Deans' stroke musings: Gait velocity and joint power generation after stroke: Contribution of strength and balance

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, January 25, 2020

Gait velocity and joint power generation after stroke: Contribution of strength and balance

Pretty much useless. No protocols on how to increase ankle plantar flexor strength and hip flexor strength. If you describe a problem you should be required to have a solution. My programming directors would have fired me in no time if all I ever did was describe problems but didn't even mention a possible solution.

Gait velocity and joint power generation after stroke: Contribution of strength and balance

American Journal of Physical Medicine and Rehabilitation , Volume 98(10) , Pgs. 841-849.

NARIC Accession Number: J82505. What's this?
ISSN: 0894-9115.
Author(s): Mentiplay, Benjamin F.; Williams, Gavin; Tan, Dawn; Adair, Brooke; Pua, Yong-Hao; Bok, Chek W.; Bower, Kelly J.; Cole, Michael H.; Ng, Yee S.; Lim, Lek S.; Clark, Ross A..
Publication Year: 2019.
Number of Pages: 9.

Abstract:

Study assessed the degree to which isometric strength of multiple lower-limb muscle groups and balance is associated with gait velocity and joint power generation during gait after stroke. Sixty-three participants underwent assessment of gait velocity (10-Meter Walk Test), standing balance (computerized posturography), and isometric strength (hand-held dynamometry). Twenty-seven participants had joint power generation assessed (three-dimensional gait analysis). Bivariate associations were examined using Spearman's correlations. Regression models with partial F tests were used to compare the contribution to gait between measures. Although all muscle groups demonstrated significant associations with gait velocity, partial F tests identified that ankle plantar flexor and hip flexor strength made the largest contribution to gait velocity. Ankle plantar flexor strength also had strong associations with habitual and fast-paced ankle power generation). Balance had significant associations with habitual and fast gait velocity, with partial F tests showing that the contribution was independent of strength. Ankle plantar flexor and hip flexor strength had the largest contribution to gait velocity. Future research may wish to refocus strength assessment and treatment to target the ankle plantar flexors and hip flexors.
Descriptor Terms: AMBULATION, EQUILIBRIUM, JOINTS, LIMBS, MUSCLES, POSTURE, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Mentiplay, Benjamin F., Williams, Gavin, Tan, Dawn, Adair, Brooke, Pua, Yong-Hao, Bok, Chek W., Bower, Kelly J., Cole, Michael H., Ng, Yee S., Lim, Lek S., Clark, Ross A.. (2019). Gait velocity and joint power generation after stroke: Contribution of strength and balance. American Journal of Physical Medicine and Rehabilitation , 98(10), Pgs. 841-849. Retrieved 1/25/2020, from REHABDATA database.