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Oxygen Consumption While Walking With Multijoint Neuromuscular Electrical Stimulation After Stroke
This case study evaluated the effect of implanted multijoint neuromuscular electrical stimulation gait assistance on oxygen consumption relative to walking without neuromuscular electrical stimulation after stroke. The participant walked slowly with an asymmetric gait pattern after stroke. He completed repeated 6-min walk tests at a self-selected walking speed with and without hip, knee, and ankle stimulation assistance. His walking speed with neuromuscular electrical stimulation more than doubled from 0.28 ± 0.01 m/sec to 0.58 ± 0.04 m/sec, whereas average step length and cadence increased by 0.12 m and 24 steps/min, re...
Source: American Journal of Physical Medicine and Rehabilitation - November 22, 2020 Category: Rehabilitation Tags: Case Reports Source Type: research

Effect of types of ankle-foot orthoses on energy expenditure metrics during walking in individuals with stroke: a systematic review.
Conclusions: An AFO can immediately improve energy expenditure metrics of walking in stroke survivors. There is a need for further well-designed randomized trials to evaluate long-term effect of gait training using AFOs and comparison among the different types of orthoses.IMPLICATIONS FOR REHABILITATIONAn AFO can immediately improve the energy expenditure metrics during walking after stroke.Measurement of energetic parameters of walking wearing a orthotic device such as an AFO can evaluate gait economy in stroke populations. PMID: 32432905 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - May 19, 2020 Category: Rehabilitation Authors: Daryabor A, Yamamoto S, Orendurff M, Kobayashi T Tags: Disabil Rehabil Source Type: research

Health system challenges affecting rehabilitation services in South Africa.
This article presents challenges and solutions to ensure that South Africa can meet WHO 2030 Rehabilitation Goals for equitable provision of effective public rehabilitation services using the WHO's health system building block framework. IMPLICATIONS FOR REHABILITATION To meet the challenge of providing rehabilitation for those in need requires country-specific, strategic, evidence-informed, and planned decisions in terms of best investment for highest return. Whilst there is sound international evidence for best-practice rehabilitation care, country-specific strategies are required to identify and address local barriers t...
Source: Disability and Rehabilitation - August 2, 2019 Category: Rehabilitation Authors: Morris LD, Grimmer KA, Twizeyemariya A, Coetzee M, Leibbrandt DC, Louw QA Tags: Disabil Rehabil Source Type: research

Effects of handrail hold and light touch on energetics, step parameters, and neuromuscular activity during walking after stroke
Conclusion: Handrail hold, but not light touch, altered step parameters and was accompanied by a global reduction in muscle activity, with improved timing constancy. This suggests that the use of a handrail allows for a more economic step pattern that requires less muscular activation without resulting in substantial neuromuscular re-organization. Handrail use may thus have beneficial effects on gait economy after stroke, which cannot be accomplished through enhanced somatosensory input alone.
Source: Journal of NeuroEngineering and Rehabilitation - August 23, 2015 Category: Rehabilitation Authors: T. IJmkerC. LamothH. HoudijkM. TolsmaL. van der WoudeA. DaffertshoferP. Beek Source Type: research

Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life: A randomised controlled trial.
CONCLUSION: Early home-based rehabilitation reduced disability and increased quality of life. Compared to standard care, home-based stroke rehabilitation was more cost-effective. PMID: 25758941 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 10, 2015 Category: Rehabilitation Authors: Rasmussen RS, Østergaard A, Kjær P, Skerris A, Skou C, Christoffersen J, Seest LS, Poulsen MB, Rønholt F, Overgaard K Tags: Clin Rehabil Source Type: research