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Gait assessment among randomly selected group of patients after stroke using the treadmill with biofeedback
Abstracts / Journal of the Neurological Sciences 333 (2013) e537–e578
Abstract—WCN 2013 No: 1620 Topic: 10—Neurorehabilitation Efficiency of visual biofeedback training for balance correction in neurorehabilitation of the patients with the central hemiparesis syndrome after stroke V. Ondar, S. Prokopenko, M. Abroskina. Department of Neurology, Krasnoyarsk State Medical University named after Prof. V.F. Vojno-Yasenetsky, Krasnoyarsk, Russia Background: It's well known that the balance and gait are being changed by the central hemiparesis syndrome. Aim: To prove expediency of the use of visual biofeedback training for balance correction in neurorehabilitation of the patients with the central hemiparesis syndrome. Methods: Research was performed with application of the complex MBN “Biomekhanika” (Moscow) and Smart Equitest Balance Manager (USA). The 45 male and 51 female patients were aged between 42 and 70 years with post-stroke central hemiparesis syndrome which had passed 8–10 trainings during 20–30 min. Visual biofeedback trainings included the gradual displacement of the center of gravity towards the hemiparesis of the body side. The estimation of balance condition was performed before and after the trainings with the help of: Berg Balance Scale, Dynamic Gait Index, and also computerized stabilometry, sensory organization test and motor control test. Results: After the trainings we can observe the progressive displacement of the center of pressure towards the hemiparesis side and the approaching of the actual center of pressure towards “the ideal”. The balance scale indices also had the positive dynamics. Conclusion: These findings let us to conclude the expediency of use of visual biofeedback programs for balance correction in neurorehabilitation of the patients with the post-stroke central hemiparesis syndrome. doi:10.1016/j.jns.2013.07.1965
Abstract—WCN 2013 No: 1655 Topic: 10—Neurorehabilitation CDP-choline (ceraxon) treatment with hypoxia in the newborn infant R. Issayevaa, K. Pushkarevb. aNazarbayev University, Astana, Kazakhstan; bCenter for Pediatric Emergency Care, Almaty, Kazakhstan Long-term observations suggest that infants who have had a severe hypoxia, lead to a wide range of somatic and neuropsychiatric disorders in the future. See the effectiveness of therapy in the rehabilitation period Ceraxon infants with perinatal brain lesions, controlled neurosonography doplerometriey with cerebral blood flow, ophthalmoscopy fundus. Study group were 543 infants who suffered severe hypoxia: 247 fullterm and 296 preterm infants who were seen after treatment in catamnesis Ceraxon. Сatamnesis duration ranged from 3 to 12 months. According to neurosonography after initiation of treatment Ceraxon, intraventricular hemorrhage in pseudocyst formed in 42%, complete lysis in 22%, posthypoxic changes were revealed in 26%, and 10% of ventriculomegaly. By the end of the first week of treatment 82% of children had normalized indices in pools of anterior and middle cerebral arteries and blood flow in the vein of Galen. Just at the end of the first week physical activity significantly improved in 46%, muscle tone in 64%, and reflex activity in 62% of children. The analysis of the fundus newborns had diffuse opacities, limited foci of hemorrhage and pigmentation. After treatment Ceraxon on
e561
the second week after the initiation of treatment 32% of children improved picture fundus. It was thus established that the drug Ceraxon has a positive effect on cerebral hemodynamics of patients: there is rapid correction of neurological disorders by the end of the first week of treatment. This is a positive effect both on the timing, and the final outcome of treatment. doi:10.1016/j.jns.2013.07.1966
Abstract—WCN 2013 No: 1622 Topic: 10—Neurorehabilitation Gait assessment among randomly selected group of patients after stroke using the treadmill with biofeedback A. Guzik, M. Druzbicki, A. Kwolek, G. Przysada, A. Brzozowska-Magoń. Faculty of Medicine, Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland Objective: The most important needs of stroke patients are to recover the independent, the efficient and safe gait. The aim of the study is the gait assessment using a treadmill with biofeedback among the patients in the late period after stroke. Material and method: The study included 50 ischemic stroke patients who were treated after six months from the stroke. The mean age of the patients was 69.1 and mean time from the stroke was 27 months. The patients were randomized into an experimental or control group. The experimental group completed training program on the treadmill with biofeedback. The control group practiced on the treadmill without biofeedback. Gait velocity in the 10-Meter Walking Test, 2-minute walk test, functional evaluation by Barthel index and balance in timed ‘up and go’ test were tested. Spatio-temporal and kinematic gait parameters were also evaluated. Physiotherapy program lasted two weeks. Results: At baseline, the average walking speed did not differ significantly between the groups (p = 0.7878). The average walking speed in both groups significantly increased after the program of rehabilitation but there was no significant difference between groups. The number of steps per minute significantly increased from 68 to 76 steps, step width decreased but there was no significant difference between the groups. Conclusions: Among stroke patients in the late period the exercises on a treadmill have an impact on a significant gait improvement. Use of biofeedback did not significantly affect the results. doi:10.1016/j.jns.2013.07.1967
Abstract—WCN 2013 No: 291 Topic: 10—Neurorehabilitation Intracortical GABA is decreased after stroke and further suppressed with successful rehabilitation J.U. Blichera, J. Nearb, E. Næss-Schmidtc, L. Østergaarda, H. Johansen-Bergd, Y.-C.L. Hoa. aCFIN, Neuroradiology, Aarhus University Hospital, Aarhus, Denmark; bDept. Psychiatry, McGill University, Montreal, QC, Canada; cHammel Neurorehabilitation and Research Centre, Aarhus University Hospital, Hammel, Denmark; d Oxford Centre for Functional MRI of the Brain (FMRIB), Nuffield Dept. of Clinical Neurosciences, University of Oxford, Oxford, UK Background: In healthy subjects, decreasing GABA facilitates motor learning. Recent studies, using PET or TMS, have pointed indirectly to a decrease in neuronal inhibitory activity after stroke. Therefore, we hypothesize that a suppression of GABA levels post stroke might be beneficial to motor recovery.
Abstract—WCN 2013 No: 1620 Topic: 10—Neurorehabilitation Efficiency of visual biofeedback training for balance correction in neurorehabilitation of the patients with the central hemiparesis syndrome after stroke V. Ondar, S. Prokopenko, M. Abroskina. Department of Neurology, Krasnoyarsk State Medical University named after Prof. V.F. Vojno-Yasenetsky, Krasnoyarsk, Russia Background: It's well known that the balance and gait are being changed by the central hemiparesis syndrome. Aim: To prove expediency of the use of visual biofeedback training for balance correction in neurorehabilitation of the patients with the central hemiparesis syndrome. Methods: Research was performed with application of the complex MBN “Biomekhanika” (Moscow) and Smart Equitest Balance Manager (USA). The 45 male and 51 female patients were aged between 42 and 70 years with post-stroke central hemiparesis syndrome which had passed 8–10 trainings during 20–30 min. Visual biofeedback trainings included the gradual displacement of the center of gravity towards the hemiparesis of the body side. The estimation of balance condition was performed before and after the trainings with the help of: Berg Balance Scale, Dynamic Gait Index, and also computerized stabilometry, sensory organization test and motor control test. Results: After the trainings we can observe the progressive displacement of the center of pressure towards the hemiparesis side and the approaching of the actual center of pressure towards “the ideal”. The balance scale indices also had the positive dynamics. Conclusion: These findings let us to conclude the expediency of use of visual biofeedback programs for balance correction in neurorehabilitation of the patients with the post-stroke central hemiparesis syndrome. doi:10.1016/j.jns.2013.07.1965
Abstract—WCN 2013 No: 1655 Topic: 10—Neurorehabilitation CDP-choline (ceraxon) treatment with hypoxia in the newborn infant R. Issayevaa, K. Pushkarevb. aNazarbayev University, Astana, Kazakhstan; bCenter for Pediatric Emergency Care, Almaty, Kazakhstan Long-term observations suggest that infants who have had a severe hypoxia, lead to a wide range of somatic and neuropsychiatric disorders in the future. See the effectiveness of therapy in the rehabilitation period Ceraxon infants with perinatal brain lesions, controlled neurosonography doplerometriey with cerebral blood flow, ophthalmoscopy fundus. Study group were 543 infants who suffered severe hypoxia: 247 fullterm and 296 preterm infants who were seen after treatment in catamnesis Ceraxon. Сatamnesis duration ranged from 3 to 12 months. According to neurosonography after initiation of treatment Ceraxon, intraventricular hemorrhage in pseudocyst formed in 42%, complete lysis in 22%, posthypoxic changes were revealed in 26%, and 10% of ventriculomegaly. By the end of the first week of treatment 82% of children had normalized indices in pools of anterior and middle cerebral arteries and blood flow in the vein of Galen. Just at the end of the first week physical activity significantly improved in 46%, muscle tone in 64%, and reflex activity in 62% of children. The analysis of the fundus newborns had diffuse opacities, limited foci of hemorrhage and pigmentation. After treatment Ceraxon on
e561
the second week after the initiation of treatment 32% of children improved picture fundus. It was thus established that the drug Ceraxon has a positive effect on cerebral hemodynamics of patients: there is rapid correction of neurological disorders by the end of the first week of treatment. This is a positive effect both on the timing, and the final outcome of treatment. doi:10.1016/j.jns.2013.07.1966
Abstract—WCN 2013 No: 1622 Topic: 10—Neurorehabilitation Gait assessment among randomly selected group of patients after stroke using the treadmill with biofeedback A. Guzik, M. Druzbicki, A. Kwolek, G. Przysada, A. Brzozowska-Magoń. Faculty of Medicine, Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland Objective: The most important needs of stroke patients are to recover the independent, the efficient and safe gait. The aim of the study is the gait assessment using a treadmill with biofeedback among the patients in the late period after stroke. Material and method: The study included 50 ischemic stroke patients who were treated after six months from the stroke. The mean age of the patients was 69.1 and mean time from the stroke was 27 months. The patients were randomized into an experimental or control group. The experimental group completed training program on the treadmill with biofeedback. The control group practiced on the treadmill without biofeedback. Gait velocity in the 10-Meter Walking Test, 2-minute walk test, functional evaluation by Barthel index and balance in timed ‘up and go’ test were tested. Spatio-temporal and kinematic gait parameters were also evaluated. Physiotherapy program lasted two weeks. Results: At baseline, the average walking speed did not differ significantly between the groups (p = 0.7878). The average walking speed in both groups significantly increased after the program of rehabilitation but there was no significant difference between groups. The number of steps per minute significantly increased from 68 to 76 steps, step width decreased but there was no significant difference between the groups. Conclusions: Among stroke patients in the late period the exercises on a treadmill have an impact on a significant gait improvement. Use of biofeedback did not significantly affect the results. doi:10.1016/j.jns.2013.07.1967
Abstract—WCN 2013 No: 291 Topic: 10—Neurorehabilitation Intracortical GABA is decreased after stroke and further suppressed with successful rehabilitation J.U. Blichera, J. Nearb, E. Næss-Schmidtc, L. Østergaarda, H. Johansen-Bergd, Y.-C.L. Hoa. aCFIN, Neuroradiology, Aarhus University Hospital, Aarhus, Denmark; bDept. Psychiatry, McGill University, Montreal, QC, Canada; cHammel Neurorehabilitation and Research Centre, Aarhus University Hospital, Hammel, Denmark; d Oxford Centre for Functional MRI of the Brain (FMRIB), Nuffield Dept. of Clinical Neurosciences, University of Oxford, Oxford, UK Background: In healthy subjects, decreasing GABA facilitates motor learning. Recent studies, using PET or TMS, have pointed indirectly to a decrease in neuronal inhibitory activity after stroke. Therefore, we hypothesize that a suppression of GABA levels post stroke might be beneficial to motor recovery.