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Contribution of sensory feedback to plantar flexor muscle activation during push-off in adults with cerebral palsy
Exaggerated sensory activity has been assumed to contribute to functional impairment following lesion of the central motor pathway. However, recent studies have suggested that sensory contribution to muscle activity during gait is reduced in stroke patients and children with cerebral palsy (CP). We investigated whether this also occurs in CP adults and whether daily treadmill training is accompanied by alterations in sensory contribution to muscle activity. Seventeen adults with CP and 12 uninjured individuals participated. The participants walked on a treadmill while a robotized ankle-foot orthosis applied unload perturba...
Source: Journal of Neurophysiology - December 1, 2017 Category: Neurology Authors: Frisk, R. F., Jensen, P., Kirk, H., Bouyer, L. J., Lorentzen, J., Nielsen, J. B. Tags: Research Articles Source Type: research

On the Adaptation of Pelvic Motion by Applying 3-dimensional Guidance Forces Using TPAD
Pelvic movement is important to human locomotion as the center of mass is located near the center of pelvis. Lateral pelvic motion plays a crucial role to shift the center of mass on the stance leg, while swinging the other leg and keeping the body balanced. In addition, vertical pelvic movement helps to reduce metabolic energy expenditure by exchanging potential and kinetic energy during the gait cycle. However, patient groups with cerebral palsy or stroke have excessive pelvic motion that leads to high energy expenditure. In addition, they have higher chances of falls as the center ofmass could deviate outside the base o...
Source: IEE Transactions on Neural Systems and Rehabilitation Engineering - September 1, 2017 Category: Neuroscience Source Type: research

Training effects of wheelchair dance on aerobic fitness in bedridden individuals with severe athetospastic cerebral palsy rated to GMFCS level V.
CONCLUSION AND CLINICAL REHABILITATION IMPACT: This is the first study that shows wheelchair dance may possibly increase aerobic fitness in bedridden individuals with severe athetospastic cerebral palsty rated GMFCS level V. Future studies with a larger sample will be warranted to prove the claim. PMID: 28178772 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - February 7, 2017 Category: Rehabilitation Authors: Terada K, Satonaka A, Terada Y, Suzuki N Tags: Eur J Phys Rehabil Med Source Type: research

First-Person Perspective Action Observation Training in Individuals With Parkinson's Disease: A Consideration-of-Concept Controlled Pilot Trial.
CONCLUSIONS: This pilot study suggests that FPP AOT is a feasible intervention and the research protocol designed would be suitable, with minor modifications, for the conduction of a subsequent stage 2 trial designed to verify the hypothesis that the adjunct of FPP AOT might improve motor performance in individuals with IPD. PMID: 27893565 [PubMed - as supplied by publisher]
Source: Physical Therapy - November 22, 2016 Category: Physiotherapy Authors: Giorgi G, Ferrarello F, Merlo F, Fumagalli S, Marchionni N, Di Bari M Tags: J Geriatr Phys Ther Source Type: research

The use of commercial video games in rehabilitation: a systematic review
The aim of this paper was to investigate the effect of commercial video games (VGs) in physical rehabilitation of motor functions. Several databases were screened (Medline, SAGE Journals Online, and ScienceDirect) using combinations of the following free-text terms: commercial games, video games, exergames, serious gaming, rehabilitation games, PlayStation, Nintendo, Wii, Wii Fit, Xbox, and Kinect. The search was limited to peer-reviewed English journals. The beginning of the search time frame was not restricted and the end of the search time frame was 31 December 2015. Only randomized controlled trial, cohort, and observa...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Review article Source Type: research

Pediatric stroke rehabilitation: A review of techniques facilitating motor recovery
Conclusion Rehabilitation of motor deficits following paediatric stroke remains understudied, but a number of promising therapies are emerging.
Source: Annals of Physical and Rehabilitation Medicine - September 20, 2016 Category: Rehabilitation Source Type: research

A Novel Application of Eddy Current Braking for Functional Strength Training During Gait.
In this study, we created a lightweight and wearable device using eddy current braking to provide resistance to the knee. We then validated the device by having subjects wear it during a walking task through varying resistance levels. Electromyography and kinematics were collected to assess the biomechanical effects of the device on the wearer. We found that eddy current braking provided resistance levels suitable for functional strength training of leg muscles in a package that is both lightweight and wearable. Applying resistive forces at the knee joint during gait resulted in significant increases in muscle activation o...
Source: Annals of Biomedical Engineering - January 27, 2016 Category: Biomedical Engineering Authors: Washabaugh EP, Claflin ES, Gillespie RB, Krishnan C Tags: Ann Biomed Eng Source Type: research

Effect of Rhythmic Auditory Stimulation on Hemiplegic Gait Patterns.
CONCLUSION: Gait training with RAS has beneficial effects on both kinematic and temporospatial patterns in patients with hemiplegia, providing not only clinical implications of locomotor rehabilitation with goal-oriented external feedback using RAS but also differential effects according to ambulatory function. PMID: 26446657 [PubMed - in process]
Source: Yonsei Medical Journal - October 9, 2015 Category: Universities & Medical Training Authors: Shin YK, Chong HJ, Kim SJ, Cho SR Tags: Yonsei Med J Source Type: research

Validity and reliability of the 20-m run, horizontal leap, and four-bound tests measuring high-level mobility in neurologically impaired patients
Conclusion The 20-m run, horizontal leap, and four-bound tests are valid and reliable objective measures of HLM when administered in people with neurological conditions.
Source: Hong Kong Physiotherapy Journal - May 29, 2015 Category: Physiotherapy Source Type: research

Recognizing upper limb movements with wrist worn inertial sensors using k-means clustering classification.
Abstract In this paper we present a methodology for recognizing three fundamental movements of the human forearm (extension, flexion and rotation) using pattern recognition applied to the data from a single wrist-worn, inertial sensor. We propose that this technique could be used as a clinical tool to assess rehabilitation progress in neurodegenerative pathologies such as stroke or cerebral palsy by tracking the number of times a patient performs specific arm movements (e.g. prescribed exercises) with their paretic arm throughout the day. We demonstrate this with healthy subjects and stroke patients in a simple pr...
Source: Human Movement Science - December 18, 2014 Category: Neurology Authors: Biswas D, Cranny A, Gupta N, Maharatna K, Achner J, Klemke J, Jöbges M, Ortmann S Tags: Hum Mov Sci Source Type: research

Feature dimensionality reduction for myoelectric pattern recognition: A comparison study of feature selection and feature projection methods
Robotic devices are considered as the leading interactive rehabilitation systems available. Robotic rehabilitation is an effective platform for sensorimotor training in people with different neurological injuries such as hemiparetic stroke, cerebral palsy, multiple sclerosis, Parkinson's disease or spinal cord injury [1–7]. In contrast, advances have been made to build lighter, stronger and more versatile upper-limb powered robotic devices [8–13], relatively little progress has been made on improving the intuitive control of robotic exoskeletons.
Source: Medical Engineering and Physics - October 4, 2014 Category: Biomedical Engineering Authors: Jie Liu Tags: Technical note Source Type: research

Roboterunterstützte und computerbasierte Neurorehabilitation für Kinder: die Geschichte dahinter.
Abstract Impairments of the central motor system can either be congenital (e. g. cerebral palsy) or acquired (e. g. traumatic brain injury, stroke). These lesions are the most frequent morbidities necessitating neuro-rehabilitative measures in childhood. Robot-assisted rehabilitation in combination with virtual reality can complement conventional therapies and provide a task-specific training, with a high number of repetitions over a prolonged time period. The advantage of virtual reality is that it can provide a real time feedback about the patient's performance. Furthermore, challenging virtual scenarios especia...
Source: Praxis - July 1, 2014 Category: Journals (General) Authors: Meyer-Heim A, van Hedel HJ Tags: Praxis (Bern 1994) Source Type: research

Determination of interventions for upper extremity tactile impairment in children with cerebral palsy: a systematic review
This study reviewed interventions suitable for treating tactile dysfunction in children with cerebral palsy (CP). MethodA systematic review was conducted of six databases, searched for population: (‘brain injury’ OR ‘cerebral palsy’ OR ‘stroke’ OR ‘cerebrovascular accident’) and intervention: (‘tactile’ OR ‘sensation’). Inclusion criteria were: (1) published after 1950 in English; (2) participants older than 4 years with brain injury; (3) upper limb intervention; and (4) examined tactile registration or perception. ResultsOf 2938 studies identified, 30 met the inclusion criteria. Results from inclu...
Source: Developmental Medicine and Child Neurology - March 26, 2014 Category: Child Development Authors: Megan L Auld, Remo Russo, G Lorimer Moseley, Leanne M Johnston Tags: Review Source Type: research

Changes in diffusion tensor tractographic findings associated with constraint-induced movement therapy in young children with cerebral palsy
Constraint-induced movement therapy (CIMT) involves the application of constraint applied to the unimpaired upper limb coupled with intensive training of unimanual skills in the hemiplegic arm (Hoare et al., 2007). CIMT has been studied extensively and found to be effective in the treatment of adult hemiparetic stroke (Sirtori et al., 2009). Several randomized clinical trials performed on children with cerebral palsy (CP) also demonstrated immediate gain in the frequency of use and improved movement efficacy of the impaired upper limb (Deppe et al., 2013; Hoare et al., 2007; Rostami and Malamiri, 2012).
Source: Clinical Neurophysiology - March 20, 2014 Category: Neuroscience Authors: Jeong-Yi Kwon, Won Hyuk Chang, Hyun Jung Chang, Sook-Hee Yi, Min-Young Kim, Eun-Hye Kim, Yun-Hee Kim Source Type: research

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