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, April 25, 2023

Altered biomechanical strategies of the paretic hip and knee joints during a step-up task

So you described something but did nothing to show how to correct the problem. Useless.

 Altered biomechanical strategies of the paretic hip and knee joints during a step-up task

opics in Stroke Rehabilitation , Volume 30(2) , Pgs. 137-145.

NARIC Accession Number: J91172.  What's this?
ISSN: 1074-9357.
Author(s): Goyal, Vatsala; Dragunas, Andrew; Askew, Robert L.; Sukal-Moulton, Theresa; López-Rosado, Roberto.
Publication Year: 2023.
Number of Pages: 9.
Abstract: Study investigated the differences in hip and knee biomechanical strategies during a step-up task between five adults with hemiparetic stroke and five age-matched adults without stroke. Participants were instructed to step up onto a 10.2-centimeter platform, where joint biomechanics were quantified for the hip in the frontal plane and the hip and knee in the sagittal plane. Peak joint kinematics were identified during the leading limb swing phase, and peak joint moments and power were identified during the leading limb pull-up phase of stance. Mixed-effects regression models estimated fixed effects of limb (three levels: control dominant, stroke non-paretic, and stroke paretic) on biomechanical outcomes, while a random effect of participant controlled for within-participant correlations. Repeated assessments within participants (approximately 60 trials per lower limb) increased the effective sample size to between 12.0 and 19.6. Altered biomechanical strategies of the paretic lower limb included reduced flexion angles and increased pelvic obliquity angles during swing, decreased power generation in the hip frontal plane during stance, and decreased moment and power generation in the knee sagittal plane during stance. A strategy of substantial interest was the elevated hip sagittal plane moment and power generation in both stroke limbs. Findings suggest that chronic motor impairments following stroke can lead to inefficient biomechanical strategies when stepping up.
Descriptor Terms: AMBULATION, BIOENGINEERING, BODY MOVEMENT, HEMIPLEGIA, JOINTS, LIMBS, MOTOR SKILLS, STROKE, TASK ANALYSIS.


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

Citation: Goyal, Vatsala, Dragunas, Andrew, Askew, Robert L., Sukal-Moulton, Theresa, López-Rosado, Roberto. (2023). Altered biomechanical strategies of the paretic hip and knee joints during a step-up task.  Topics in Stroke Rehabilitation , 30(2), Pgs. 137-145. Retrieved 4/25/2023, from REHABDATA database.

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