Massive gobbledegook, so no idea what this is trying to say. I know that when I practised walking movements in the pool I had much better movement and the resistance forced the spasticity to lessen.
The Influence of Applying Additional Weight to the Affected Leg on Gait Patterns During Aquatic Treadmill Walking in People Poststroke
Taeyou Jung, PhD, ATC, DoKyeong Lee, MS, Charalambos Charalambous, MS, Konstantinos Vrongistinos, PhDABSTRACT. Jung T, Lee D, Charalambous C, VrongistinosK. The influence of applying additional weight to the affectedleg on gait patterns during aquatic treadmill walking in people poststroke. Arch Phys Med Rehabil 2010;91:129-36.
Objective:
To investigate how the application of additional weights to the affected leg influences gait patterns of people post stroke during aquatic treadmill walking.(Wrong objective, the only objective is to create stroke protocols. Don't you have competent mentors and senior researchers that tell you that?)
Design:
Comparative gait analysis.
Setting:
University-based aquatic therapy center.
Participants:
Community-dwelling volunteers (n=22) with chronic hemiparesis caused by stroke.
Interventions:
Not applicable.
Main Outcome Measures:
Spatiotemporal and kinematic gait parameters.
Results:
The use of an ankle weight showed an increase in the stance phase percentage of gait cycle (3%,
P=.015) when compared with no weight. However, the difference was not significant after a Bonferroni adjustment was applied for a more stringent statistical analysis. No significant differences were found in cadence and stride length. The use of an ankle weight showed a significant decrease of the peak hip flexion(7.9%, P=.001) of the affected limb as compared with no weight condition. This decrease was marked as the reduction of unwanted limb flotation because people poststroke typically show excessive hip flexion of the paretic leg in the late swingphase followed by fluctuating hip movements during aquatictreadmill walking. The frontal and transverse plane hip motionsdid not show any significant differences but displayed a trendof a decrease in the peak hip abduction during the swing phasewith additional weights. The use of additional weight did notalter sagittal plane kinematics of the knee and ankle joints.
Conclusions:
The use of applied weight on the affected limb can reduce unwanted limb flotation on the paretic side duringaquatic treadmill walking. It can also assist the stance stabilityby increasing the stance phase percentage closer to 60% of gaitcycle. Both findings can contribute to the development of moreefficient motor patterns in gait training for people poststroke.The use of a cuff weight does not seem to reduce the limbcircumduction during aquatic treadmill walking.
Key Words:
Exercise therapy; Gait; Hemiparesis; Rehabil-itation; Stroke.©
2010 by the American Congress of Rehabilitation Medicine
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