Publication: Clinical identification for the use of light touch cues with a cane in gait rehabilitation poststroke
1
0
Issued Date
2011
Resource Type
File Type
application/pdf
ISSN
10749357
Other identifier(s)
2-s2.0-82255180278
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Topics in Stroke Rehabilitation. Vol 18, No.1 (2011), p.633-642
Suggested Citation
Boonsinsukh R., Panichareon L., Saengsirisuwan V., Phansuwan-Pujito P. Clinical identification for the use of light touch cues with a cane in gait rehabilitation poststroke. Topics in Stroke Rehabilitation. Vol 18, No.1 (2011), p.633-642. doi:10.1310/tsr18s01-633 Retrieved from: https://hdl.handle.net/20.500.14740/7411
Abstract
Objectives: To determine clinical characteristics that can be used to identify patients with stroke who can perform light touch contact with a cane during walking, and to determine whether these patients benefit from TC. Methods: A prediction and randomized experimental study was conducted of 62 patients (mean onset time, 43.8 days) who were 59.4 ± 11.2 years. There were 3 conditions of cane usage: force contact (FC), touch contact (TC), and no contact (NC). Clinical characteristics included age, stroke onset duration, gait speed, and Chedoke-McMaster and Fugl-Meyer (FM) Assessment scores. We studied trunk acceleration and activation of tensor fascia latae (TFL), and vastus medialis (VM) muscles during walking using 3 cane conditions. Results: Out of 62 patients, 36 were able to perform TC during walking. These patients benefited from TC as demonstrated by higher trunk stability (compared to NC) and larger paretic VM and TFL activations (compared to FC). FM scale was the only variable that differed between patients who could perform TC and those who could not (P < .00). Analysis of receiver operating characteristics (ROC) revealed that FM scores for balance and lower extremity motor domains (area under ROC = 0.93 and 0.96, respectively) are able to predict the TC group with high accuracy. Calculations using cutoff scores for balance (6.5) or lower extremity (14.5) FM subscales correctly predicted patients who benefited from TC 89% of the time. Conclusion: Balance and lower extremity FM subscales can be used to identify suitable candidates among patients with stroke for implementation of TC in gait rehabilitation. © 2011 Thomas Land Publishers, Inc.
Subject(s)
Adult
Article
Disease duration
Female
Gait
Human
Leg
Major clinical study
Male
Motor activity
Prognosis
Stroke
Tensor fascia lata muscle
Vastus medialis muscle
Walking
Walking aid
Aged
Area Under Curve
Canes
Cues
Data Interpretation, Statistical
Electromyography
Female
Gait Disorders, Neurologic
Humans
Male
Middle Aged
Muscle Strength
Neuropsychological Tests
Pain
Postural Balance
Prognosis
Range of Motion, Articular
Recovery of Function
Stroke
Touch
Treatment Outcome
Article
Disease duration
Female
Gait
Human
Leg
Major clinical study
Male
Motor activity
Prognosis
Stroke
Tensor fascia lata muscle
Vastus medialis muscle
Walking
Walking aid
Aged
Area Under Curve
Canes
Cues
Data Interpretation, Statistical
Electromyography
Female
Gait Disorders, Neurologic
Humans
Male
Middle Aged
Muscle Strength
Neuropsychological Tests
Pain
Postural Balance
Prognosis
Range of Motion, Articular
Recovery of Function
Stroke
Touch
Treatment Outcome