Open access

Summary

Study aim: To determine whether a physiotherapy protocol improves the electromyographic activation (EA) during the hemiparetic gait in patients with delayed access to rehabilitation.

Material and methods: 40 post-stroke patients underwent clinical evaluation and gait assessment at the time of admission and at the end of treatment.

Results: The anterior leg muscles tibialis anterior and rectus femoris had earlier onset (p = 0.0001).

Conclusion: Electromyographic findings showed altered patterns during the hemiparetic gait cycle, even in patients with delayed access to treatment.

References

  • 1. Brunnstrom S. (1966) Motor testing procedures in hemiplegia: based on sequential recovery stages. Phys. Ther., USA, 46(4): 357-375.

  • 2. Den Otter A.R., Geurts A.C.H., Mulder T., Duysens, J. (2006) Gait recovery is not associated with changes in the temporal patterning of muscle activity during treadmill walking in patients with post-stroke hemiparesis. Clin. Neurophysiol., 117(1): 4-15. DOI: 10.1016/j. clinph.2005.08.014.

  • 3. Den Otter A.R., Geurts A.C.H., Mulder T., Duysens J. (2007) Abnormalities in the temporal patterning of lower extremity muscle activity in hemiparetic gait. Gait Posture, 25(3): 342-352. DOI: 10.1016/j.gaitpost.2006.04.007.

  • 4. Hermens H.J., Freriks B., Disselhorst-Klug C., Rau G. (2000) Development of recommendations for SEMG sensors and sensor placement procedures. J. Electromyogr. Kines., 10(5): 361-374. DOI: 10.1016/S1050-6411- (00)00027-4.

  • 5. Hirschberg G.G., Nathanson M. (1952) Electromyographic recording of muscular activity in normal and spastic gaits. Arch. Phys. Med. Rehabil., 33(4): 217-25. Available at: http://www.ncbi.nlm.nih.gov/pubmed/14924804 (Accessed: 11 May 2016).

  • 6. Ingrid Cardoso do Nascimento N., Sepêda Saraiva T., Tadeu Viana da Cruz Jr A., da Silva Souza G. Callegari B. (2014) Barefoot and High-Heeled Gait: Changes in Muscles Activation Patterns. Health, 6(6): 2190-2196. DOI: 10.4236/health.2014.616254.

  • 7. Lamontagne A., Richards C.L., Malouin F. (2000) Coactivation during gait as an adaptive behavior after stroke. J. Electromyogr. Kines., 10(6): 407-415. Available at: http://www.ncbi.nlm.nih.gov/pubmed/11102843 (Accessed: 11 May 2016).

  • 8. Liepert J., Miltner W.H.R., Bauder H., Sommer M., Dettmers C., Taub E., Weiller C. (1998) Motor cortex plasticity during constraint,induced movement therapy in stroke patients. Neurosci. Lett., 250(1): 5-8. DOI: 10.1016/ S0304-3940(98)00386-3.

  • 9. Maulden S.A., Gassaway J., Horn S.D., Smout R.J., De- Jong G. (2005) Timing of initiation of rehabilitation after stroke. Arch. Phys. Med. Rehabil., 86(12 SUPPL.). DOI: 10.1016/j.apmr.2005.08.119.

  • 10. Moore S., Schurr K., Wales A., Moseley A., Herbert R. (1993) Observation and analysis of hemiplegic gait: swing phase, Aust. J. Physiother., 39(4): 271-278. DOI: 10.1016/S0004-9514(14)60487-6.

  • 11. Peat M., Dubo H.I., Winter D.A., Quanbury A.O., Steinke T., Grahame R. (1976) Electromyographic temporal analysis of gait: hemiplegic locomotion. Arch. Phys. Med. Rehabil., 57(9): 421-5. Available at: http://www.ncbi.nlm.nih.gov/pubmed/962569 (Accessed: 11 May 2016).

  • 12. Perry J. (1993) Determinants of muscle function in the spastic lower extremity. Clin. Orthop. Relat. Res., (288): 10-26. Available at: http://www.ncbi.nlm.nih.gov/pubmed/8458121 (Accessed: 11 May 2016).

  • 13. Piassaroli P.A., Almeida G.C., Luvizotto J.C., Suzan A.B. (2012) Physical Therapy Rehabilitation Models in Adult Patients with Ischemic Stroke Sequel, Revista Neurociências, 20(1): 128-137.

  • 14. Pollock A., Baer G., Campbell P., Choo P.L., Forster A., Morris J., Pomeroy V.M.m Langhorne P. (2014) Physical rehabilitation approaches for the recovery of function and mobility following stroke. [In:] Pollock A. (ed.) Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd. DOI: 10.1002/14651858. CD001920.pub3.

  • 15. Routson R.L., Clark D.J., Bowden M.G., Kautz S.A., Neptune R.R. (2013) The influence of locomotor rehabilitation on module quality and post-stroke hemiparetic walking performance, Gait Posture, 38(3): 511-517. DOI: 10.1016/j.gaitpost.2013.01.020.

  • 16. Shiavi R., Bugle H.J., Limbird T. (1987) Electromyographic gait assessment, part 2: Preliminary assessment of hemiparetic synergy patterns*, J. Rehabil. Res. Dev., 24(2): 24-30.

  • 17. Suh J.H., Han S.J., Jeon S.Y., Kim H.J., Lee J.E., Yoon T.S., Chong H.J. (2014) Effect of rhythmic auditory stimulation on gait and balance in hemiplegic stroke patients. NeuroRehabilitation, 34(1): 193-199. DOI: 10.3233/ NRE-131008.

  • 18. Teasell R., Bitensky J., Salter K., Bayona N. (2005) The role of timing and intensity of rehabilitation therapies. Top. Stroke Rehabil., 12(3): 46-57. DOI: 10.1310/ETDP-6DR4-D617-VMVF.

  • 19. Urban K., Ignasiak Z., Wronecki K., Skrzek A. (2015) Change in movement patterns asymmetry in infants with central coordination disorder in continuous studies, Biomed. Hum. Kinet., 7(1): 156-162. DOI: 10.1515/bhk-2015-0023.

  • 20. Whitall J., Waller S.M., Silver K.H.C., Macko R.F., Mc- Combe Waller S., Silver K.H.C., Macko R.F., Waller S.M., Silver K.H.C., Macko R.F. (2000) Repetitive Bilateral Arm Training With Rhythmic Auditory Cueing Improves Motor Function in Chronic Hemiparetic Stroke. Stroke, 31(10): 2390-2395. DOI: 10.1161/01.STR.31.10.2390.

Biomedical Human Kinetics

The Journal of University of Physical Education, Warsaw

Journal Information

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 77 77 75
PDF Downloads 31 31 30