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Effect of Exercise on Gait Mechanics in a Patient with Severe Gait Disorder Due to Chronic Ischaemic Stroke: A Case Study
Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece
Internal Medicine, Alexandroupolis, Greece
Department of Physical Therapy, University of Thessaly, Lamia, Greece
Second Department of Internal Medicine, Democritus University of Thrace, Komotini, Greece
Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece
Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece
Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece
- 1 Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece
- 2 Internal Medicine, Alexandroupolis, Greece
- 3 Department of Physical Therapy, University of Thessaly, Lamia, Greece
- 4 Second Department of Internal Medicine, Democritus University of Thrace, Komotini, Greece
- 5 Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece
- 6 Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece
- 7 Department of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece
Neuroscience and Medicine·Volume 10 (2019)·Pages 323–330·Published 12 October 2019·DOI10.4236/nm.2019.104023
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Abstract
We describe the effects of an exercise programme based on the American Heart Association and American Stroke Association guidelines for stroke patients on gait mechanics in a patient with severe gait disorder due to chronic ischaemic stroke. A 74-year-old female patient, with right hemiparesis as a result of a stroke attack before 18 months followed an 8-week exercise programme, consisting of three hourly sessions per week. Patient’s gait mechanics were evaluated before and after the intervention using a three-dimensional gait analysis system, with six infrared cameras, two force plates, and an electronic timing system. Exercise led to increase of spatial and decrease of temporal gait parameters, increase of joint range of motion and lower limb muscle powers during the entire gait cycle and increase of the moments in the support phase. In conclusion, exercise had a positive effect on this patient’s gait pattern and improved her functionality.
KeywordsExerciseGait AnalysisRehabilitationStroke
- Mozaffarian, D., Benjamin, E., Go, A., Arnett, D., Blaha, M., Cushman, M., Mohler, E., et al. (2015) Heart Disease and Stroke Statistics—2015 Update: A Report from the American Heart Association. Circulation, 131, e29-e322. https://doi.org/10.1161/CIR.0000000000000152
- Lee, K., Lim, S., Kim, K., Kim, K., Kim, Y., Chang, W., Hwang, B., et al. (2015) Six-Month Functional Recovery of Stroke Patients: A Multi-Time-Point Study. International Journal of Rehabilitation Research, 38, 173-180. https://doi.org/10.1097/MRR.0000000000000108
- Kwakkel, G., Kollen, B. and Wagenaar, R. (2001) Long Term Effects of Intensity of Upper and Lower Limb Training after Stroke: A Randomised Trial. Journal of Neurology, Neurosurgery, and Psychiatry, 72, 473-479.
- Go, A., Mozaffarian, D., Roger, V., Benjamin, E., Berry, J., Blaha, M., Mackey, R., et al. (2014) Heart Disease and Stroke Statistics—2014 Update: A Report from the American Heart Association. Circulation, 129, e28-e292. https://doi.org/10.1161/01.cir.0000441139.02102.80
- Hornnes, N., Larsen, K. and Boysen, G. (2010) Little Change of Modifiable Risk Factors 1 Year after Stroke: A Pilot Study. International Journal of Stroke, 5, 157-162. https://doi.org/10.1111/j.1747-4949.2010.00424.x
- Michael, K., Allen, J. and Macko, R. (2005) Reduced Ambulatory Activity after Stroke: The Role of Balance, Gait, and Cardiovascular Fitness. Archives of Physical Medicine and Rehabilitation, 86, 1552-1556. https://doi.org/10.1016/j.apmr.2004.12.026
- Ashe, M., Miller, W., Eng, J. and Noreau, L. (2009) Older Adults, Chronic Disease and Leisure-Time Physical Activity. Gerontology, 55, 64-72. https://doi.org/10.1159/000141518
- Goljar, N., Burger, H., Vidmar, G., Leonardi, M. and Marincek, C. (2011) Measuring Patterns of Disability Using the International Classification of Functioning, Disability and Health in the Post-Acute Stroke Rehabilitation Setting. Journal of Rehabilitation Medicine, 43, 590-601. https://doi.org/10.2340/16501977-0832
- Rand, D., Eng, J., Tang, P., Jeng, J. and Hung, C. (2009) How Active Are People with Stroke? Use of Accelerometers to Assess Physical Activity. Stroke, 40, 163-168. https://doi.org/10.1161/STROKEAHA.108.523621
- Sullivan, K. and Cen, S. (2011) Model of Disablement and Recovery: Knowledge Translation in Rehabilitation Research and Practice. Physical Therapy, 91, 1892-1904. https://doi.org/10.2522/ptj.20110003
- Macko, R., Ivey, F., Forrester, L., Hanley, D., Sorkin, J., Katzel, L., Goldberg, A., et al. (2005) Treadmill Exercise Rehabilitation Improves Ambulatory Function and Cardiovascular Fitness in Patients with Chronic Stroke: A Randomized, Controlled Trial. Stroke, 36, 2206-2211. https://doi.org/10.1161/01.STR.0000181076.91805.89