Publication:
Light Touch Cue Through a Cane Improves Pelvic Stability During Walking in Stroke

0
0

Issued Date

2009

Resource Type

Article

File Type

application/pdf

ISSN

39993

DOI

10.1016/j.apmr.2008.12.022

Other identifier(s)

2-s2.0-65749102100

Rights Holder(s)

Scopus

Bibliographic Citation

Archives of Physical Medicine and Rehabilitation. Vol 90, No.6 (2009), p.919-926

Suggested Citation

Boonsinsukh R., Panichareon L., Phansuwan-Pujito P. Light Touch Cue Through a Cane Improves Pelvic Stability During Walking in Stroke. Archives of Physical Medicine and Rehabilitation. Vol 90, No.6 (2009), p.919-926. doi:10.1016/j.apmr.2008.12.022 Retrieved from: https://hdl.handle.net/20.500.14740/6445

Title

Light Touch Cue Through a Cane Improves Pelvic Stability During Walking in Stroke

Author(s)

Boonsinsukh R.
 Panichareon L.
 Phansuwan-Pujito P.

Abstract

Boonsinsukh R, Panichareon L, Phansuwan-Pujito P. Light touch cue through a cane improves pelvic stability during walking in stroke. Objective: To examine the effect of a light touch cue provided through a cane on mediolateral (ML) pelvic stability during walking in subjects poststroke. Design: Crossover trial examining ML pelvic stability during walking using a cane with the force contact and touch contact methods. Setting: Physical therapy clinic, tertiary care center. Participants: Subacute patients (N=40) with stroke with a mean age of 59.6 years and mean stroke duration of 46.8 days. The average gait speed with a cane was .13m/s (.05-.29m/s). Intervention: Using a cane with the force contact and touch contact methods during walking. Main Outcome Measures: ML pelvic stability as measured by averaged peak-to-peak pelvic acceleration, muscle activation of bilateral tensor fascia latae (TFL), semitendinosus (ST), and vastus medialis (VM) using an electromyography system, and vertical cane force. Results: The average amount of cane force during touch contact and force contact cane use conditions was 2.3N and 49.3N, respectively. A light touch cue through a cane was required only when the paretic leg accepted the body weight, and this cue can provide ML pelvic stability (.16g of average pelvic acceleration) during walking to the same degree as the force contact method of cane use. However, significant increases in single-limb support duration with higher activations of TFL, VM, and ST muscles on the paretic leg were found during the paretic stance phase when using a cane in the touch contact fashion (P<.05). Conclusions: A light touch cue can be provided during walking through the use of a cane. This augmented somatosensory information provides lateral stability during walking for subjects with stroke by facilitating the activations of weight-bearing muscles on the paretic leg during the stance phase. © 2009 American Congress of Rehabilitation Medicine.

Subject(s)

Adult
 Aged
 Article
 Association
 Body weight
 Cerebrovascular accident
 Clinical article
 Clinical trial
 Controlled clinical trial
 Controlled study
 Crossover procedure
 Disease duration
 Electromyogram
 Female
 Gait
 Human
 Joint stability
 Male
 Muscle contraction
 Paresis
 Pelvis
 Rehabilitation care
 Semitendinous muscle
 Somatosensory stimulation
 Tensor fascia lata muscle
 Tertiary health care
 Touch
 Vastus lateralis muscle
 Walking aid
 Walking speed
 Weight bearing
 Adult
 Aged
 Aged, 80 and over
 Canes
 Cross-Over Studies
 Female
 Gait
 Humans
 Male
 Middle Aged
 Pelvis
 Physical Therapy Modalities
 Postural Balance
 Stroke
 Walking

View online Resources

Research Projects

Organizational Units

Journal Issue

URI

https://hdl.handle.net/20.500.14740/6445

Collections

Scopus: Year 1983-2021

Endorsement

Review

Supplemented By

Referenced By