Deans' stroke musings: Persons post-stroke improve step length symmetry by walking asymmetrically

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, September 19, 2020

Persons post-stroke improve step length symmetry by walking asymmetrically

Useless. NO PROTOCOL. And they called for further research meaning their research wasn't properly defined to create good results.

Persons post-stroke improve step length symmetry by walking asymmetrically

Journal of NeuroEngineering and Rehabilitation , Volume 17(105)

NARIC Accession Number: J84310. What's this?
ISSN: 1743-0003.
Author(s): Padmanabhan, Purnima Rao, Keerthana S. ; Gulhar, Shivam ; Cherry-Allen, Kendra M. ; Leech, Kristan A. ; Roemmich, Ryan T..
Publication Year: 2020.
Number of Pages: 14.

Abstract:

Study investigated how stroke survivors generate symmetric steps and explored how the resulting gait pattern may relate to the metabolic cost of transport. Kinematic, kinetic, and metabolic data were recorded as nine individuals with stroke walked on an instrumented treadmill under two conditions: preferred walking and symmetric stepping (using visual feedback). Gait kinematics and kinetics remained markedly asymmetric even when stroke survivors improved step-length symmetry. Impaired paretic propulsion and aberrant movement of the center of mass (COM) were evident during both preferred walking and symmetric stepping. These deficits contributed to diminished positive work performed by the paretic limb on the COM in both conditions. Within each condition, decreased positive paretic work correlated with increased metabolic cost of transport and decreased walking speed across participants. It is critical to consider the mechanics used to restore symmetric steps when designing interventions to improve walking after stroke. Future research should consider the many dimensions of asymmetry in post-stroke gait, and additional within-participant manipulations of gait parameters are needed to better understand the elevated metabolic cost of walking after stroke.
Descriptor Terms: AMBULATION, BIOENGINEERING, FEEDBACK, METABOLISM, MOBILITY IMPAIRMENTS, 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/s12984-020-00732-z.

Citation: Padmanabhan, Purnima Rao, Keerthana S. , Gulhar, Shivam , Cherry-Allen, Kendra M. , Leech, Kristan A. , Roemmich, Ryan T.. (2020). Persons post-stroke improve step length symmetry by walking asymmetrically. Journal of NeuroEngineering and Rehabilitation , 17(105) Retrieved 9/19/2020, from REHABDATA database.