Deans' stroke musings: Improved walking function in laboratory does not guarantee increased community walking in stroke survivors: Potential role of gait biomechanics

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.

Tuesday, August 18, 2020

Improved walking function in laboratory does not guarantee increased community walking in stroke survivors: Potential role of gait biomechanics

I couldn't understand a thing here, so useless for survivors.

Improved walking function in laboratory does not guarantee increased community walking in stroke survivors: Potential role of gait biomechanics

Journal of Biomechanics , Volume 91 , Pgs. 151-159.

NARIC Accession Number: J84187. What's this?
ISSN: 0021-9290.
Author(s): Ardestani, Marzieh M. ; Henderson, Christopher E. ; Hornby, T. George.
Project Number: H133B031127, 90RT5027 (formerly H133B140012).
Publication Year: 2019.
Number of Pages: 9.

Abstract:

Study investigated the relationships between clinical and biomechanical walking measures that may contribute to changes in daily stepping activity following physical interventions provided to participants with subacute stroke. The primary outcomes were short- and long-term changes in daily stepping activity, evaluated following up to 40 training sessions (POST) and at 2 to 6 months follow-up (F/U). Thirty-nine participants were categorized into three groups: (1) responders/retainers who increased daily stepping >500 steps per day at POST without decreases in stepping at F/U, (2) responders/non-retainers who increased stepping at POST but declined >500 steps per day at F/U, and (3) non-responders who did not change daily stepping from baseline testing (BSL). Gait kinematics and kinetics were evaluated during graded treadmill assessments at BSL and POST. Clinical measures of gait speed, timed walking distance, balance, and balance confidence were measured at BSL, POST and F/U. Between-group comparisons and regression analyses were conducted to predict stepping activity from BSL and POST measurements. Baseline and changes in clinical measures of walking demonstrated selective associations with stepping, although kinematic measures appeared to better discriminate responders. Specific measures suggest greater paretic versus non-paretic kinematic changes in responders with training, although greater non-paretic changes predicted greater gains (i.e., smaller declines) in stepping in retainers at F/U. No kinetic variables were primary predictors of changes in stepping activity at POST or F/U. The combined findings indicate that specific biomechanical assessments may help differentiate changes in daily stepping activity post-stroke.
Descriptor Terms: AMBULATION, BIOENGINEERING, MEASUREMENTS, OUTCOMES, PHYSICAL THERAPY, STROKE.

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

Citation: Ardestani, Marzieh M. , Henderson, Christopher E. , Hornby, T. George. (2019). Improved walking function in laboratory does not guarantee increased community walking in stroke survivors: Potential role of gait biomechanics. Journal of Biomechanics , 91, Pgs. 151-159. Retrieved 8/18/2020, from REHABDATA database.