Document Detail


Light touch cue through a cane improves pelvic stability during walking in stroke.
MedLine Citation:
PMID:  19480866     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the effect of a light touch cue provided through a cane on mediolateral (ML) pelvic stability during walking in subjects poststroke. DESIGN: Crossover trial examining ML pelvic stability during walking using a cane with the force contact and touch contact methods. SETTING: Physical therapy clinic, tertiary care center. PARTICIPANTS: Subacute patients (N=40) with stroke with a mean age of 59.6 years and mean stroke duration of 46.8 days. The average gait speed with a cane was .13 m/s (.05-.29 m/s). INTERVENTION: Using a cane with the force contact and touch contact methods during walking. MAIN OUTCOME MEASURES: ML pelvic stability as measured by averaged peak-to-peak pelvic acceleration, muscle activation of bilateral tensor fascia latae (TFL), semitendinosus (ST), and vastus medialis (VM) using an electromyography system, and vertical cane force. RESULTS: The average amount of cane force during touch contact and force contact cane use conditions was 2.3N and 49.3N, respectively. A light touch cue through a cane was required only when the paretic leg accepted the body weight, and this cue can provide ML pelvic stability (.16 g of average pelvic acceleration) during walking to the same degree as the force contact method of cane use. However, significant increases in single-limb support duration with higher activations of TFL, VM, and ST muscles on the paretic leg were found during the paretic stance phase when using a cane in the touch contact fashion (P<.05). CONCLUSIONS: A light touch cue can be provided during walking through the use of a cane. This augmented somatosensory information provides lateral stability during walking for subjects with stroke by facilitating the activations of weight-bearing muscles on the paretic leg during the stance phase.
Authors:
Rumpa Boonsinsukh; Lawan Panichareon; Pansiri Phansuwan-Pujito
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  90     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-01     Completed Date:  2009-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  919-26     Citation Subset:  AIM; IM    
Affiliation:
Division of Physical Therapy, Faculty of Health Sciences, Srinakharinwirot University, Ongkharuk, Nakhonayok, Thailand. rumpa@swu.ac.th
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Canes*
Cross-Over Studies
Female
Gait
Humans
Male
Middle Aged
Pelvis / physiopathology
Physical Therapy Modalities*
Postural Balance
Stroke / physiopathology,  rehabilitation*
Walking*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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