| Weight bearing on the affected lower limb in residents of a geriatric rehabilitation hospital. | |
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MedLine Citation:
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PMID: 20068439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The purpose of the study was to determine whether and to what extent the treatment goal of enhancement of weight bearing on an affected lower limb is achieved in the gait rehabilitation of patients with poststroke hemiparesis, postprosthetic fitting due to unilateral transtibial amputation, or postunilateral hip or knee arthroplasty. DESIGN: Nonrandomized prepost study. Subjects were 26 residents of a geriatric rehabilitation hospital in the initial stage of gait rehabilitation after poststroke hemiparesis (n = 9), unilateral total hip or knee joint replacement (n = 11), or unilateral transtibial amputation with a fitted prosthesis (n = 6). Weight bearing on the hindfoot and forefoot of the affected limb was measured by using the SmartStep system version 2.2.0, at least once a week, both before and immediately after a gait-training session. Measurements were performed with the patients using their assistive devices. RESULTS: In the patients with hemiparesis, there was no significant difference found between the initial pretraining maximal weight bearing on the afflicted limb (39% and 50% of body weight on the hindfoot and forefoot, respectively) and that at discharge (47% and 50% of body weight, respectively). In patients after hip or knee arthroplasty and in those who underwent prosthetic fitting, there was a substantial increase found in the loading of the forefoot, but not of the hindfoot, from the initial evaluation to the time of discharge (from 43% to 54% of body weight, P = 0.05, in the arthroplasty group, and from 49.6% to 69.5%, P = 0.09, in the prosthetic group). CONCLUSIONS: For elderly individuals belonging to the studied diagnostic groups, the goal of enhancing normal weight bearing on the afflicted limb during the time course of 2-3 wks might be unrealistic. |
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Authors:
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Ruth Dickstein; Yonat Yoeli; Sarit Holtzman; Ayelet Faust; Emanuel Markoviz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of physical medicine & rehabilitation / Association of Academic Physiatrists Volume: 89 ISSN: 1537-7385 ISO Abbreviation: Am J Phys Med Rehabil Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-19 Completed Date: 2010-04-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8803677 Medline TA: Am J Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 287-92 Citation Subset: AIM; IM |
Affiliation:
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Department of Physical Therapy, University of Haifa, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Amputation / rehabilitation Arthroplasty, Replacement, Hip / rehabilitation Arthroplasty, Replacement, Knee / rehabilitation Artificial Limbs Canes / utilization Female Gait Apraxia / rehabilitation* Gait Ataxia / rehabilitation* Homes for the Aged* Humans Male Middle Aged Paresis / rehabilitation Recovery of Function* Rehabilitation Centers* Stroke / rehabilitation Walkers / utilization Weight-Bearing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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