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Specialty: Orthopaedics
Source: Clinical Biomechanics

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Total 74 results found since Jan 2013.

A systematic review of perturbation-based balance training on reducing fall risk among individuals with stroke
The existing evidence does not conclusively support the reduction in falls and improvements in fall risk factors resulting from perturbation-based balance training among people with stroke. Such an inconsistent finding could be due to the small sample sizes and variations in perturbation-based balance training protocols across studies. More high-quality studies are needed to further determine the effects of perturbation-based balance training on reducing fall risk in people with stroke.
Source: Clinical Biomechanics - August 22, 2023 Category: Orthopaedics Authors: Dian é Brown, Caroline Simpkins, Feng Yang Tags: Review Source Type: research

Control of center of mass during gait of stroke patients: Statistical parametric mapping analysis
The statistical parametric mapping approach showed to be suitable for determining gait changes in post-stroke individuals, irrespective of their motor recovery stage.
Source: Clinical Biomechanics - May 25, 2023 Category: Orthopaedics Authors: Nicoly Dominique Scrok Cicarello, Roberta Castilhos Detanico Bohrer, Gisele F. Devetak, Andr é Luiz Felix Rodacki, Ana Paula Cunha Loureiro, Elisangela Ferretti Manffra Source Type: research

Time profile of kinematic synergies of stroke gait.
Despite the sensory-motor deficits and the atypical kinematic behavior, stroke patients can produce joint covariations to control the center of mass trajectory in the forward progression plane, but the modulation of the synergy is impaired, reflecting altered adjustments, especially in the paretic limb of subjects with worse levels of motor recovery.
Source: Clinical Biomechanics - May 12, 2023 Category: Orthopaedics Authors: Gisele Francini Devetak, Roberta Castilhos Detanico Bohrer, Carla Rinaldin, Andr é Luiz Felix Rodacki, Elisangela Ferretti Manffra Source Type: research

A portable visual biofeedback device can accurately measure and improve hip extension angle in individuals post-stroke
Our novel and inexpensive biofeedback method may provide benefit for individuals post-stroke and expand the possibilities for feedback in rehabilitation.
Source: Clinical Biomechanics - April 18, 2023 Category: Orthopaedics Authors: Erica H. Hinton, Russell Buffum, Nick Stergiou, David Kingston, Samuel Bierner, Brian A. Knarr Tags: Short communication Source Type: research

Effect of power training on rate of torque development and spatiotemporal gait parameters post stroke
This study aimed to determine effect of power training on paretic and non-paretic limb torque parameters, spatiotemporal gait parameters, and walking speed in chronic stroke survivors.
Source: Clinical Biomechanics - April 12, 2023 Category: Orthopaedics Authors: Ewan R. Williams, Catherine J. VanDerwerker, Ryan E. Ross, Ellen M. Evans, Chris M. Gregory Source Type: research

Effects of a wearable sensor –based virtual reality game on upper-extremity function in patients with stroke
Interventions based on the PABLO virtual reality system improved upper extremity hand function, shoulder and elbow movements, and elicited a higher degree of enjoyment from study participants, than did traditional treatment.Trials registration: The study protocol was registered at Clinical Trials.gov PRS (No.NCT04296032).
Source: Clinical Biomechanics - March 11, 2023 Category: Orthopaedics Authors: Fen-Ling Kuo, Hsin-Chieh Lee, Tien-Yu Kuo, Yi-Shien Wu, Yi-Shan Lee, Jui-Chi Lin, Shih-Wei Huang Source Type: research

Exploration of arm weight effects on hemiparetic stroke participants' gait performance
This study's exploratory results demonstrate arm weight's potential for improving higher-functioning stroke survivors' gait performance. Arm weight addition merits further investigation as a possible rehabilitation intervention in the stroke population.
Source: Clinical Biomechanics - January 4, 2023 Category: Orthopaedics Authors: Hyung Suk Yang, C. Roger James, Lee T. Atkins, Steven F. Sawyer, Phillip S. Sizer, Neeraj A. Kumar, Nathan E. Burgess, Jongyeol Kim Source Type: research

Instantaneous effect of real-time avatar visual feedback on interlimb coordination during walking post-stroke
Improvements in gait symmetry may be explained by changes in interlimb coordination. Current data and existing literature further suggest that such improvements are largely driven by adaptations in non-paretic leg movements, notably at the hip. By providing real-time information on walking movements not affordable in other ways, avatar-based feedback shows great potential to improve gait symmetry and interlimb coordination post-stroke.
Source: Clinical Biomechanics - November 13, 2022 Category: Orthopaedics Authors: Le Yu Liu, Samir Sangani, Kara K. Patterson, Joyce Fung, Anouk Lamontagne Source Type: research

Characteristics of submental muscles function and hyoid bone movement in patients with dysphagia after stroke
Submental muscles electromyographic signal changes in patients may be the result of uncoordinated muscle contractions and decreased muscle strength. Furthermore, the reduced hyoid movement distance may be due to impaired function of the submental muscles. In addition, the submental muscles and hyoid movement or other swallowing structures functions were impaired to varying degrees, resulting in the disappearance of the correlation between the maximum movement distance of the hyoid and the peak amplitude.
Source: Clinical Biomechanics - September 26, 2022 Category: Orthopaedics Authors: Anli Tang, Xuexian Chen, Jingjing Ma, Ruiyun Xu, Ziqiong Luo, JiaLi Chen, Xuefei Zhang, Hongrui Zhan, Wen Wu Source Type: research

Ankle stiffness modulation during different gait speeds in individuals post-stroke
Individuals post-stroke did not modulate their ankle quasi-stiffness with increased speed, but across individuals there was a positive relationship between ankle quasi-stiffness and both speed and peak propulsion. Walking speed and propulsion are limited in individuals post-stroke, therefore, improving either could lead to a higher functional status. Understanding post-stroke ankle stiffness may be important in the design of therapeutic interventions and exoskeletons, where these devices augment the biological ankle quasi-stiffness to improve walking performance.
Source: Clinical Biomechanics - September 8, 2022 Category: Orthopaedics Authors: Erica H. Hinton, Aaron Likens, Hao-Yuan Hsiao, Benjamin I. Binder-Markey, Stuart A. Binder-Macleod, Brian A. Knarr Source Type: research

Contribution of stroke-related changes in neuromuscular factors to gear ratio during isometric contraction of medial gastrocnemius muscle: A simulation study
Our findings provide insight that the pennation angle may play an important role for efficient muscular contraction, implying that maintaining muscle architecture and/or improving fiber/fascicle rotation could a key goal in rehabilitation interventions. Our findings will help us to better interpret altered gearing behavior in aging and pathological muscles.
Source: Clinical Biomechanics - August 22, 2022 Category: Orthopaedics Authors: Jongsang Son, William Z. Rymer Source Type: research

Structural and passive mechanical properties of the medial gastrocnemius muscle in ambulatory individuals with chronic stroke
Although muscle mechanical properties increased exponentially over the slack ankle, measures between paretic and non-paretic sides were similar in ambulating participants with chronic stroke. Side-to-side differences in structural and morphological measures suggest the impact of stroke was relatively more pronounced for these muscle parameters than for passive mechanical properties.
Source: Clinical Biomechanics - May 16, 2022 Category: Orthopaedics Authors: Meizhen Huang, Tiev Miller, Siu Ngor Fu, Michael T.C. Ying, Marco Y.C. Pang Source Type: research

Differences in paretic lower limb loading and fluidity in sit-to-walk according to selection of the leading limb in individuals with stroke
Sit-to-walk with the paretic leading limb seems to be an adaptive movement because many participants preferred leading with the paretic limb. However, selection of the leading limb in sit-to-walk involves a biomechanical tradeoff between paretic limb loading at seat-off and movement fluidity in individuals with stroke. Use of the paretic leading limb requires loading capacity of this limb, and the non-paretic leading limb must have high balance ability to merge sit-to-stand and gait initiation.
Source: Clinical Biomechanics - April 1, 2022 Category: Orthopaedics Authors: Yuji Osada, Naoyuki Motojima, Yosuke Kobayashi, Sumiko Yamamoto Source Type: research

The effect of three dimensional printing hinged ankle foot orthosis for equinovarus control in stroke patients
Dynamic plantar pressure measurement is useful for evaluation of equinovarus deformity in hemiplegic stroke patients. Wearing 3D printed ankle foot orthosis increase plantar pressure in medial midfoot area. And medial midfoot contact area is also more symmetry.
Source: Clinical Biomechanics - March 11, 2022 Category: Orthopaedics Authors: Jimmy Chun-Ming Fu, Yi-Jen Chen, Cyuan-Fong Li, Yu-Hsuan Hsiao, Chia-Hsin Chen Source Type: research

Does the stimulus provoking a stepping reaction correlate with step characteristics and clinical measures of balance and mobility post-stroke?
These results support objective measurement of centre of mass to quantify the stimulus influencing step dynamics and stepping performance during retraining interventions following stroke.
Source: Clinical Biomechanics - February 13, 2022 Category: Orthopaedics Authors: Adrian K.M. Lai, James M. Wakeling, S. Jayne Garland, Michael A. Hunt, Tanya D. Ivanova, Courtney L. Pollock Source Type: research