Cross-sectional study of quadriceps properties and postural stability in patients with chronic stroke and limited vs. non-limited community ambulation.

Abstract:

:Background: Changes in the paretic-side metabolism post-stroke and quadriceps muscle mechanical properties favour muscle wasting, affecting postural instability and walking impairment. Further clarification is needed in subjects post-stroke who show limited or non-limited community ambulation. Objectives: To analyze between-limb differences in quadriceps muscle thickness, strength and thigh cutaneous temperature, as well as investigate postural stability in subjects with chronic stroke and limited vs. non-limited community ambulation and compared against healthy controls. Methods: In this controlled cross-sectional study, 26 participants with chronic hemiparesis post-stroke (divided in a slow gait group (SG<0.8 m/s) (n = 13) and a fast gait group with full community ambulation speed (FG≥0.8 m/s)) and 18 healthy people were recruited. Thigh surface temperature, rectus femoris (RF) and vastus intermedius (VI) muscles thickness, quadriceps' isometric maximal voluntary contraction and postural stability were measured. Results: The SG presented significantly lower RF (P = .019) and VI (P = .006) muscle thickness, less peak force (P < .001) and lower temperature (P = .002) in the paretic vs the non-paretic limb. The FG showed significantly lower VI thickness (P = .036) and peak force (P < .001) in the paretic vs the non-paretic limb. Regarding balance, all indices were worse in the SG versus the FG and CG. Conclusions: Subjects of the FG, despite showing full community ambulation speed, had less quadriceps strength and VI muscle thickness but not RF muscle wasting in the paretic limb. The paretic VI muscle wasting may be an important factor to reach normal walking. The SG showed between-limb differences in all the studied variables and the worst postural stability.

journal_name

Top Stroke Rehabil

authors

Sánchez-Sánchez ML,Ruescas-Nicolau MA,Carrasco JJ,Espí-López GV,Pérez-Alenda S

doi

10.1080/10749357.2019.1634360

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

503-510

issue

7

eissn

1074-9357

issn

1945-5119

journal_volume

26

pub_type

杂志文章
  • Leg orthosis treatment for a patient with left parietal foot amputation and right hemiplegia.

    abstract::In developing a training program from standing to walking for a patient with a left parietal foot amputation and right hemiplegia, we found that the leg orthosis was effective in allowing the patient to regain the balancing ability when standing. The leg orthosis had practical effects on increasing walking distance. ...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/TQMA-PAWW-TD49-CHWB

    authors: Ishii M,Yamanaka T

    更新日期:2004-07-01 00:00:00

  • Determining the barriers and facilitators to adopting best practices in the management of poststroke unilateral spatial neglect: results of a qualitative study.

    abstract:BACKGROUND:A gap exists between best and actual management of poststroke unilateral spatial neglect (USN). Given the negative impact of USN on poststroke recovery, knowledge translation efforts are needed to optimize USN management. To date, no study has investigated the specific barriers and facilitators affecting USN...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr2103-228

    authors: Petzold A,Korner-Bitensky N,Salbach NM,Ahmed S,Menon A,Ogourtsova T

    更新日期:2014-05-01 00:00:00

  • Two sides to the caregiving story.

    abstract:PURPOSE:This descriptive study examined problems and successes that a sample of 73 adult caregivers new to the role expressed in the first year of caring for stroke survivors. Data were collected from May 2002 to December 2005. METHOD:Bimonthly, trained telephone interviewers asked the participants open-ended question...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr1402-13

    authors: Pierce LL,Steiner V,Govoni A,Thompson TC,Friedemann ML

    更新日期:2007-03-01 00:00:00

  • Predicting independence of gait by assessing sitting balance through sitting posturography in patients with subacute hemiplegic stroke.

    abstract:BACKGROUND:Post-stroke sitting balance is a known predictor of independence of gait after stroke. However, previous studies used only qualitative scales or measured static or dynamic sitting balance alone. OBJECTIVES:To investigate whether quantitative parameters of sitting posturography at post-stroke 1 month can pre...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1080/10749357.2020.1806437

    authors: Lee HH,Lee JW,Kim BR,Jung HJ,Choi DH,Lee J

    更新日期:2020-08-12 00:00:00

  • Musculoskeletal problems in stroke survivors.

    abstract::Musculoskeletal problems in stoke survivors are common reasons for disability and pain. Shoulder pain is present in 24% of stroke survivors among all complications, second only to depression in 26%. Diagnosis and treatment of the various shoulder pain etiologies can significantly improve quality of life in these patie...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1310/tsr1703-173

    authors: Kendall R

    更新日期:2010-05-01 00:00:00

  • Can high-sensitivity C-reactive protein and ferritin predict functional outcome in acute ischemic stroke? A prospective study.

    abstract:BACKGROUND:Inflammation may not only be the consequence of brain infarction but it may also contribute to ischemic damage. However, the role of inflammatory markers in predicting functional outcome in stroke remains controversial. OBJECTIVE:This study was conducted to evaluate the predictive value of admission high-se...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr2006-528

    authors: Ozkan AK,Yemisci OU,Saracgil Cosar SN,Oztop P,Turhan N

    更新日期:2013-11-01 00:00:00

  • Hypothesis-Driven Treatment of Naming Deficits.

    abstract::This article proposes to use information processing models of cognition to guide behaviorally based treatments of language deficits, specifically, single-word object naming. Our approach is illustrated with a clinical case of a transcortical sensory aphasic. Clinical neuropsychological and functional imaging data demo...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/K2HJ-YP2C-FMBW-0ME5

    authors: Robinson KM,Grossman M

    更新日期:1997-04-01 00:00:00

  • Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia.

    abstract::The purpose of this article is to present the Kinesio taping method used to improve the upper extremity function in the adult with hemiplegia. The article discusses various therapeutic methods used in the treatment of stroke patients to achieve a functional upper extremity. The only taping technique for various upper ...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1310/33KA-XYE3-QWJB-WGT6

    authors: Jaraczewska E,Long C

    更新日期:2006-07-01 00:00:00

  • Assessing and treating higher level somatosensory impairments post stroke.

    abstract::Poststroke somatosensory impairment is prevalent, yet commonly used clinical measures lack the sensitivity needed to quantify impairment and detect change due to intervention. This selective review, prepared and presented as a part of the I-Treat Conference (June 22, 2013, Columbus, Ohio), discusses the prevalence of ...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1310/tsr2104-290

    authors: Borstad AL,Nichols-Larsen DS

    更新日期:2014-07-01 00:00:00

  • Clinimetric properties of the Fugl-Meyer assessment with adapted guidelines for the assessment of arm function in hemiparetic patients after stroke.

    abstract:BACKGROUND:Against the background of linguistic and cultural differences, there is a need for translation and adaptation from the English version of the Fugl-Meyer Assessment (FMA) to Japanese. In addition, there is no study of inter-rater reliability of FMA all domains for affected upper extremities with appropriate s...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1080/10749357.2018.1484987

    authors: Amano S,Umeji A,Uchita A,Hashimoto Y,Takebayashi T,Takahashi K,Uchiyama Y,Domen K

    更新日期:2018-10-01 00:00:00

  • Staying married after stroke: a constructivist grounded theory qualitative study.

    abstract:BACKGROUND:Marriages are one of the most powerful predictors of health and longevity, yet research in stroke has focused separately on survivors' experience of impairments and how spouses deal with caregiving. OBJECTIVES:The purpose of this constructivist grounded theory study was to understand the key themes related ...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1080/10749357.2017.1342335

    authors: Anderson S,Keating NC,Wilson DM

    更新日期:2017-10-01 00:00:00

  • Cognitive performance and aphasia recovery.

    abstract::Objectives This study assessed cognitive performance of subjects with aphasia during the acute stage of stroke and evaluated how such performance relates to recovery at 3 months. Materials & methods Patients with aphasia following a left hemisphere stroke were evaluated during the first (baseline) and the fourth-month...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1080/10749357.2017.1390904

    authors: Fonseca J,Raposo A,Martins IP

    更新日期:2018-03-01 00:00:00

  • Stroke rehabilitation evidence and comorbidity: a systematic scoping review of randomized controlled trials.

    abstract:BACKGROUND:Most strokes occur in the context of other medical diagnoses. Currently, stroke rehabilitation evidence reviews have not synthesized or presented evidence with a focus on comorbidities and correspondingly may not align with current patient population. The purpose of this review was to determine the extent an...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1080/10749357.2017.1282412

    authors: Nelson MLA,McKellar KA,Yi J,Kelloway L,Munce S,Cott C,Hall R,Fortin M,Teasell R,Lyons R

    更新日期:2017-07-01 00:00:00

  • Attention deficits after incident stroke in the acute period: frequency across types of attention and relationships to patient characteristics and functional outcomes.

    abstract:BACKGROUND:Attention deficits are common post stroke and result in poorer functional outcomes. This study examined the frequency of attention deficits after incident stroke and their correlates. METHOD:Attention of 94 stroke survivors was assessed using the Bells test, Trails Making Test A/B, 2.4- and 2.0-second trial...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr1706-463

    authors: Barker-Collo SL,Feigin VL,Lawes CM,Parag V,Senior H

    更新日期:2010-11-01 00:00:00

  • An evidence-based review of stroke rehabilitation.

    abstract::A comprehensive evidence-based review of stroke rehabilitation was created to be an up-to-date review of the current evidence in stroke rehabilitation and to provide specific conclusions based on evidence that could be used to help direct stroke care at the bedside and at home. A literature search using multiple data-...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1310/8YNA-1YHK-YMHB-XTE1

    authors: Teasell RW,Foley NC,Bhogal SK,Speechley MR

    更新日期:2003-04-01 00:00:00

  • Clinical challenges in the evaluation and treatment of individuals with poststroke dysphagia.

    abstract::Although reported frequencies vary due to study design, patient characteristics, and method of ascertainment, dysphagia is a commonly encountered morbidity after stroke. Consequently, speech-language pathologists' clinical caseloads are heavily populated with individuals with poststroke dysphagia. The body of knowledg...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr1802-120

    authors: Tippett DC

    更新日期:2011-03-01 00:00:00

  • Report of a questionnaire survey of poststroke patients with aphasia and their families.

    abstract::In a study made by The Stroke and Aphasia Federation Finland, a little less than a quarter of the aphasic patients and their families could not cope with the change in their life caused by stroke. Patients' and families' functionality decreased, and their social contacts either decreased or ended. These were the facto...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1080/10749357.1995.11754082

    authors: Salonen T

    更新日期:1995-09-01 00:00:00

  • Linguistic-Specific Sentence Production Treatment for Agrammatic Aphasia.

    abstract::This article describes an approach to treatment of agrammatic aphasic individuals' sentence production deficits. In this linguistic-specific sentence production treatment, sentences selected for treatment and the treatment itself are control led for their lexical and syntactic properties. Results derived from a series...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1080/10749357.1996.11754114

    authors: Thompson CK

    更新日期:1996-06-01 00:00:00

  • Exploratory study on the effects of a robotic hand rehabilitation device on changes in grip strength and brain activity after stroke.

    abstract:BACKGROUND:The brain mechanisms underlying successful recovery of hand fuenction after stroke are still not fully understood, although functional MRI (fMRI) studies underline the importance of neuronal plasticity. METHODS:We explored potential changes in brain activity in 7 patients with subacute to chronic stroke (69...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr2004-308

    authors: Pinter D,Pegritz S,Pargfrieder C,Reiter G,Wurm W,Gattringer T,Linderl-Madrutter R,Neuper C,Fazekas F,Grieshofer P,Enzinger C

    更新日期:2013-07-01 00:00:00

  • When life imitates art: surrogate decision making at the end of life.

    abstract::The privileging of the substituted judgment standard as the gold standard for surrogate decision making in law and bioethics has constrained the research agenda in end-of-life decision making. The empirical literature is inundated with a plethora of "Newlywed Game" designs, in which potential patients and potential su...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr1404-80

    authors: Shapiro SP

    更新日期:2007-07-01 00:00:00

  • Response to intensive upper extremity therapy by individuals with ataxia from stroke.

    abstract:OBJECTIVE:This study investigated whether or not individuals with ataxia from stroke improve their upper extremity motor function with intense motor practice. METHOD:Three individuals with ataxia from chronic stroke completed modified constraint-induced movement therapy (CIMT) protocols. Stroke Participants 1 and 2 co...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr1503-262

    authors: Richards L,Senesac C,McGuirk T,Woodbury M,Howland D,Davis S,Patterson T

    更新日期:2008-05-01 00:00:00

  • Determining the potential benefits of yoga in chronic stroke care: a systematic review and meta-analysis.

    abstract:BACKGROUND:Survivors of stroke have long-term physical and psychological consequences that impact their quality of life. Few interventions are available in the community to address these problems. Yoga, a type of mindfulness-based intervention, is shown to be effective in people with other chronic illnesses and may hav...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1080/10749357.2016.1277481

    authors: Thayabaranathan T,Andrew NE,Immink MA,Hillier S,Stevens P,Stolwyk R,Kilkenny M,Cadilhac DA

    更新日期:2017-05-01 00:00:00

  • Robot-aided neurorehabilitation: from evidence-based to science-based rehabilitation.

    abstract::There is no "magic bullet" in rehabilitation. In the absence of direct neural transplants, neurological rehabilitation is an arduous process. We have pioneered the clinical application of robotics in stroke rehabilitation and have shown evidence of the positive impact of targeted exercise on stroke recovery. In this a...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/6177-QDJJ-56DU-0NW0

    authors: Krebs HI,Volpe BT,Ferraro M,Fasoli S,Palazzolo J,Rohrer B,Edelstein L,Hogan N

    更新日期:2002-01-01 00:00:00

  • The Chicago perspective on design for the disabled.

    abstract::This article describes the efforts made by the city of Chicago to promote total access and full participation for people with disabilities. The process that the Chicago Mayor's Office for People with Disabilities (MOPD) undertook to ensure that other city departments and sister agencies incorporated accessible program...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr1502-75

    authors: Hanson D

    更新日期:2008-03-01 00:00:00

  • Intrathecal baclofen therapy for stroke-related spasticity.

    abstract::Intrathecal baclofen (ITB) therapy is a widely recognized management technique for severe, disabling spasticity in individuals with cerebral palsy and spinal and brain injuries. Its utility in the stroke population has only been recognized recently. Unlike the aforementioned patient populations, many stroke survivors ...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/14PN-TV5C-AYUB-NDP2

    authors: Francisco GE

    更新日期:2001-04-01 00:00:00

  • The Nottingham Fatigue After Stroke (NotFAST) study: results from follow-up six months after stroke.

    abstract::Background Post-stroke fatigue is common and disabling. Objectives The aim of NotFAST was to examine factors associated with fatigue in stroke survivors without depression, six months after stroke. Methods Participants were recruited from four UK stroke units. Those with high levels of depressive symptoms (score ≥7 on...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1080/10749357.2017.1368912

    authors: Hawkins L,Lincoln NB,Sprigg N,Ward NS,Mistri A,Tyrrell P,Worthington E,Drummond A

    更新日期:2017-12-01 00:00:00

  • Somatosensory stimulation to improve hand and upper limb function after stroke-a systematic review with meta-analyses.

    abstract::Background Somatosensory stimulation may have a positive impact on recovery of motor function by maintaining cortical representation of the hand and acting to prime the motor system for movement. Objective Determine the efficacy of somatosensory stimulation on upper limb motor function after stroke. Methods Five elect...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1080/10749357.2017.1389054

    authors: Grant VM,Gibson A,Shields N

    更新日期:2018-03-01 00:00:00

  • Motor and sensory effects of ipsilesional upper extremity hypothermia and contralesional sensory training for chronic stroke patients.

    abstract:UNLABELLED:As hypothermia by immersion can reduce the sensory nerve conduction velocity, this study hypothesized that the reduction of sensory input to the ipsilesional upper extremity (UE) using cryotherapy would reduce the inhibitory activity of the contralesional hemisphere in chronic stroke subjects. OBJECTIVE:In ...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1179/1074935714Z.0000000023

    authors: Lima NM,Menegatti KC,Yu É,Sacomoto NY,Oberg TD,Honorato DC

    更新日期:2015-02-01 00:00:00

  • Community skill performance and its association with the ability to perform everyday tasks by stroke survivors one year following rehabilitation discharge.

    abstract:BACKGROUND:Stroke survivors experience functional loss in basic activities of daily living (ADLs) and in everyday community activities or instrumental activities of daily living (IADLs). Historically there has been a greater focus by rehabilitation professionals on basic ADLs than on IADLs. PURPOSE:The purpose of this...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1310/tsr1401-48

    authors: Roth EJ,Lovell L

    更新日期:2007-01-01 00:00:00

  • Improving postural control through integration of sensory inputs and visual biofeedback.

    abstract::Postural control is an essential component to be considered in the rehabilitation of stroke survivors. This article attempts to provide the clinician with terminology and frameworks for classification in order to provide a more focused intervention. There is a comparison of some of the available assessments of impairm...

    journal_title:Topics in stroke rehabilitation

    pub_type: 杂志文章

    doi:10.1080/10749357.1995.11754043

    authors: Fuller K,Huber L

    更新日期:1995-01-01 00:00:00