Objective. The aim of the paper is to present various relatively simple functional electrical stimulation (FES) systems that affect neural circuits and reflex behavior by providing necessary peripheral input to the lower extremities of incomplete spinal cord injured (SCI) persons. Methods. The proposed FES re-education walking systems make use of feedback information that is transmitted from the paralyzed limb to the nonparalyzed part of the patient's body. A single gait variable can be analogously transmitted to the walking subject in a form of sensory stimulation. The information about several gait variables can be first integrated and afterwards delivered to the walking subject as a single command. Conclusions. Significant improvements in the duration of the double support phase, metabolic energy expenditure, and physiologic cost index were observed when using FES-assisted training of walking in incomplete SCI persons.
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http://dx.doi.org/10.1046/j.1525-1403.2000.00167.x | DOI Listing |
Geriatr Nurs
January 2025
Universidad de San Martin de Porres, Facultad de Medicina Humana, Centro de Investigación del Envejecimiento, Lima, Perú.
Objective: The present study aims to analyze the effectiveness of a gait re-education program using a sequential square mat (Tapiz Fisior®, in advance SSM Fisior®) in aspects related to mobility, balance, muscle strength, and gait of elderly people.
Methods: The intervention lasted eight weeks through progressive resistance training designed specifically for older people, with an approximate duration of 30-40 min, and was carried out three times a week on non-consecutive days using the SSM Fisior®.
Result: The intervention improved gait, balance, physical performance, lower limb strength, and walking speed.
Sensors (Basel)
May 2024
Department of Rehabilitation and Physiotherapy, University of Medical Sciences, 28 Czerwca 1956 Str., No 135/147, 60-545 Poznań, Poland.
(1) Background: The study aimed to determine the most important activities of the knee joints related to gait re-education in patients in the subacute period after a stroke. We focused on the tests that a physiotherapist could perform in daily clinical practice. (2) Methods: Twenty-nine stroke patients (SG) and 29 healthy volunteers (CG) were included in the study.
View Article and Find Full Text PDFJ Sport Rehabil
July 2024
Rehabilitation Center, Apostolo Foundation, Merate, Italy.
Context: Sport-related dystonia is a rare form of activity-specific dystonia that can severely impair an athlete's ability to perform. Due to a lack of data on the condition, it is difficult to diagnose and often overlooked, and no gold standard treatment has yet been defined.
Case Presentation: We present a rare and challenging case of sport-related dystonia that affected a 24-year-old male professional soccer player.
Cureus
September 2023
Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Osteoarthritis (OA) of the hip is a rare condition that occurs in adults can be a result of avascular necrosis or a history of steroids that can wear away the articulating cartilage of the hip joint causing friction, pain in the groin region, stiffness, and decreased functional mobility. We present a 30-year-old adult who came with chief complaints of pain in the groin region, stiffness, difficulty in walking, and experiencing pain while walking, which had reduced his activity of daily living. The investigation was done, and the patient was diagnosed with bilateral hip OA secondary to avascular necrosis.
View Article and Find Full Text PDFJ Appl Biomech
February 2024
Sydney School of Health Sciences, Faculty of Medicine and Health, Sydney Musculoskeletal Health, The University of Sydney, Sydney, NSW, Australia.
We aimed to investigate the effects of delivering 3 gait retraining interventions (toe-in, toe-out, and placebo gait) on proxy measures of medial knee load (early- and late-stance peak knee adduction moment [KAM], KAM impulse, and varus thrust) in people with knee osteoarthritis, using a hybrid model of face-to-face and telehealth-delivered sessions over 5 months. This was an originally planned 3-arm randomized placebo-controlled clinical trial. However, during the 2021 COVID-19 outbreak and lockdown in Sydney, Australia, the study became a pilot randomized controlled trial with the remainder of interventions delivered via telehealth.
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