Deans' stroke musings: Intense and unpredictable perturbations during gait training improve dynamic balance abilities in chronic hemiparetic individuals: A randomized controlled pilot trial

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, July 18, 2020

Intense and unpredictable perturbations during gait training improve dynamic balance abilities in chronic hemiparetic individuals: A randomized controlled pilot trial

I'm sure your therapist will never kick you as you walk but if you can't recover from a sideways shove then you need to work even harder at your balance recovery.

Boston Dynamics have released a video of 'Spot' - a four-legged robot that can run, walk and sustain a kicking.

The latest here:

Intense and unpredictable perturbations during gait training improve dynamic balance abilities in chronic hemiparetic individuals: A randomized controlled pilot trial

Journal of NeuroEngineering and Rehabilitation , Volume 17(79)

NARIC Accession Number: J84003. What's this?
ISSN: 1743-0003.
Author(s): Esmaeili, Vahid ; Juneau, Andréanne ; Dyer, Joseph-Omer ; Lamontagne, Anouk ; Kairy, Dahlia ; Bouyer, Laurent ; Duclos, Cyril.
Publication Year: 2020.
Number of Pages: 13.
Abstract: Study examined the benefit of treadmill training with intense and unpredictable perturbations compared to treadmill walking-only training for dynamic balance and gait after stroke. Twenty-one individuals post-stroke with reduced dynamic balance abilities, with or without a history of fall and ability to walk on a treadmill without external support or a walking aid for at least 1 minute were allocated to either an unpredictable gait perturbation (Perturb) group or a walking-only (NonPerturb) group through covariate adaptive randomization. Nine training sessions were conducted over 3 weeks. NonPerturb participants only walked on the treadmill but were offered perturbation training after the control intervention. Pre- and post-training evaluations included balance and gait abilities, maximal knee strength, balance confidence and community integration. Six-week phone follow-ups were conducted for balance confidence and community integration. Satisfaction with perturbation training was also assessed. With no baseline differences between groups, perturbation training yielded large improvements in most variables in the Perturb group and the NonPerturb group, except for maximal strength in the NonPerturb group. Walking-only training in the NonPerturb group mostly had no effect, except on balance confidence. The effects of the gait training were still present on balance confidence and community integration at follow-up. Satisfaction with the training program was high. Intense and unpredictable gait perturbations have the potential to be an efficient component of training to improve balance abilities and community integration in individuals with chronic stroke.
Descriptor Terms: AMBULATION, EQUILIBRIUM, MOBILITY TRAINING, POSTURE, REHABILITATION TECHNOLOGY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00707-0.

Citation: Esmaeili, Vahid , Juneau, Andréanne , Dyer, Joseph-Omer , Lamontagne, Anouk , Kairy, Dahlia , Bouyer, Laurent , Duclos, Cyril. (2020). Intense and unpredictable perturbations during gait training improve dynamic balance abilities in chronic hemiparetic individuals: A randomized controlled pilot trial. Journal of NeuroEngineering and Rehabilitation , 17(79) Retrieved 7/18/2020, from REHABDATA database.