So WHOM is going to take on the challenge of creating a stroke walking protocol? I've only written 297 posts on walking
and 33 on gait, gait analysis, gait symmetry
The knowledge is out there, our physical therapists need to step up to the challenge and create something useful for every stroke survivor trying to walk again. This is so f*cking easy to solve. You create a walking protocol, as problems are found you update it. This is not rocket science. Quit relying on the crutch of saying, 'All strokes are different, all stroke recoveries are different'.
http://www.hindawi.com/journals/bmri/aa/375638/
Muhammad Raheel Afzal,1 Min-Kyun Oh,2 Chang-Hee Lee,2 Young Sook Park,3 and Jungwon Yoon1
1School of Mechanical & Aerospace Engineering & ReCAPT, Gyeongsang National University, Jinju 660701, Republic of Korea
2Department of Rehabilitation Medicine, Gyeongsang National University Hospital, Jinju 660702, Republic of Korea
3Departments of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 630723, Republic of Korea
Received 30 January 2015; Revised 21 April 2015; Accepted 28 April 2015
Academic Editor: Stephen Goss
Copyright © 2015 Muhammad Raheel Afzal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Gait asymmetry caused by hemiparesis results in reduced gait efficiency and reduced activity levels. In this paper, a portable rehabilitation device is proposed that can serve as a tool in diagnosing gait abnormalities in individuals with stroke and has the capability of providing vibration feedback to help compensate for the asymmetric gait. Force-sensitive resistor (FSR) based insoles are used to detect ground contact and estimate stance time. A controller (Arduino) provides different vibration feedback based on the gait phase measurement. It also allows wireless interaction with a personal computer (PC) workstation using the XBee transceiver module, featuring data logging capabilities for subsequent analysis. Walking trials conducted with healthy young subjects allowed us to observe that the system can influence abnormality in the gait. The results of trials showed that a vibration cue based on temporal information was more effective than intensity information. With clinical experiments conducted for individuals with stroke, significant improvement in gait symmetry was observed with minimal disturbance caused to the balance and gait speed as an effect of the biofeedback. Future studies of the long-term rehabilitation effects of the proposed system and further improvements to the system will result in an inexpensive, easy-to-use, and effective rehabilitation device.
No comments:
Post a Comment