Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy
Objectives: (1) To assess the effects of a conventional, delayed physiotherapy protocol used by Ischemic Stroke (IS) and Hemorrhagic Stroke (HS) post-stroke patients, in their electromyographic activation patterns during hemiparetic gait; and (2) to study whether this protocol may improve the functi...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
World Scientific Publishing
2021-12-01
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| Series: | Hong Kong Physiotherapy Journal |
| Subjects: | |
| Online Access: | http://www.worldscientific.com/doi/epdf/10.1142/S1013702521500074 |
| _version_ | 1818872135964164096 |
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| author | Bianca Callegari Daniela Rosa Garcez Alex Tadeu Viana da Cruz Júnior Aline do Socorro Soares Cardoso Almeida Skarleth Raissa Andrade Candeira Nathalya Ingrid Cardoso do Nascimento Ketlin Jaquelline Santana de Castro Ramon Costa de Lima Tatiana Generoso Campos Pinho Barroso Givago da Silva Souza Anselmo de Athayde Costa e Silva |
| author_facet | Bianca Callegari Daniela Rosa Garcez Alex Tadeu Viana da Cruz Júnior Aline do Socorro Soares Cardoso Almeida Skarleth Raissa Andrade Candeira Nathalya Ingrid Cardoso do Nascimento Ketlin Jaquelline Santana de Castro Ramon Costa de Lima Tatiana Generoso Campos Pinho Barroso Givago da Silva Souza Anselmo de Athayde Costa e Silva |
| author_sort | Bianca Callegari |
| collection | DOAJ |
| description | Objectives: (1) To assess the effects of a conventional, delayed physiotherapy protocol used by Ischemic Stroke (IS) and Hemorrhagic Stroke (HS) post-stroke patients, in their electromyographic activation patterns during hemiparetic gait; and (2) to study whether this protocol may improve the functional abilities in this population.
Methods: This is an observational, descriptive, and analytical quasi-experimental trial. Forty patients with unilateral IS (n=25) and HS (n=15) stroke were recruited; the stroke involved the motor cortex or sub-cortical areas, and the patients were able to walk independently. Interventions with standard protocols of physiotherapy were carried out. Evaluations (clinical and gait assessment) were performed at the time of admission and at the end of the protocol. Outcome measures include Stroke Impact Scale, Timed Up and Go Test, and gait electromyographic evaluation.
Results: Only IS patients (with an average of 124.4±45.4 months delayed access to physiotherapy rehabilitation) had improvements in Timed Up and Go Test (change in speed=−8.0seg p<0.05) and presented an anticipation of the onset in Upper leg muscles after the intervention. BF (p=0.05), ST (p=0.001), and RF (p=0.024), started their recruitment (onset) earlier at the swing phase of the gait cycle, which is more similar to the normal pattern (grey shadow). IS and HS (120.4±28.4 months since last stroke) patients presented higher electromyographic activation, after physiotherapy, of the posterior leg muscles (gastrocnemius, semitendinosus and biceps femoris) during stance phase (p<0.05).
Conclusion: IS patients had improvements after delayed conventional physiotherapy. For HS limited response to intervention was observed. |
| first_indexed | 2024-12-19T12:34:00Z |
| format | Article |
| id | doaj.art-24dd4f5a8921478e9264110f0130e2d9 |
| institution | Directory Open Access Journal |
| issn | 1013-7025 1876-441X |
| language | English |
| last_indexed | 2024-12-19T12:34:00Z |
| publishDate | 2021-12-01 |
| publisher | World Scientific Publishing |
| record_format | Article |
| series | Hong Kong Physiotherapy Journal |
| spelling | doaj.art-24dd4f5a8921478e9264110f0130e2d92022-12-21T20:21:12ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70251876-441X2021-12-01412778710.1142/S101370252150007410.1142/S1013702521500074Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapyBianca Callegari0Daniela Rosa Garcez1Alex Tadeu Viana da Cruz Júnior2Aline do Socorro Soares Cardoso Almeida3Skarleth Raissa Andrade Candeira4Nathalya Ingrid Cardoso do Nascimento5Ketlin Jaquelline Santana de Castro6Ramon Costa de Lima7Tatiana Generoso Campos Pinho Barroso8Givago da Silva Souza9Anselmo de Athayde Costa e Silva10Laboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, BrazilUniversity Hospital Bettina Ferro de Souza, Federal University of Pará R. Augusto Correˆa, n1, 66075-110, Belém, Pará, BrazilLaboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, BrazilLaboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, BrazilLaboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, BrazilLaboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, BrazilNeuroscience and Cell Biology Graduate Program, Federal University of Pará R. Augusto Corrêa, n 1, 66075-110, Belém, Pará, BrazilNeuroscience and Cell Biology Graduate Program, Federal University of Pará R. Augusto Corrêa, n 1, 66075-110, Belém, Pará, BrazilLaboratory of Human Motricity Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, BrazilTropical Medicine Center, Federal University of Pará Av. Generalíssimo Deodoro 92, 66050-240, Belém, Pará, BrazilMaster’s Program in Human Movement Sciences, Federal University of Pará Av. Generalíssimo Deodoro 01, 66050-160, Belém, Pará, BrazilObjectives: (1) To assess the effects of a conventional, delayed physiotherapy protocol used by Ischemic Stroke (IS) and Hemorrhagic Stroke (HS) post-stroke patients, in their electromyographic activation patterns during hemiparetic gait; and (2) to study whether this protocol may improve the functional abilities in this population. Methods: This is an observational, descriptive, and analytical quasi-experimental trial. Forty patients with unilateral IS (n=25) and HS (n=15) stroke were recruited; the stroke involved the motor cortex or sub-cortical areas, and the patients were able to walk independently. Interventions with standard protocols of physiotherapy were carried out. Evaluations (clinical and gait assessment) were performed at the time of admission and at the end of the protocol. Outcome measures include Stroke Impact Scale, Timed Up and Go Test, and gait electromyographic evaluation. Results: Only IS patients (with an average of 124.4±45.4 months delayed access to physiotherapy rehabilitation) had improvements in Timed Up and Go Test (change in speed=−8.0seg p<0.05) and presented an anticipation of the onset in Upper leg muscles after the intervention. BF (p=0.05), ST (p=0.001), and RF (p=0.024), started their recruitment (onset) earlier at the swing phase of the gait cycle, which is more similar to the normal pattern (grey shadow). IS and HS (120.4±28.4 months since last stroke) patients presented higher electromyographic activation, after physiotherapy, of the posterior leg muscles (gastrocnemius, semitendinosus and biceps femoris) during stance phase (p<0.05). Conclusion: IS patients had improvements after delayed conventional physiotherapy. For HS limited response to intervention was observed.http://www.worldscientific.com/doi/epdf/10.1142/S1013702521500074strokeagesurface electromyographygaitphysiotherapy |
| spellingShingle | Bianca Callegari Daniela Rosa Garcez Alex Tadeu Viana da Cruz Júnior Aline do Socorro Soares Cardoso Almeida Skarleth Raissa Andrade Candeira Nathalya Ingrid Cardoso do Nascimento Ketlin Jaquelline Santana de Castro Ramon Costa de Lima Tatiana Generoso Campos Pinho Barroso Givago da Silva Souza Anselmo de Athayde Costa e Silva Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy Hong Kong Physiotherapy Journal stroke age surface electromyography gait physiotherapy |
| title | Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy |
| title_full | Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy |
| title_fullStr | Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy |
| title_full_unstemmed | Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy |
| title_short | Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy |
| title_sort | gait patterns in ischemic and hemorrhagic post stroke patients with delayed access to physiotherapy |
| topic | stroke age surface electromyography gait physiotherapy |
| url | http://www.worldscientific.com/doi/epdf/10.1142/S1013702521500074 |
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