Résultat de la recherche
123 résultat(s) recherche sur le mot-clé 'Gait' 



Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients / Tina Baetens in Archives of Physical Medicine and Rehabilitation, 2013/4 (2013)
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Titre : Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients Type de document : Article Auteurs : Tina Baetens ; Alexandra De Kegel ; Tanneke Palmans ; [et al.] Article en page(s) : pp. 680-686 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Rééducation et réadaptationMots-clés : Accidental falls Chutes accidentelles Gait Démarche Stroke Résumé : "Objectives
To evaluate fall risk in stroke patients based on single- and dual-task gait analyses, and to investigate the difference between 2 cognitive tasks in the dual-task paradigm.
Design
Prospective cohort study.
Setting
Rehabilitation hospitals.
Participants
Subacute stroke patients (N=32), able to walk without physical/manual help with or without walking aids, while performing a verbal task.
Interventions
Not applicable.
Main Outcome Measures
Functional gait measures were Functional Ambulation Categories (FAC) and use of a walking aid. Gait measures were evaluated by an electronic walkway system under single- and dual-task (DT) conditions. For the single-task, subjects were instructed to walk at their usual speed. One of the DTs was a verbal fluency dual task, whereby subjects had to walk while simultaneously enumerating as many different animals as possible. For the other DT (counting dual task), participants had to walk while performing serial subtractions. After inclusion, participants kept a 6-month falls diary.
Results
Eighteen (56.3%) of the 32 included patients fell. Ten (31.3%) were single fallers (SFs), and 8 (25%) were multiple fallers (MFs). Fallers (Fs) more frequently used a walking aid and more frequently needed an observatory person for walking safely (FAC score of 3) than nonfallers (NFs). Two gait decrement parameters in counting dual task could distinguish potential Fs from NFs: decrement in stride length percentage (P=.043) and nonparetic step length percentage (P=.047). Regarding the division in 3 groups (NFs, SFs, and MFs), only MFs had a significantly higher percentage of decrement for paretic step length (P=.023) than SFs.
Conclusions
Examining the decrement of spatial gait characteristics (stride length and paretic and nonparetic step length) during a DT addressing working memory can identify fall-prone subacute stroke patients."Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117415
in Archives of Physical Medicine and Rehabilitation > 2013/4 (2013) . - pp. 680-686[article]Gait deviations associated with plantar heel pain / Adam Philips in Clinical Biomechanics, Vol. 42 (2017)
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Titre : Gait deviations associated with plantar heel pain : A systematic review Type de document : Article Auteurs : Adam Philips ; Shane McClinton Article en page(s) : pp. 55-64 Langues : Anglais (eng) Mots-clés : Fasciitis Plantar Fasciite plantaire Walking Marche à pied Gait Démarche Résumé : Background
Plantar heel pain is a common foot disorder associated with significant pain and gait-related disability. The aim of this systematic review was to identify gait deviations associated with plantar heel pain.
Methods
A systematic review of articles with quantitative gait variables in individuals with plantar heel pain was conducted using the CINAHL, MEDLINE, Scopus, and Embase databases. Methodological quality was assessed using the modified Downs and Black criteria and used along with the number of studies per gait variable to determine level of evidence.
Findings
Nineteen articles were included. There was strong evidence that stance phase duration is unchanged. There was moderate to strong evidence of decreased rearfoot center of pressure duration, impulse, and peak vertical ground reaction force at loading response. In compensation there was increased contact time of the midfoot and forefoot, increased midfoot and forefoot impulse, delayed time to the mid-stance vertical ground reaction force valley, and decreased peak force at terminal stance. The only quantitative measure of pronation/supination included limited evidence of increased medial forefoot and rearfoot inversion-eversion total mobility, and medial forefoot plantar flexion.
Interpretation
Studies included in this review identified specific foot and ankle gait deviations in individuals with plantar heel pain compared to asymptomatic cases or limbs. The variables identified in this review may be used to assist in identifying movement-related gait dysfunction for treatment decisions or as outcome measures of recovery. Additional research is needed to increase confidence and clinical relevance of gait variables used to assess and treat individuals with PHP.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=155697
in Clinical Biomechanics > Vol. 42 (2017) . - pp. 55-64[article]Exemplaires (1)
Cote Support Localisation Section Disponibilité CliBio 2017 P2017/2 Périodique papier Woluwe Revues-W Consultation sur place uniquement
Exclu du prêtGait Retraining With Real-Time Biofeedback to Reduce Knee Adduction Moment: Systematic Review of Effects and Methods Used / Rosie Richards in Archives of Physical Medicine and Rehabilitation, 2017/1 (2017)
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Titre : Gait Retraining With Real-Time Biofeedback to Reduce Knee Adduction Moment: Systematic Review of Effects and Methods Used Type de document : Article Auteurs : Rosie Richards ; Josien C. van den Noort ; Joost Dekker Article en page(s) : pp. 137-150 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Genou ; Rééducation et réadaptationMots-clés : Gait Démarche Osteoarthritis Knee Résumé : Objective
To review the current literature regarding methods and effects of real-time biofeedback used as a method for gait retraining to reduce knee adduction moment (KAM), with intended application for patients with knee osteoarthritis (KOA).
Data Sources
Searches were conducted in MEDLINE, Embase, CINAHL, SPORTDiscus, Web of Science, and Cochrane Central Register of Controlled Trials with the keywords gait, feedback, and knee osteoarthritis from inception to May 2015.
Study Selection
Titles and abstracts were screened by 1 individual for studies aiming to reduce KAM. Full-text articles were assessed by 2 individuals against predefined criteria.
Data Extraction
Data were extracted by 1 individual according to a predefined list, including participant demographics and training methods and effects.
Data Synthesis
Electronic searches resulted in 190 potentially eligible studies, from which 12 met all inclusion criteria. Within-group standardized mean differences (SMDs) for reduction of KAM in healthy controls ranged from .44 to 2.47 and from .29 to .37 in patients with KOA. In patients with KOA, improvements were reported in pain and function, with SMDs ranging from .55 to 1.16. Methods of implementation of biofeedback training varied between studies, but in healthy controls increased KAM reduction was noted with implicit, rather than explicit, instructions.
Conclusions
This review suggests that biofeedback gait training is effective primarily for reducing KAM but also for reducing pain and improving function in patients with KOA. The review was limited by the small number of studies featuring patients with KOA and the lack of controlled studies. The results suggest there is value and a need in further researching biofeedback training for reducing KAM. Future studies should include larger cohorts of patients, long-term follow-up, and controlled trials.DOI : https://doi.org/10.1016/j.apmr.2016.07.006 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117847
in Archives of Physical Medicine and Rehabilitation > 2017/1 (2017) . - pp. 137-150[article]Gait Training in Acute Spinal Cord Injury RehabilitationUtilization and Outcomes Among Nonambulatory Individuals: Findings From the SCIRehab Project / Stephanie Rigot in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 8 (2018)
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Titre : Gait Training in Acute Spinal Cord Injury RehabilitationUtilization and Outcomes Among Nonambulatory Individuals: Findings From the SCIRehab Project Type de document : Article Auteurs : Stephanie Rigot ; Lynn Worobey ; Michael L. Boninger Article en page(s) : p. 1591-1598 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Early ambulation Lever précoce Gait Démarche Spinal cord injuries Résumé : Objectives
To investigate the relation of gait training (GT) during inpatient rehabilitation (IPR) to outcomes of people with traumatic spinal cord injury (SCI).
Design
Prospective observational study using the SCIRehab database.
Setting
Six IPR facilities.
Participants
Patients with new SCI (N=1376) receiving initial rehabilitation.
Interventions
Patients were divided into groups consisting of those who did and did not receive GT. Patients were further subdivided based on their primary mode of mobility as measured by the FIM.
Main Outcome Measures
Pain rating scales, Patient Health Questionnaire Mood Subscale, Satisfaction With Life Scale, and Craig Handicap Assessment and Reporting Technique (CHART).
Results
Nearly 58% of all patients received GT, including 33.3% of patients who were primarily using a wheelchair 1 year after discharge from IPR. Those who used a wheelchair and received GT, received significantly less transfer and wheeled mobility training (P<.001 chart physical independence mobility and occupation scores were significantly worse in patients who used a wheelchair at year received gt compared with those did not receive ipr. older age was also significant predictor of participation as measured by the chart.> Conclusions
A significant percentage of individuals who are not likely to become functional ambulators are spending portions of their IPR stays performing GT, which is associated with less time allotted for other functional interventions. GT in IPR was also associated with participation deficits at 1 year for those who used a wheelchair, implying the potential consequences of opportunity costs, pain, and psychological difficulties of receiving unsuccessful GT. Clinicians should consider these data when deciding to implement GT during initial IPR.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118879
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 8 (2018) . - p. 1591-1598[article]Kinesthetic imagery of gait in advanced Parkinsons disease / Audrey Maillet in Science et motricité, 2013/4 (2013)
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Titre : Kinesthetic imagery of gait in advanced Parkinsons disease Titre traduit : Imagerie kinesthésique de la marche chez des patients parkinsoniens Type de document : Article Auteurs : Audrey Maillet ; Valérie Fraix ; Stéphane Thobois ; [et al.] Année de publication : 2013 Article en page(s) : pp. 115-128 Langues : Français (fre) Langues originales : Anglais (eng) Descripteurs : HE Vinci
Maladie de ParkinsonMots-clés : Parkinson Disease Démarche Gait Troubles neurologiques de la marche Gait Disorders Neurologic Lévodopa Cinesthésie Kinesthesis Résumé : De nombreux travaux associent limagerie motrice aux techniques dimagerie cérébrale pour explorer les bases neurales du mouvement. Cependant, lengagement réel des participants dans la tâche dintérêt, ainsi que la modalité de représentation mentale utilisée, ne sont pas systématiquement contrôlés. Or, la pratique dune imagerie kinesthésique, durant laquelle le sujet doit ressentir les conséquences sensorielles de laction, est préconisée pour examiner les circuits cérébraux du contrôle moteur. La présente étude avait ainsi pour objectif dévaluer laptitude de dix-huit patients parkinsoniens souffrant de troubles locomoteurs à imaginer leur marche selon cette perspective, mais aussi leffet du traitement dopaminergique sur cette faculté. Nous rapportons une capacité dimagerie kinesthésique préservée chez ces derniers, indépendamment de la prise du médicament. Il a aussi été constaté, chez certains patients sous traitement, une dissociation entre les durées de marche réelle et imaginée. Ces résultats attestent donc de la possibilité dutiliser un protocole contrôlé dimagerie motrice pour étudier les corrélats neuronaux des troubles de la marche de la maladie de Parkinson, mais aussi de lintérêt de cette méthode en tant quoutil de rééducation thérapeutique. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=143302
in Science et motricité > 2013/4 (2013) . - pp. 115-128[article]Exemplaires (1)
Cote Support Localisation Section Disponibilité SciMot 2013 P2013/4 Périodique papier Woluwe Revues-W Consultation sur place uniquement
Exclu du prêtMechanisms of compensation in the gait of patients with drop foot / Michalina Blazkiewicz in Clinical Biomechanics, Vol. 42 (2017)
PermalinkAffordable clinical gait analysis: An assessment of the marker tracking accuracy of a new low-cost optical 3D motion analysis system / Bruce Carse in Physiotherapy, 2013/4 (2013)
PermalinkAre Changes in Gait and Balance Across the Disease Step Rating Scale in Multiple Sclerosis Statistically Significant and Clinically Meaningful? / Katrina L. Williams in Archives of Physical Medicine and Rehabilitation, 2016/9 (2016)
PermalinkAssessing Gait Variability in Transtibial Amputee Fallers Based on Spatial-Temporal Gait Parameters Normalized for Walking Speed / Brenton G. Hordacre in Archives of Physical Medicine and Rehabilitation, 2015/6 (2015)
PermalinkAutomated Mechanical Peripheral Stimulation Effects on Gait Variability in Individuals With Parkinson Disease and Freezing of Gait: A Double-Blind, Randomized Controlled Trial / Ana Francisca Rozin Kleiner in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 12 (2018)
PermalinkBiomechanical and Clinical Correlates of Swing-Phase Knee Flexion in Individuals With Spastic Cerebral Palsy Who Walk With Flexed-Knee Gait / Dong-Wook Rha in Archives of Physical Medicine and Rehabilitation, 2015/3 (2015)
PermalinkChanges in gait characteristics of women with early and established medial knee osteoarthritis / Armaghan Mahmoudian in Clinical Biomechanics, Vol. 50 (2017)
PermalinkChanges in Gait Pattern and Hip Muscle Strength After Open Reduction and Internal Fixation of Acetabular Fracture / Masafumi Kubota in Archives of Physical Medicine and Rehabilitation, 2012/11 (2012)
PermalinkComparison of the International Committee of the Red Cross Foot With the Solid Ankle Cushion Heel Foot During Gait: A Randomized Double-Blind Study / Katia Turcot in Archives of Physical Medicine and Rehabilitation, 2013/8 (2013)
PermalinkCoordination of Dynamic Balance During Gait Training in People With Acquired Brain Injury / R.A. Clark in Archives of Physical Medicine and Rehabilitation, 2012/4 (2012)
PermalinkCueing and Gait Improvement Among People With Parkinson's Disease: A Meta-Analysis / Sandi G. Spaulding in Archives of Physical Medicine and Rehabilitation, 2013/3 (2013)
PermalinkDual-Task Effect on Gait Balance Control in Adolescents With Concussion / David Howell in Archives of Physical Medicine and Rehabilitation, 2013/8 (2013)
PermalinkEffect of Chemodenervation of the Rectus Femoris Muscle in Adults With a Stiff Knee Gait Due to Spastic Paresis: A Systematic Review With a Meta-Analysis in Patients With Stroke / Martin J. Tenniglo in Archives of Physical Medicine and Rehabilitation, 2014/3 (2014)
PermalinkEffect of Cue Timing and Modality on Gait Initiation in Parkinson Disease With Freezing of Gait / Chiahao Lu in Archives of Physical Medicine and Rehabilitation, 2017/7 (2017)
PermalinkEffect of a Mixed Kinesio TapingCompression Technique on Quality of Life and Clinical and Gait Parameters in Postmenopausal Women With Chronic Venous Insufficiency: Double-Blinded, Randomized Controlled Trial / María Encarnación Aguilar-Ferrándiz in Archives of Physical Medicine and Rehabilitation, 2014/7 (2014)
PermalinkEffect of Rhythmic Auditory Cueing on Gait in People With Alzheimer Disease / Joanne E. Wittwer in Archives of Physical Medicine and Rehabilitation, 2013/4 (2013)
PermalinkEffect of textured insoles on balance and gait in people with multiple sclerosis: an exploratory trial / J. Dixon in Physiotherapy, 2014/2 (2014)
PermalinkEffects of diabetic peripheral neuropathy on gait in vascular trans-tibial amputees / Hiroshi Nakajima in Clinical Biomechanics, Vol. 56 (July 2018)
PermalinkEffects of different focus of attention rehabilitative training on gait performance in Multiple Sclerosis patients / Mohsen Shafizadeh in Journal of Bodywork and Movement Therapies, 2013/1 (2013)
PermalinkEffects of Electromechanical Exoskeleton-Assisted Gait Training on Walking Ability of Stroke Patients: A Randomized Controlled Trial / Yeon-Gyo Nam in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 1 (2019)
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