Abstract:
BACKGROUND:There are relatively few reports describing gait patterns in multiple sclerosis (MS) and most are confined to the analysis of temporal distance parameters with some assessment of joint range of motion. The aim of this study was to perform a biomechanical characterisation of gait patterns among people with MS across a wide range of severity of ambulatory impairment. METHODS:Sixteen patients with MS were recruited for this study. Initially, the spasticity of lower limb muscle groups was measured and ambulatory ability was graded. Patients were then placed in two groups based on the level of severity of ambulatory ability. Kinematic, kinetic and EMG gait data from both MS groups were then compared to a control group of 10 healthy subjects. RESULTS:Patients with MS in both groups were found to walk with reduced gait speed, reduced maximum hip and knee extension, ankle plantarflexion angle and propulsive force compared to the control group. In general, the same gait impairments were found in both MS groups compared to the control group, and were greater for the more severely affected MS patient group. INTERPRETATION:This study highlights typical gait patterns of people with MS and provides an indication of common pathways in the degeneration of ambulatory ability as a consequence of disease progression. This information should enable improved clinical treatment of ambulation, as well as the prescription, or even design, of appropriate assistive devices.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Kelleher KJ,Spence W,Solomonidis S,Apatsidis Ddoi
10.3109/09638280903464497subject
Has Abstractpub_date
2010-01-01 00:00:00pages
1242-50issue
15eissn
0963-8288issn
1464-5165journal_volume
32pub_type
杂志文章abstract:PURPOSE:To explore how patients experience the process and personal impact of deriving outcomes from a rheumatological rehabilitation program. METHODS:Semi-structured interviews were conducted with 23 patients with inflammatory rheumatic diseases approximately 2 months after a 4-week hospital based multidisciplinary r...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.626485
更新日期:2012-01-01 00:00:00
abstract::This study provides national estimates of the size of the US working age disabled populations in institutions and in the community, and describes these populations along a number of dimensions. By using data from the Institutional Population and Household Survey Components of the 1987 National Medical Expenditure Surv...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638289509166640
更新日期:1995-07-01 00:00:00
abstract:PURPOSE:Two physical function questions on the widely used SF-12 Health Related Quality of Life questionnaire appear less than optimal for people with complete spinal cord injury (SCI). Physical function questions typically receive the lowest score unless the individual is ambulatory. Additionally, the influence of sec...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280500163828
更新日期:2006-01-30 00:00:00
abstract:PURPOSE:This qualitative study explored the perceptions of adults with Parkinson's disease (PD) about the positive and negative aspects and outcomes of a community-based progressive resistance strengthening programme (PRST), motivators to begin and continue with the PRST program, and factors that might facilitate or cr...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701614546
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to involve older people and physiotherapists in the development of acceptable strategies to promote uptake and adherence with an exercise-based falls prevention programme. METHOD:Focus groups were conducted with older people attending a regional falls and syncope service (3 groups, to...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2013.797507
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:Tendons behave viscoelastically and exhibit adaptive responses to conditions of increased loading and disuse. Strain patterns in tendons may not be uniform, as tendons show stress-shielded areas and areas subjected to compressive loading at the enthesis. These areas correspond to the sites where tendinopathic c...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/09638280701785494
更新日期:2008-01-01 00:00:00
abstract::Purpose. Commencing an early and active mobilisation programme in the acute stages of stroke may have important physical and psychological benefits that might improve long-term quality of life. We hypothesised that patients who received very early mobilisation (VEM) would experience better quality of life than those r...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3109/09638280903349552
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:There is little guidance on using extrinsic feedback to enhance motor learning after stroke. This narrative review synthesises research findings and identifies questions remaining to be answered. METHOD:A summary is given relating to the use of extrinsic feedback in healthy subjects. Then, research concerning ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/09638280500534937
更新日期:2006-07-15 00:00:00
abstract:BACKGROUND AND PURPOSE:Little is known about the potential role of environmental factors in the handicap creation process following a stroke. The objective of this study was to explore the presence of a relationship between environmental factors and the occurrence of handicap following a stroke, taking into considerati...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280010022540
更新日期:2001-09-10 00:00:00
abstract:PURPOSE:To understand why individuals with Parkinson's disease (PD) participate in a community-based therapeutic dance program and to explore its influence on perceived physical, social and emotional well-being of participants. METHODS:A qualitative descriptive design was employed using one-on-one semi-structured inte...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1175037
更新日期:2017-06-01 00:00:00
abstract::Purpose: To describe the physical activity patterns of patients in the first week after lumbar surgery, and to investigate factors that potentially limit walking time early after surgery.Materials and methods: Adults undergoing lumbar decompression, discectomy and/or fusion surgery (N = 216, mean age 62 years, SD 13.9...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1610512
更新日期:2020-12-01 00:00:00
abstract::Purpose: Decision making regarding upper limb assessment and management of children and young people (CYP) with acquired brain injury (ABI) is complex. This project aimed to standardise and improve upper limb provision in one residential rehabilitation unit for CYP with ABI. Methods: Plan-do-study-act (PDSA) methodolo...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1761891
更新日期:2020-05-20 00:00:00
abstract:INTRODUCTION:Stroke is the main cause of complex disability in the UK. Many stroke survivors feel abandoned when rehabilitation ends and more than half are left with long-term unmet needs. There is now emerging interest in whether group self-management programs (SMP) specifically for stroke survivors could help. Howeve...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1268653
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:To determine the relationship among amount and type of internet use and perceived social support and subjective well-being in persons with visual impairments. METHOD:One hundred seventy-five participants were recruited through a letter sent out over 46 national and state listservs for persons with visual impai...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638280903095908
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:This study was designed to explore the cultural meaning and dimensions of quality of life from the perspective of Brazilian burn patients. METHOD:A qualitative research approach was used. Nineteen burn patients and their close relatives participated in this ethnographic study. Data were collected by means of d...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280802306257
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To describe aspects of process and outcome during early inpatient rehabilitation of younger adults after single incident brain injury. METHOD:Analysis of a database of 290 patients discharged from an inner-city hospital based inpatient unit for younger adults after single incident neurological events, over a 5...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/0963828031000062642
更新日期:2003-04-22 00:00:00
abstract:INTRODUCTION:This study aimed at exploring the perceived benefits and drawbacks of practicing tai chi, an alternative therapy that can be implemented in the community, as part of upper-limb rehabilitation following stroke. METHODOLOGY:Semistructured interviews were carried out with participants with chronic stroke (>6...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1194900
更新日期:2017-06-01 00:00:00
abstract:PURPOSE:The aim of this study was to describe prevalence of fatigue and its relationship with demographic and clinical variables during the first 2 weeks (acute phase) following a stroke. METHOD:Data were collected in a cross-sectional correlational study from face-to-face interviews using structured questionnaires an...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.490867
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to provide knowledge about professional carers' subjective descriptions and understanding of older adults' participation in everyday life, when living in place and depending on home-based service delivery. METHOD:Thirty professionals from different organisational levels were selec...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.499490
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:To assess construct (convergent and divergent) validity of the Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) in a sample of children with complex medical conditions. METHOD:Demographics, clinical information, PEDI-CAT normative score, and the Post-Acute Acuity Rating for Childr...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1226406
更新日期:2017-11-01 00:00:00
abstract:PURPOSE:This article comments on the paper by Rene Jahiel and Marcia Joslyn Scherer elsewhere in this issue. METHODS:This article adds theoretical constructs. RESULTS:In commenting on their paper, this article makes four broad points. First, the sub-components identified by Drs. Jahiel and Scherer comprise critical f...
journal_title:Disability and rehabilitation
pub_type: 评论,杂志文章
doi:10.3109/09638280903428328
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:To investigate the sensitivity and responsiveness of the Health-Related Quality of Life in Stroke Patients-40 (HRQOLISP-40) scale in evaluating stroke patients from onset to 12 months. METHODS:Fifty-five patients with first-incidence stroke were followed-up for 12 months. The HRQOLISP-40 scale was used to asse...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2013.825652
更新日期:2014-01-01 00:00:00
abstract::Purpose: To describe physical activity (PA) levels and motivators and barriers to PA amongst haemodialysis (HD) patients and to identify an appropriate approach to increasing their PA. Methods: A cross-sectional mixed methods study conducted in a tertiary and satellite HD unit. One hundred and one participants aged 18...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1672214
更新日期:2019-10-24 00:00:00
abstract:PURPOSE:The objective of this study was to generate expert consensus on best evaluative practices for community-based rehabilitation (CBR). This consensus includes key features of the evaluation process and methods, and discussion of whether a shared framework should be used to report findings and, if so, which framewo...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2015.1044030
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:To develop an instrument to represent the availability of needed environmental features (EFs) in the physical, social and attitudinal environment of home, school and community for children with cerebral palsy. METHOD:Following a literature review and qualitative studies, the European Child Environment Question...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.485668
更新日期:2011-01-01 00:00:00
abstract::This paper describes 'episodes of allied health outpatient care' by linking related clinical allied health outpatient contacts. Episodes were tracked on 10095 patients in 46 public hospital outpatient services in eight hospitals over a 10-month period during 1996, as part of a Commonwealth Ambulatory Care Reform proje...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1080/096382800297141
更新日期:2000-01-10 00:00:00
abstract:PURPOSE:Studies of occupational low back pain (OLBP) have shown that return to work after injury is influenced by workers' concerns and expectations; however, these theoretical constructs have not been explored. The specific aim of this study was to identify themes related to self-efficacy and outcome expectancy for re...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280500076269
更新日期:2005-11-15 00:00:00
abstract:PURPOSE:To assess quality of life (QoL) in two groups of patients with long-term musculoskeletal pain with and without psychiatric co-morbidity and to compare them with a reference group of normative controls. The patients in both study groups were sick-listed full or part time for 3 months or more. METHOD:The patient...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638281003734383
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:To investigate the effects of a special seating device: Thoracic-lumbar-sacral orthosis with non-rigid SIDO frame (TLSO-SIDO) in non-ambulant children with cerebral palsy. METHOD:A prospective study with matched pairs (the same subject pre- and post-intervention) was carried out. A comparison of the lateral vi...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280601055691
更新日期:2007-09-30 00:00:00
abstract::Epidemiological studies made within the western countries indicate an incidence of 200-300 traumatic head injuries per 100 000 residents each year. Severe head injuries account for 5-25% of all head injuries; 10-14% of all severe head-injured patients develop into a vegetative state, in which a sleep-wake rhythm is ap...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638289609167084
更新日期:1996-01-01 00:00:00