Measurement of paretic-lower-extremity loading and weight transfer after stroke.

Abstract:

BACKGROUND:Weight bearing through, or "loading" of, the paretic lower extremity and transfer of weight from one lower extremity to the other are important impairment-level goals of stroke rehabilitation. Improvements in these limb-loading and weight-transfer abilities have been shown to relate to improved performance of many functional activities. Unfortunately, valid and practical clinical measures of paretic-lower-extremity loading and weight transfer have not been identified. OBJECTIVE:The purpose of this study was to assess convergent validity of the Step Test (ST) and the knee extension component of the Upright Motor Control Test (UMCe) as measures of paretic-limb loading and of the Repetitive Reach Test (RR) as a measure of weight transfer in the first 6 months after stroke. DESIGN:This was a prospective cohort study of 33 adults with lower-extremity motor impairment following unilateral, noncerebellar stroke. Participants were tested one time per month from 1 to 6 months poststroke. RESULTS:Scores on the ST (performed with the nonparetic leg as the stepping leg) and UMCe were positively correlated with peak vertical ground reaction forces (GRFs) beneath the paretic limb during functional tasks (R(2)=.35-.76 for the ST, pseudo R(2)=.21-.34 for the UMCe). Scores on the RR were positively correlated with change in vertical GRF beneath the paretic limb during the diagonal reach task (R(2)=.45) and with weight-transfer time during stepping with the nonparetic limb (R(2)=.15). CONCLUSIONS:The ST, performed with the nonparetic leg as the stepping leg, is a valid measure of paretic-limb loading during stroke recovery. Of the clinical measures tested, the ST correlated most strongly with the force platform measures.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Mercer VS,Freburger JK,Chang SH,Purser JL

doi

10.2522/ptj.20080230

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

653-64

issue

7

eissn

0031-9023

issn

1538-6724

pii

ptj.20080230

journal_volume

89

pub_type

杂志文章
  • Physical therapy for a patient through six stages of amyotrophic lateral sclerosis.

    abstract:BACKGROUND AND PURPOSE:This case report describes the use of Sinaki and Mulder's approach to staging amyotrophic lateral sclerosis (ALS) and functional outcome measures in designing a treatment program for a 59-year-old woman with ALS. CASE DESCRIPTION AND OUTCOMES:As the patient progressed from stage I through stage ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.12.1312

    authors: Dal Bello-Haas V,Kloos AD,Mitsumoto H

    更新日期:1998-12-01 00:00:00

  • Interrater and Test-Retest Reliability of Performance-Based Clinical Tests Administered to Established Users of Lower Limb Prostheses.

    abstract:OBJECTIVE:A major barrier to reducing falls among users of lower limb prostheses (LLP) has been an absence of statistical indices required for clinicians to select and interpret scores from performance-based clinical tests. The study aimed to derive estimates of reliability, measurement error, and minimal detectable ch...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa063

    authors: Sawers A,Kim J,Balkman G,Hafner BJ

    更新日期:2020-07-19 00:00:00

  • Prognosis in soft tissue disorders of the shoulder: predicting both change in disability and level of disability after treatment.

    abstract:BACKGROUND AND PURPOSE:Clinicians often are faced with questions about prognosis and outcome of shoulder disorders. The purpose of this study was to identify predictors of both change in disability and level of disability following physical therapy treatment. SUBJECTS:The subjects were consecutive patients (n=361) who...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Kennedy CA,Manno M,Hogg-Johnson S,Haines T,Hurley L,McKenzie D,Beaton DE

    更新日期:2006-07-01 00:00:00

  • Teleassessment of Gait and Gait Aids: Validity and Interrater Reliability.

    abstract:BACKGROUND:Gait and mobility aid assessments are important components of rehabilitation. Given the increasing use of telehealth to meet rehabilitation needs, it is important to examine the feasibility of such assessments within the constraints of telerehabilitation. OBJECTIVE:The objective of this study was to examine...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa005

    authors: Venkataraman K,Amis K,Landerman LR,Caves K,Koh GC,Hoenig H

    更新日期:2020-04-17 00:00:00

  • Reliability of a clinical kinematic assessment of the sit-to-stand movement.

    abstract::We examined the reproducibility of a kinematic assessment of the sit-to-stand movement in 15 healthy subjects using a standardized protocol. We examined the within-rater and between-rater reliability of the assessment using a clinically feasible method, the video-goniometric measurement method, to analyze the task. Tw...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/70.8.511

    authors: Jeng SF,Schenkman M,Riley PO,Lin SJ

    更新日期:1990-08-01 00:00:00

  • Comparison of corridor and treadmill walking in patients with severe chronic obstructive pulmonary disease.

    abstract::The maximal distance walked in a given time period is frequently used as a simple method to evaluate exercise tolerance in patients suffering from chronic obstructive pulmonary disease (COPD). Typically, patients walk on a treadmill or in a corridor at a self-paced speed. Little information is available about the diff...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/70.7.439

    authors: Swerts PM,Mostert R,Wouters EF

    更新日期:1990-07-01 00:00:00

  • Falling Down on the Job: Evaluation and Treatment of Fall Risk Among Older Adults With Upper Extremity Fragility Fractures.

    abstract:Background:Clinical practice guidelines recommend fall risk assessment and intervention for older adults who sustain a fall-related injury to prevent future injury and mobility decline. Objective:The aim of this study was to describe how often Medicare beneficiaries with upper extremity fracture receive evaluation and...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzx009

    authors: McDonough CM,Colla CH,Carmichael D,Tosteson ANA,Tosteson TD,Bell JE,Cantu RV,Lurie JD,Bynum JPW

    更新日期:2017-03-01 00:00:00

  • McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: a dynamic magnetic resonance imaging study.

    abstract:BACKGROUND:Patellar taping is widely used clinically to treat patients with patellofemoral pain syndrome (PFPS). Although patellar taping has been demonstrated to reduce patellofemoral pain in patients with PFPS, the kinematic source for this pain reduction has not been identified. OBJECTIVE:The purpose of this study ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20080365

    authors: Derasari A,Brindle TJ,Alter KE,Sheehan FT

    更新日期:2010-03-01 00:00:00

  • Physical Activity and Exercise Outcomes in Huntington Disease (PACE-HD): Protocol for a 12-Month Trial Within Cohort Evaluation of a Physical Activity Intervention in People With Huntington Disease.

    abstract:BACKGROUND:Exercise is emerging as an important aspect in the management of disease-related symptoms and functional decline in people with Huntington disease (HD). Long-term evaluation of physical activity and exercise participation in HD has yet to be undertaken. OBJECTIVE:The objective is to investigate the feasibil...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz075

    authors: Drew CJG,Quinn L,Hamana K,Williams-Thomas R,Marsh L,Dimitropoulou P,Playle R,Griffin BA,Kelson M,Schubert R,Muratori L,Reilmann R,Rosser A,Busse M

    更新日期:2019-09-01 00:00:00

  • Back Performance Scale for the assessment of mobility-related activities in people with back pain.

    abstract:BACKGROUND AND PURPOSE:Activities that require mobility of the trunk are often limited in patients with back problems. For this study, 5 tests (Sock Test, Pick-up Test, Roll-up Test, Fingertip-to-Floor Test, and Lift Test), all requiring sagittal-plane mobility, were performed, and the test scores were combined by the ...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Strand LI,Moe-Nilssen R,Ljunggren AE

    更新日期:2002-12-01 00:00:00

  • Teaching. A skill in clinical practice.

    abstract::I surveyed by questionnaire a random sample of 585 physical therapists and the administrators of all accredited and developing entry-level educational programs on record with the American Physical Therapy Association in March 1981 to determine attitudes toward, involvement in, and preparation for teaching as a skill i...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/63.10.1627

    authors: May BJ

    更新日期:1983-10-01 00:00:00

  • Psychologically informed interventions for low back pain: an update for physical therapists.

    abstract::A central theme of current evidence-based guidelines for managing low back pain is endorsement of the resumption of activities despite the presence of pain. This task can be challenging for both therapists and patients, and there are many essentially psychological obstacles to implementing the guidelines. These obstac...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.2522/ptj.20100278

    authors: Nicholas MK,George SZ

    更新日期:2011-05-01 00:00:00

  • Effect of Fluori-Methane spray on passive hip flexion.

    abstract::The purpose of the study was to evaluate the influence of Fluori-Methane spray as a method of affecting passive range of motion measured at the right hip joint. Subjects were 30 normal volunteers randomly divided into an experimental group and a control group. A special table was constructed to position and stabilize ...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ptj/61.2.185

    authors: Halkovich LR,Personius WJ,Clamann HP,Newton RA

    更新日期:1981-02-01 00:00:00

  • Physical therapist examination, evaluation, and intervention for a patient with West Nile virus paralysis.

    abstract:BACKGROUND AND PURPOSE:The incidence of West Nile virus (WNV) has increased in the United States since 1999. A small percentage of people with WNV develop West Nile neuroinvasive disease (WNND) with encephalitis and flaccid paralysis. The purpose of this report is to describe the physical therapist management and outco...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Miller NH,Miller DJ,Goldberg JL

    更新日期:2006-06-01 00:00:00

  • Application of 24-hour burst TENS in a back school.

    abstract::The Back School program consists of exercises and education designed to reduce back pain. Sixty-six percent of the patients had too much back pain to participate. The purpose of this clinical report is to describe how 24-hour burst transcutaneous electrical nerve stimulation (TENS) treatment enabled these patients wit...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.9.1355

    authors: Brill MM,Whiffen JR

    更新日期:1985-09-01 00:00:00

  • Habitual physical activity after total knee replacement.

    abstract:BACKGROUND:Previous studies on physical activity after total knee arthroplasty (TKA) concentrated mainly on a return to sports activities. OBJECTIVE:The objectives of this study were to determine the habitual physical activity behavior of people who had undergone TKA (TKA group) 1 to 5 years after surgery and to exami...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20110273

    authors: Kersten RF,Stevens M,van Raay JJ,Bulstra SK,van den Akker-Scheek I

    更新日期:2012-09-01 00:00:00

  • The influence of experience with a set of simulated patients on diagnosis of simulated patients not previously diagnosed.

    abstract:BACKGROUND AND PURPOSE:Diagnoses, to be useful, should be accurate. The purpose of this study using fictitious patients and student judges was to test the theory that diagnostic errors would occur when students saw simulated patients who were similar to previously seen simulated patients. SUBJECTS:Sixty physical thera...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ptj/78.4.375

    authors: Norton BJ,Strube MJ

    更新日期:1998-04-01 00:00:00

  • Reliability, Validity, and Minimal Detectable Change of Four-Step Stair Climb Power Test in Community-Dwelling Older Adults.

    abstract:Background:Stair climb power is an important clinical measure of lower-extremity power. The stair climb power test (SCPT) was validated by requiring individuals to climb a full flight of stairs. A 4-step SCPT (4SCPT) would be more clinically feasible and easier to perform, yet its reliability and validity are unknown. ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzx039

    authors: Ni M,Brown LG,Lawler D,Bean JF

    更新日期:2017-07-01 00:00:00

  • Assessing the reliability of measurements from the Krusen limb load monitor to analyze temporal and loading characteristics of normal gait.

    abstract::This study assessed the reliability of measurements made by four physical therapists on healthy subject gait data recorded from the Krusen limb load monitor. The five components of step (stance time, time up, time to second peak, and force at the first and second peaks) were analyzed. Six components contributing to ga...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/64.2.199

    authors: Carey PB,Wolf SL,Binder-MacLeod SA,Bain RL

    更新日期:1984-02-01 00:00:00

  • Use of outpatient physical therapy services by people with musculoskeletal conditions.

    abstract:BACKGROUND AND PURPOSE:Because musculoskeletal conditions contribute to functional decline and activity limitation, physical therapy intervention may be an appropriate health care resource. The purpose of this research was to identify determinants of outpatient physical therapy use by people with musculoskeletal condit...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20050218

    authors: Carter SK,Rizzo JA

    更新日期:2007-05-01 00:00:00

  • Treatment of a large infected thoracic spine wound using high voltage pulsed monophasic current.

    abstract::This case report describes the use of electrical stimulation with high voltage pulsed monophasic current for treatment of a large, infected wound of the thoracic spine, following a surgical debridement procedure. The patient was a 21-year-old man with spastic quadriplegic cerebral palsy who was dependent for all self-...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/73.6.355

    authors: Fitzgerald GK,Newsome D

    更新日期:1993-06-01 00:00:00

  • Quantitative gait evaluation in the clinic.

    abstract::The purpose of this paper is to present a clinically feasible method to provide objective, quantitative information regarding the quality of a patient's gait. The technique used is simple and economical and requires minimal equipment. The four basic temporal and distance factors are 1) stride length, 2) step length, 3...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.3.351

    authors: Robinson JL,Smidt GL

    更新日期:1981-03-01 00:00:00

  • High voltage versus low voltage electrical stimulation. Force of induced muscle contraction and perceived discomfort in healthy subjects.

    abstract::High voltage pulsed galvanic stimulation (HVPGS) and low voltage neuromuscular stimulation (LVNMS) techniques were compared for peak torque of an induced isometric contraction, perceived discomfort, and subjective preference of treatment. The high voltage current used a 40-microseconds monophasic waveform, and the low...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/66.8.1209

    authors: Wong RA

    更新日期:1986-08-01 00:00:00

  • Sequential analyses of postural reactions in nonhandicapped infants.

    abstract::The purpose of this study was to identify an empirically validated sequence of automatic postural reactions in a sample of 40 nonhandicapped infants. Using a cross-sectional design, we tested infants between the ages of 2 and 10 months for the presence of full and partial righting, equilibrium, and protective reaction...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/66.4.531

    authors: Haley SM

    更新日期:1986-04-01 00:00:00

  • A dynamical systems approach to motor development.

    abstract::The study of motor development has long influenced the clinical practice of physical therapy. We first review the contributions and deficiencies of two traditional maturational and reflex-based models of motor development. Second, we describe basic principles of kinematic and kinetic analyses of movement and show how ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/70.12.763

    authors: Kamm K,Thelen E,Jensen JL

    更新日期:1990-12-01 00:00:00

  • Interrater reliability of diastasis recti abdominis measurement.

    abstract::Diastasis recti abdominis, or midline separation of the abdominal musculature, has not been investigated scientifically. The purposes of this study were to provide data on the incidence and degree of diastasis recti abdominis, to describe the measurement system used, and to determine the interrater reliability of the ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.7.1077

    authors: Bursch SG

    更新日期:1987-07-01 00:00:00

  • Investigation of the effects of a model of physical therapy on mother-child interactions and the motor behaviors of children with motor delay.

    abstract:BACKGROUND AND PURPOSE:Physical therapists strive to promote children's motor function and the parents' abilities to interact with their children, thus aiming to positively influence the parent-child relationship. This study examined a model for provision of home-based physical therapy within the context of motor play ...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章

    doi:10.1093/ptj/78.2.180

    authors: Chiarello LA,Palisano RJ

    更新日期:1998-02-01 00:00:00

  • Lumbar lordosis and pelvic inclination of asymptomatic adults.

    abstract:BACKGROUND AND PURPOSE:We examined the association between pelvic inclination and lumbar lordosis during relaxed standing and eight variables thought to contribute to lordosis. SUBJECTS:Ninety subjects (45 men, 45 women) without back pain or a history of surgery were examined. The mean age was 54.8 years (SD = 8.5) fo...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/76.10.1066

    authors: Youdas JW,Garrett TR,Harmsen S,Suman VJ,Carey JR

    更新日期:1996-10-01 00:00:00

  • Orthopedic manual therapy--an overview. Part II: the spine.

    abstract::The focus of this article is orthopedic manual therapy for the spine: 1) precautions and contraindications for manual methods of treatment; 2) definitions of general terms for therapeutic techniques of mobilization and traction; and 3) the general concepts and the evaluation, treatment, and aftertreatment procedures o...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.3.259

    authors: Cookson JC

    更新日期:1979-03-01 00:00:00

  • Cost-effectiveness of acupuncture care as an adjunct to exercise-based physical therapy for osteoarthritis of the knee.

    abstract:BACKGROUND:The delivery of acupuncture alongside mainstream interventions and the cost-effectiveness of "alternative" treatments remain areas of controversy. OBJECTIVE:The aim of this study was to assess the cost-utility of adding acupuncture to a course of advice and exercise delivered by UK National Health Service (...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20100239

    authors: Whitehurst DG,Bryan S,Hay EM,Thomas E,Young J,Foster NE

    更新日期:2011-05-01 00:00:00