Deans' stroke musings: Gait training to improve a bending knee at initial contact and loading response in ataxic hemiparesis

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 26, 2020

Gait training to improve a bending knee at initial contact and loading response in ataxic hemiparesis

No clue.

Ataxic hemiparesis is a syndrome characterized by cerebellar-like ataxia, weakness, and pyramidal signs involving the limbs on the same side.

Gait training to improve a bending knee at initial contact and loading response in ataxic hemiparesis

KAMIMATSUNO Shin, ABE Hiroaki, SEKI Takashi, OKANUKA Toru

著者情報

キーワード: stroke, ataxic hemiparesis, gait, ankle foot orthosis, inverted pendulum

ジャーナルオープンアクセス早期公開

論文ID: 200609

DOI https://doi.org/10.24799/jrehabilneurosci.200609

詳細

抄録

Repeated gait training with a flexible knee brace and an oil damper hinged ankle-foot orthosis (GSD, Gaitsolution Design, Kawamura Gishi, Osaka, Japan) improved the gait abnormalities and speed in a stroke patient with ataxic hemiparesis. Here, we report on a female in her 50s with a cerebral infarction in the posterolateral thalamus. She had ataxic hemiparesis in her lower left leg. While walking, her knee was bending at initial contact and loading response due to the ataxic hemiparesis, and her gait speed remained at 52.2 m/min. To reconstruct the inverted pendulum model, we provided gait training with a flexible knee brace and GSD. As a result, her gait abnormalities were resolved and her gait speed improved up to 72.6 m/min. We speculated that the one of the reasons for the improvement in gait speed was the adjustment of the task difficulty to address the gait abnormality due to the ataxic hemiplegia, and repeating gait training with an inverted pendulum model. We concluded that providing repeated gait training with a flexible knee brace and GSD to construct the inverted pendulum model may improve the gait abnormalities and speed in patients with ataxic hemiparesis.