Effect of bilateral step-up and -down training on motor function in a person with hemiparesis: a case report.
Effect of bilateral step-up and -down training on motor function in a person with hemiparesis: a case report.
Physiother Theory Pract. 2014 Apr 3;
Authors: Ko M, Hilgenberg S, Hasson SM, Braden HJ
Abstract
Abstract Gait training to facilitate the use of the paretic limb for persons with hemiparesis continues to be of interest to those in the clinical research domain. The purpose of this case report was to assess the outcomes of a repeated step-up and -down treatment, initiating with the paretic limb, on functional mobility, endurance and gait kinematic parameters in a person with hemiparesis. The participant was an 85-year-old female 3 years status post left hemiparesis, who reported overall good health. The participant was asked to step up on a 1-inch height wood box with her paretic limb. Once both feet were on top of the box, the participant initiated descent also with her paretic limb. The height of the box gradually progressed to 5 inches based on the participant's performance and tolerance. A metronome was used to facilitate rhythmic lower extremity movement patterns. The training duration for each treatment session was 7-15 min/day. The participant completed nine sessions spanning over 3 weeks. The outcome measure used to identify motor recovery was the Fugl-Myer (lower extremity). In addition, the timed up and go (TUG), the 6-min walk test (6 MWT) and gait kinematics were assessed to examine mobility and gait. The Fugl-Myer...
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Ko M, Hilgenberg S, Hasson SM, Braden HJ Tags: Physiother Theory Pract Source Type: research