The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Sarah F Tyson - One of the best experts on this subject based on the ideXlab platform.
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trunk kinematics in hemiplegic gait and the effect of walking aids
Clinical Rehabilitation, 1999Co-Authors: Sarah F TysonAbstract:Objective: To establish baseline measurements of trunk movements during hemiplegic gait, to assess the relationship between trunk movements and walking ability, and to investigate the effect of walking aids on the trunk movements.Method: Twenty subjects with a chronic Hemiplegia from a stroke, who could walk independently, were recruited. Lateral and vertical movements of the pelvis, and symmetry of these movements were measured using CODA (a three-dimensional movement analysis system) as the subjects walked at their own pace without an aid. They were also tested as they walked with a stick and a tripod to assess the effect of different walking aids. Mean values for the trunk movements and symmetry were calculated, Pearson's correlations assessed the relationship between each trunk movement and gait velocity (a measure of overall walking ability), and the influence of the different aids was assessed using a one-way repeated measures ANOVA.Results: Lateral displacement was large (mean = 9.9 cm, SD 3.9) and...
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the support taken through walking aids during hemiplegic gait
Clinical Rehabilitation, 1998Co-Authors: Sarah F TysonAbstract:Objective: To assess the effect of different aids on the amount of support hemiplegic subjects took from them. The relationship between the amount of support, severity of Hemiplegia and walking ability were also assessed.Design: Hemiplegic subjects' gait and the amount of support they took from the aid were measured as they walked with a normal height stick, a high stick and a tripod.Subjects: Fifteen subjects with a Hemiplegia of more than three months' duration who could walk independently were recruited.Outcome measures: Velocity, the gross function section of the Rivermead Motor Assessment, percentage bodyweight taken through the aid, the aid contact time, the placement of the aid, and the lateral shift of the pelvis when weight bearing were assessed.Results: No differences in the amount of support or walking ability were found with the different aids. There was a significant relationship between severity of Hemiplegia and the percentage of bodyweight taken through the aid (r = –0.67), between aid con...
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the influence of walking aids on hemiplegic gait
Physiotherapy Theory and Practice, 1994Co-Authors: Sarah F Tyson, A AshburnAbstract:The aim of this study was to assess the influence of different types of walking aid on the temporal-distance (T-D) parameters of hemiplegic gait. Twenty hemiplegic subjects who were able to walk independently took part in the study. The subjects’gait was measured as they walked with no aid, a stick of normal height, a high stick and a tripod. The response to different walking conditions was varied, but the subjects could be divided into three groups based on their response. Eleven (55%) subjects tended to walk best without an aid, 5 (25%) subjects showed no difference between the conditions, and 4 (20%) subjects tended to perform better with an aid than without one. None of the aids emerged as the aid of choice but the tripod tended to produce a worse gait than the other two aids.Severity of Hemiplegia, overall gait performance and type of aid normally used were compared in each response group. It was concluded that the severity of Hemiplegia was an important determinant of the subjects’response to differ...
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hemiplegic gait symmetry and walking aids
Physiotherapy Theory and Practice, 1994Co-Authors: Sarah F TysonAbstract:The temporal-distance aspects of stride, the relationship between symmetry and gait performance and the influence of different walking aids were assessed in 20 independently walking subjects with Hemiplegia of at least 3 months duration. The subjects were found to have gait symmetry but this was not related to gait speed or hemiplegic severity. The results do not indicate a strong relationship between type of walking aid and gait symmetry.
Maarten Joost Ijzerman - One of the best experts on this subject based on the ideXlab platform.
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percutaneous neuromuscular electrical stimulation p nmes for treating shoulder pain in chronic Hemiplegia effects on shoulder pain and quality of life
Clinical Rehabilitation, 2004Co-Authors: Gerbert J Renzenbrink, Maarten Joost IjzermanAbstract:Objective: To evaluate the effect of percutaneous neuromuscular electrical stimulation (P-NMES) of the shoulder muscles on shoulder pain intensity and health-related quality of life in chronic Hemiplegia. Design: Prospective, open label design. Setting: The outpatient services of a large teaching rehabilitation hospital in the Netherlands. Subjects: Fifteen stroke survivors with chronic (> six months) Hemiplegia and a therapy-resistant painful shoulder with subluxation. All patients suffered from clinically relevant shoulder pain, as assessed by a score of at least 4 out of 10 on a numerical rating scale. Shoulder subluxation was indicated by at least 1/2 fingerbreadth of glenohumeral separation on palpation. Intervention: Six hours of P-NMES per day for a total of six weeks. Main outcome measures: Shoulder pain (Brief Pain Inventory), shoulder subluxation (clinical and radiographic), shoulder pain-free external rotation (hand-held goniometer), motor impairment (Fugl-Meyer Motor test) and quality of life (SF-36) were assessed before treatment, after six weeks of intramuscular stimulation, at three months and six months follow-up. Results: A significant reduction in pain was found on the Brief Pain Inventory. Pain reduction was still present at six months follow-up. All domains, in particular bodily pain, of the SF-36 showed improvement in the short term. After six months of follow-up, bodily pain was still strongly and significantly reduced, whereas social functioning and role physical demonstrated a nonsignificant improvement of more than 10% compared with baseline. Conclusion: This pilot suggests that P-NMES potentially reduces shoulder pain in chronic Hemiplegia. To establish the clinical value of P-NMES in treating hemiplegic shoulder pain a randomized controlled trial is needed
David Burke - One of the best experts on this subject based on the ideXlab platform.
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short term effects of dynamic lycra splints on upper limb in hemiplegic patients
Archives of Physical Medicine and Rehabilitation, 2000Co-Authors: Jean-michel Gracies, Jeno E Marosszeky, Roger Renton, Joseph Sandanam, Simon C Gandevia, David BurkeAbstract:Abstract Gracies J-M, Marosszeky JE, Renton R, Sandanam J, Gandevia SC, Burke D. Short-term effects of dynamic Lycra splints on upper limb in hemiplegic patients. Arch Phys Med Rehabil 2000;81:1547-55. Objective: To assess acceptability, effects on swelling, resting posture, spasticity, and active (AROM) and passive range of motion (PROM) of individually tailored upper limb Lycra® garments, designed as dynamic splints to exert directional pull on certain limb segments, when worn for 3 hours by hemiplegic patients. Design: Crossover trial. Setting: Outpatient and inpatient rehabilitation center. Patients: Convenience sample of 16 patients with hemiparesis and upper limb spasticity caused by a stroke more than 3 weeks before the study. Interventions: Assessments performed at the start and end of a 3-hour period during a standard rehabilitation day when the patients were and were not wearing the garment. Main Outcome Measures: (1) Comfort assessed by questionnaire; (2) circumference of each limb segment; (3) resting posture at elbow and wrist; (4) spasticity at shoulder, elbow, and wrist using the Tardieu scale; and (5) AROM and PROM at shoulder, elbow, and wrist measured using a goniometer; (6) elbow proprioception using McCloskey's method; (7) visual neglect syndrome using the line bisection test. Differences between changes occurring with and without the garment were compared using Wilcoxon's signed rank test for ordinal variables (spasticity grading) and Student's t test for continuous variables (all other data). Results: During 3 hours, garments worn on the arm by patients with Hemiplegia (1) were comfortable, (2) improved wrist posture and reduced wrist and finger flexor spasticity, (3) reduced swelling in patients with swollen limbs (digit circumference decreased by 4%; p p p Conclusion: Lycra garments, designed to produce continuous stretch of spastic muscles when worn for several hours each day, have rapid splinting and antispastic effects on wrist and fingers in patients with Hemiplegia. These garments may help severely affected patients with major spasticity or painful swollen limbs. © 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Diana Jackson - One of the best experts on this subject based on the ideXlab platform.
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shoulder pain after stroke a review of the evidence base to inform the development of an integrated care pathway
Clinical Rehabilitation, 2002Co-Authors: Lynne Turnerstokes, Diana JacksonAbstract:Background: Shoulder pain is a common complication of stroke. It can impede rehabilitation and has been associated with poorer outcomes and prolonged hospital stay. This systematic review was undertaken to inform the development of an evidence-based integrated care pathway (ICP) for the management of hemiplegic shoulder pain (HSP).Aims and objectives: 1) To provide a background understanding of the functional anatomy of the shoulder and its changes following stroke.2) To review the literature describing incidence and causation of HSP and the evidence for factors contributing to its development.3) To appraise the evidence for effectiveness of different interventions for HSP.Methods: Data sources comprised a computer-aided search of published studies on shoulder pain in stroke or Hemiplegia and references to literature used in reviews (total references = 121).Main findings: Although a complex variety of physical changes are associated with HSP, these broadly divide into ‘flaccid’ and ‘spastic’ presentations...
Gerbert J Renzenbrink - One of the best experts on this subject based on the ideXlab platform.
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percutaneous neuromuscular electrical stimulation p nmes for treating shoulder pain in chronic Hemiplegia effects on shoulder pain and quality of life
Clinical Rehabilitation, 2004Co-Authors: Gerbert J Renzenbrink, Maarten Joost IjzermanAbstract:Objective: To evaluate the effect of percutaneous neuromuscular electrical stimulation (P-NMES) of the shoulder muscles on shoulder pain intensity and health-related quality of life in chronic Hemiplegia. Design: Prospective, open label design. Setting: The outpatient services of a large teaching rehabilitation hospital in the Netherlands. Subjects: Fifteen stroke survivors with chronic (> six months) Hemiplegia and a therapy-resistant painful shoulder with subluxation. All patients suffered from clinically relevant shoulder pain, as assessed by a score of at least 4 out of 10 on a numerical rating scale. Shoulder subluxation was indicated by at least 1/2 fingerbreadth of glenohumeral separation on palpation. Intervention: Six hours of P-NMES per day for a total of six weeks. Main outcome measures: Shoulder pain (Brief Pain Inventory), shoulder subluxation (clinical and radiographic), shoulder pain-free external rotation (hand-held goniometer), motor impairment (Fugl-Meyer Motor test) and quality of life (SF-36) were assessed before treatment, after six weeks of intramuscular stimulation, at three months and six months follow-up. Results: A significant reduction in pain was found on the Brief Pain Inventory. Pain reduction was still present at six months follow-up. All domains, in particular bodily pain, of the SF-36 showed improvement in the short term. After six months of follow-up, bodily pain was still strongly and significantly reduced, whereas social functioning and role physical demonstrated a nonsignificant improvement of more than 10% compared with baseline. Conclusion: This pilot suggests that P-NMES potentially reduces shoulder pain in chronic Hemiplegia. To establish the clinical value of P-NMES in treating hemiplegic shoulder pain a randomized controlled trial is needed
