Document Detail

Compelled weightbearing in persons with hemiparesis following stroke: the effect of a lift insert and goal-directed balance exercise.
MedLine Citation:
PMID:  10847573     Owner:  NLM     Status:  MEDLINE    
The hypotheses have been tested that 1) symmetry of weightbearing in persons who have sustained a stroke could be improved by the addition of a lift to the shoe on the non-paretic lower limb and 2) compelled weightbearing resulting from the addition of a lift in conjunction with targeted exercise helps to overcome the learned disuse of the paretic limb. Weightbearing on the paretic side was measured in eight persons with hemiparesis during quiet standing and in conditions of compelled weight shift. Compelled weight shifts were applied with special lifts to the shoe on the non-paretic limb of the subjects. An increase in symmetrical weightbearing was recorded in conditions of compelled weight shifts: 10-mm lift provided the best symmetry of bipedal standing. We suggest that improved symmetry of bipedal standing obtained with the lift of the non-paretic limb would help in overcoming the learned disuse of the affected limb. Pre- and post-test results of a person with hemiparesis who was wearing a shoe lift on the non-paretic limb during a 6-week physical therapy program showed statistically significant improvement of walking speed, stride length, and weightbearing. Such findings support the idea of using compelled weightbearing via lifting and targeted exercise during treatment.
A S Aruin; T Hanke; G Chaudhuri; R Harvey; N Rao
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of rehabilitation research and development     Volume:  37     ISSN:  0748-7711     ISO Abbreviation:  J Rehabil Res Dev     Publication Date:    2000 Jan-Feb
Date Detail:
Created Date:  2000-09-26     Completed Date:  2000-09-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8410047     Medline TA:  J Rehabil Res Dev     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  65-72     Citation Subset:  IM    
Rehabilitation Foundation Inc., Wheaton, IL 60189, USA.
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MeSH Terms
Analysis of Variance
Evaluation Studies as Topic
Exercise Therapy / methods*
Follow-Up Studies
Middle Aged
Paresis / etiology,  rehabilitation*
Postural Balance
Self-Help Devices
Stroke / complications,  rehabilitation*

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