. I expect your physical therapist to know exactly what exercises can do that. 
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=I243365&phrase=no&rec=243365&article_source=CIRRIE&international=1&international_language=&international_location=
Rigakuryoho Kagaku , Volume 31(5) , Pgs. 723-727.

NARIC Accession Number: I243365.  What's this?
Author(s): YOSUKE SHIMIZU.
Publication Year: 2016.
Abstract: The purpose of this study was to determine the relationships of hip abductor muscle strength with 10-meter maximum walking speed (10MWS) and level of gait independence, and to calculate the cutoff value for gait independence in stroke patients with hemiparesis. Participants were 31 hemiparetic stroke patients. Their 10MWS and gait independence level were determined, and hip abductor muscle strength was measured using a hand-held dynamometer. A significant correlation (r=0.74) was found between 10MWS and the paretic-side hip abductor strength. In the search for factors affecting gait independence level, only hip abductor strength of the paretic side was identified [odds ratio (OR) 11.92, OR 95% confidence level 2.19􀃴65.15], and the cutoff value for gait independence was 0.23 kgf/kg. The results suggest there is a high possibility that the paretic side hip abductor muscle strength is an important factor of gait speed and gait independence.
Descriptor Terms: Gait, Hip, Muscles, Paraparesis, Stroke.
Language: Japanese
Geographic Location(s): Japan, East & Southeast Asia.

Can this document be ordered through NARIC's document delivery service*?: Request Information.
Get this Document: https://www.jstage.jst.go.jp/article/rika/31/5/31_723/_pdf.

Citation: YOSUKE SHIMIZU. (2016). Hip Abductor Muscle Strength Associations with Gait Speed and Gait Independence Level of Hemiparetic Stroke Patients.  脳卒中片麻痺患者の股関節外転筋力と 歩行速度および歩行自立度との関連性.  Rigakuryoho Kagaku , 31(5), Pgs. 723-727. Retrieved 8/10/2017, from REHABDATA database.

5 comments:

  1. I never lost the ability to abduct my hip (i.e. swing my leg out to the side) so I call myself "A-B-ductor girl." I can walk very quickly which confirms this study's finding.

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    1. I can do that also, just would like specific exercise to strengthen it. I do remember using the machine at the Y for that purpose but that was seated. Better doing it standing?

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    2. Not sure. One thought is that the transfer of new skill works best when the practice closely resembles the desired outcome.

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  2. Well, we certainly all learned it in school but some PTs apparently don't like to share useful info. Remember when I wrote this?

    https://mycerebellarstrokerecovery.com/2014/10/28/trendelenburg-gait/

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    1. You are the best. I can't keep track of my own blog information much less others. And life is just too busy.

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