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Side does not matter in healthy young and older individuals - Examining the importance of how we match limbs during gait studies
Gait is a basic requirement of daily life, and a major determinant of independence and quality of life [1]. However, gait is frequently impaired by a variety of musculoskeletal and neurological conditions, or surgical intervention (e.g. osteoarthritis, Parkinson ’s, stroke, total knee arthroplasty, etc.). In rehabilitation, gait receives a lot of attention due to its importance on restoring patients’ independence [2]. To understand how gait changes from impairment to rehabilitation, it is often necessary to use healthy individuals as a comparison.
Source: Gait and Posture - October 9, 2018 Category: Orthopaedics Authors: Erik Kowalski, Danilo S. Catelli, Mario Lamontagne Source Type: research

Robotic rehabilitation effect on upper limb recovery in post-acute stroke
Introduction: In the last decade, neurorehabilitation robotic technologies have become widely spread and scientific evidence of their clinical effectiveness has increased [1]. Functional recovery of the upper limb is one of the main rehabilitation goals for post stroke hemiplegic patients and the use of robotic technologies is recommended in stroke guidelines [2]. The main objective of this study is to evaluate the robotic training effect on the upper limb neuromotor outcome after stroke. In addition, another aim is to evaluate the potential effect on motor recovery speed during the hospitalization time.
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: D. Quaglia, M. Gasperi, R. Coser, G. Grisenti, M. Scartozzi, E. Girardi, N. Mazzini Source Type: research

Impact of gait analysis (GA) on treatment appropriateness in stroke patients with stiff knee gait
Introduction: Stiff Knee Gait (SKG) is the second most frequent lower limb deformity in stroke survivors. It is typically treated by means of inhibition of quadriceps femoris (QF) muscles by botulinum toxin, because of the presence of QF spasticity at the clinical evaluation [1]. Gait analysis (GA)-based studies showed that the inadequate ankle push-off (APO) can result in SKG, too [2]. We recently presented an algorithm, based on GA data, that differentiates the individual's main cause of SKG between SKG consequent to QF spasticity (SKGQF) and SKG consequent to the lack of APO (SKGAPO) [3].
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: A. Merlo, S. Scaltriti, R. Iotti, B. Damiano, I. Campanini Source Type: research

Dynamic Balance during level walking in patients affected by Multiple Sclerosis, Stroke and Parkinson's disease
Introduction: Balance disorders are a common feature in patients affected by Multiple Sclerosis (MS), Stroke (ST) and Parkinson's disease (PD) generally conditioning their walking ability. These persons adopt a gait strategy that help them preventing falls. Maintaining of this stable gait require balance control, where sensory feedback is integrated to sense the position and the velocity of Center of Mass (CoM) [1]. On the basis of this information a dynamic balance is reached and maintained with appropriated foot placement to stabilize and redirect the CoM.
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: T. Lencioni, D. Anastasi, I. Carpinella, A. Castagna, A. Crippa, E. Gervasoni, A. Marzegan, M. Rabuffetti, D. Cattaneo, M. Ferrarin Source Type: research

The use of kinematic robotic indices to predict motor outcome in upper limb treatment of stroke patients
Introduction: Upper limb rehabilitation in stroke patients is currently open to debate. Robotic therapy proved to be effective in ensuring intensive and highly repetitive treatment, but also in providing quantitative assessments that are useful from a clinical point of view. The advantage of robotic measurements consists in recording objectively the characteristics of the movement and using them as indices of progress in motor recovery [1]. Our study aims to verify the predictability of motor outcome using robotic kinesiological indices of upper limb in patients with chronic phase stroke, in order to customize rehabilitati...
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: G. Lamola, M. Barsotti, E. Sotgiu, C. Procopio, A. Frisoli, C. Chisari Source Type: research

Efficacy of Robotic-Assisted Gait Training in sub-acute stroke patients: An Italian bi-centre study
Introduction: Over the last years, the introduction of robotic technologies in gait rehabilitation of stroke patients has had a greatest interest. Some studies have been conducted to assess the effects of robot-assisted training compared to gait conventional rehabilitation in sub-acute stroke patients. The main results were obtained in studies that used robotic exoskeletons or treadmill training with partial body weight support and only few papers used end-effector device [1]. To date, there are very few studies that have used gait analysis to show improvements in gait parameters after gait rehabilitation in sub-acute stroke patients [2].
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: C. Iacovelli, M. Franceschini, A. Cruciani, C. Simbolotti, M. Goffredo, C. Pecchioli, L. Padua, D. Galafate, S. Pournajaf, I. Aprile Source Type: research

Long-lasting actigraphic monitoring of the upper and lower limbs movements in acute stroke patients: A COMMAS spin-off study
Introduction: In acute stroke patients detecting modifications of motor deficits could be crucial both for a prompt medical assistance and for a better definition of patient's prognosis. The stroke unit represents the gold standard in the management of the acute stroke with a multiparametric monitoring of vital functions, while no instruments are actually implemented in stroke unit for a continuous monitoring of patients motor performance. In a pilot study [1] we found that a 24hours actigraphic recording is informative of the overall neurological clinical picture as measured by NIH Stroke Scale (NIHSS).
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: C. Iacovelli, M. Rabuffetti, G. Reale, M. Ferrarin, C. Simbolotti, L. Padua, P.M. Rossini, P. Caliandro Source Type: research

Long-term Tai Chi Practitioners Have Superior Body Stability under Dual Task Condition during Stair Ascent
Each year, approximately one third elderly individuals will experience falls, which constitute the fifth leading cause of death, following common severe diseases, i.e., cancer, heart disease, stroke, and respiratory diseases[1], stair walking contributed to 26% of self-reported falls and become the leading cause of accidental death among the elderly[2]. Declining physical and cognitive functions increase the challenge of stair ascent among the elderly[3,4].
Source: Gait and Posture - August 13, 2018 Category: Orthopaedics Authors: Qipeng Song, Li Li, Cui Zhang, Wei Sun, Dewei Mao Tags: Full length article Source Type: research

Influence of foot positioning on cop measures of post stroke patients in quiet standing
Maintaining upright posture is a basic requirement for performing the activities of daily living and might require a big effort from stroke patients. According to the literature, individuals who suffered a stroke need to pay more attention to balance tasks in the upright posture than their healthy conterparts [1]. The measures related to the center of pressure (CoP) during quiet stance differ between these two populations, due to the promintent role of the nonparetic limb, to the spatial neglect [2] and to the synchronization deficit between the ankle muscles of each limb [3].
Source: Gait and Posture - August 9, 2018 Category: Orthopaedics Authors: Tatiane Caroline Boumer, Suzane Ketlyn Martello, Gisele Francini Devetak, Dielise Debona Iucksch, Nicoly Scrok, Elisangela Ferretti Manffra Tags: Full length article Source Type: research

P 159 - Gait in stroke patients is influenced by upper limb functioning: a quantitative analysis correlating QuickDASH with Instrumented TUG and 10MWT
Loss of mobility after stroke is one of the main target of intervention in PRM and physiotherapy as motor impairment affects gait efficacy and upper limb function [1,2]: it is possible to observe a consensual improvement of these latter aspect throughout rehabilitation. Neural connections between upper and lower limb in gait are known [3,4] as well as the fact that modifications of upper limb movement during gait can affect gait parameters [5]. A recent review supports the inclusion of arm activity in addition to leg activity as a component of gait retraining after neurotrauma [6].
Source: Gait and Posture - July 24, 2018 Category: Orthopaedics Authors: R. Buraschi, J. Pollet, B. Alghisi, S. Beltrami, P. Pedersini, B. Piovanelli, S. Negrini Tags: Short communication Source Type: research

Biomechanical Evaluation of Virtual Reality-based Turning on a Self-Paced Linear Treadmill
Recent studies on gait disorders in patients with Parkinson ’s disease (PD) and stroke have found that patients have difficulties during gait transitions such as step initiation, termination, and turning. They often exhibit increased tremor, hesitation, a loss of stability, or even falls. This phenomenon is termed freezing of gait (FOG) [1–3] known to be caused by problems in the basal ganglia circuit [1,4–6].
Source: Gait and Posture - July 24, 2018 Category: Orthopaedics Authors: Keonyoung Oh, Christopher J. Stanley, Diane L. Damiano, Jonghyun Kim, Jungwon Yoon, Hyung-Soon Park Tags: Full length article Source Type: research

O 091 - A new method for computing gait deviation scores in hemiparesis
The objective of this work is to propose a method for computing these scores in order to make them invariant to temporal compensations, especially to stance phase extension.
Source: Gait and Posture - July 15, 2018 Category: Orthopaedics Authors: O. Galarraga, A. Le Saux, F. Hareb Tags: Short communication Source Type: research

O 083 - A new method for computing gait deviation scores in hemiparesis
The objective of this work is to propose a method for computing these scores in order to make them invariant to temporal compensations, especially to stance phase extension.
Source: Gait and Posture - July 15, 2018 Category: Orthopaedics Authors: O. Galarraga, A. Le Saux, F. Hareb Tags: Short communication Source Type: research

O 082 - Neurobiomechanical differences between successful and unsuccessful sit to stand movements performed by acute stroke patients
The sit to stand (StS) movement is a frequently performed functional task that individuals with motor impairment can find difficult, threatening their ability to live independently [1]. Understanding the characteristics that differ between a successful and an unsuccessful StS attempt could enable a more targeted approach to rehabilitation.
Source: Gait and Posture - July 3, 2018 Category: Orthopaedics Authors: A. Kerr, A. Clark, V. Pomeroy Tags: Short communication Source Type: research

O 087 - Neurobiomechanical differences between successful and unsuccessful sit to stand movements performed by acute stroke patients
The sit to stand (StS) movement is a frequently performed functional task that individuals with motor impairment can find difficult, threatening their ability to live independently [1]. Understanding the characteristics that differ between a successful and an unsuccessful StS attempt could enable a more targeted approach to rehabilitation.
Source: Gait and Posture - July 3, 2018 Category: Orthopaedics Authors: A. Kerr, A. Clark, V. Pomeroy Tags: Short communication Source Type: research

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