Deans' stroke musings: Assessment of dynamic balancing responses following perturbations during slow walking in relation to clinical outcome measures for high-functioning post-stroke subjects

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.

Wednesday, August 19, 2020

Assessment of dynamic balancing responses following perturbations during slow walking in relation to clinical outcome measures for high-functioning post-stroke subjects

You have to ask yourself why leave out the vast majority of stroke patients that are not high-functioning. This is cherry picking to the extreme, so the results are basically useless.

Assessment of dynamic balancing responses following perturbations during slow walking in relation to clinical outcome measures for high-functioning post-stroke subjects

Journal of NeuroEngineering and Rehabilitation , Volume 17(85)

NARIC Accession Number: J84075. What's this?
ISSN: 1743-0003.
Author(s): Zadravec, Matjaz ; Olensek, Andrej ; Rudolf, Marko ; Bizovičar, Natasa ; Goljar, Nika ; Matjačić, Zlatko.
Publication Year: 2020.
Number of Pages: 16.

Abstract:

Study assessed dynamic balancing responses following pushes to the pelvis in groups of post-stroke and healthy subjects. Forty-one post-stroke subjects and forty-three healthy subjects participated in the study. Dynamic balancing responses to perturbations triggered at heel strike of the left or right leg, directed in the forward, backward, inward and outward directions during slow treadmill walking were assessed. Responses of the healthy group provided reference values used to classify responses of the post-stroke group into two subgroups; one within the reference responses (inside subgroup) and the other that falls out (outside subgroup). A battery of selected clinical outcome measures (6-Minute Walk Test, 10-Meter Walk Test, Timed-Up-and-Go test, Four Square Step Test, Functional Gait Assessment, Functional Independence Measure, and one-legged stance test) was additionally assessed in the post-stroke group. The inside subgroup of post-stroke subjects was able to appropriately modulate center of pressure (CoP) and ground reaction force (GRF) both under the impaired and non-impaired leg in response to perturbations. The outside subgroup of post-stroke subjects showed limited modulation of CoP and GRF under the impaired leg; instead stepping strategy was used in which the non-impaired leg was placed such as to make a longer step (forward perturbation), to make a shorter step (backward perturbation) or to make a cross-step (outward perturbation). Consequently, peak center-of-mass (CoM) displacements following perturbations were significantly higher in the “outside” subgroup compared to the “inside” subgroup. Responses in both subgroups following inward perturbations did not differ. Majority of clinical outcome measures moderately correlated with the peak CoM displacements for forward perturbations and exhibited weak correlations for other perturbation directions.
Descriptor Terms: AMBULATION, BIOENGINEERING, BODY MOVEMENT, EQUILIBRIUM, EVALUATION, POSTURE, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00710-5.

Citation: Zadravec, Matjaz , Olensek, Andrej , Rudolf, Marko , Bizovičar, Natasa , Goljar, Nika , Matjačić, Zlatko. (2020). Assessment of dynamic balancing responses following perturbations during slow walking in relation to clinical outcome measures for high-functioning post-stroke subjects. Journal of NeuroEngineering and Rehabilitation , 17(85) Retrieved 8/19/2020, from REHABDATA database.