Tag: gait

Učinkovitost aerobnih vježbi temeljenih na virtualnoj stvarnosti na izdržljivost hodanja, kinematiku hoda i funkciju kod pacijenata s kroničnim moždanim udarom: dvostruko slijepo randomizirano kontrolirano ispitivanje

Mostafa Fahmy, Eman Samir, Moussa A Sharaf, Nevein MM Gharib, Wael Shendy, Yasser Salem, Hatem Samir, Shereen H. ElSayed

 

Mostafa Fahmy et al. – Effectiveness of virtual reality based aerobic exercise on walking endurance, gait kinematics, and function in patients with chronic stroke: A double blinded randomized controlled trial –  Fizjoterapia Polska 2024; 24(3); 293-302

DOI: https://doi.org/10.56984/8ZG020AGXN

Sažetak:
Svrha. Istražiti izvedivost i učinkovitost aerobnih vježbi Wii Fit Plus za poboljšanje hoda, funkcije i izdržljivosti hodanja kod pacijenata s kroničnim moždanim udarom.
Metode. Dvadeset i šest pacijenata s kroničnim moždanim udarom nasumično je raspoređeno u dvije skupine: eksperimentalna skupina (n = 13) dobivala je uobičajeni tretman uz aerobne aktivnosti prema Wii Fit Plus sustavu, dok je kontrolna skupina (n = 13) dobivala samo uobičajeni tretman. Trajanje svake sesije u obje skupine bilo je otprilike 60 minuta, a tri sesije su se održavale tjedno tijekom osam tjedana. Početne i postintervencijske procjene uključivale su šestominutni test hodanja, parametre hoda izmjerene pomoću Biodex Gait Trainer-a i svakodnevne aktivnosti izmjerene korištenjem mjere funkcionalne neovisnosti (FIM).
Rezultati. U usporedbi s kontrolnom skupinom, parametri hoda eksperimentalne skupine, uključujući duljinu koraka paretičnih i neparetičnih udova, brzinu, ciklus koraka i vrijeme opterećenja paretičnog uda, pokazali su značajno poboljšanje (P < 0,05). Wii Fit Plus značajno je povećao izdržljivost hodanja i ukupnu funkciju (P < 0,05) u usporedbi s kontrolnom skupinom.
Zaključak. Aerobne aktivnosti temeljene na virtualnoj stvarnosti pomoću Wii Fit Plus-a obećavajuća su mogućnost liječenja za poboljšanje parametara hoda, izdržljivosti i funkcije kod pacijenata s kroničnim moždanim udarom.

Ključne riječi:
Wii Fit Plus, virtualna stvarnost, hod, izdržljivost, funkcija, kronični moždani udar

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Procjena hoda u kontekstu poremećaja sastava tjelesne mase kod djece u dobi od 6-10 godina

Izabela Maciejewska-Paszek, Patrycja Paszek-Jemilianowicz

 

Izabela Maciejewska-Paszek, Patrycja Paszek-Jemilianowicz – Assessment of gait in terms of body mass composition disorders among children aged 6-10 years –  Fizjoterapia Polska 2024; 24(3); 55-64

DOI: https://doi.org/10.56984/8ZG020AQDR

Sažetak
Cilj istraživanja: Prekomjerna tjelesna težina i pretilost česte su ne samo kod odraslih, već i kod najmlađe djece diljem svijeta. Mnogi negativni učinci prekomjerne tjelesne težine utječu na tjelesno, psihološko i socijalno zdravlje. Prekomjerna tjelesna težina i pretilost mogu oštetiti sustav mišićno-koštanog sustava i utjecati na normalan hod, posebno kod djece koja razvijaju svoj hod. Cilj istraživanja bio je analizirati parametre hoda u odnosu na sadržaj tjelesne masti i usporediti položaj stopala i koljena tijekom hoda kod djece s normalnim i prekoračenim sadržajem tjelesne masti.
Materijal i metode: Studija je obuhvatila 413 djece u dobi od 6-10 godina, oba spola. Sastav tjelesne mase analiziran je metodom bioelektrične impedancije. Na temelju rezultata odabrane su istraživačka grupa (višak tjelesne masti) i kontrolna grupa (normalan sadržaj tjelesne masti). Analiza hoda provedena je korištenjem OptoGait optičkog sustava. Rezultati su statistički analizirani korištenjem Statistica programa, koristeći U Mann Whitney test i Spearmanov test korelacije rangova.
Rezultati: Kod 232 djece otkriveni su poremećaji sastava tjelesne mase – višak tjelesne masti i smanjeni ukupni sadržaj vode. Postotak tjelesne masti u istraživačkoj grupi iznosio je 34,70% (±3,64), dok je u kontrolnoj grupi iznosio 19,36% (±3,13). Analiza hoda pokazala je da postotak tjelesne masti utječe na parametre hoda ispitivane djece.
Zaključci: Povećanje postotka masnog tkiva u tijelu djece rezultira smanjenom duljinom koraka, duljinom ciklusa i brzinom. Viši sadržaj tjelesne masti također je rezultirao dužim vremenom kontakta ravnog stopala s podom i vremenom dvostruke potpore.

Ključne riječi
hod, djeca, prekomjerna tjelesna težina, pretilost

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Učinci dodatne mentalne slikovne obuke na funkciju donjih udova kod bolesnika s moždanim udarom liječenih virtualnom stvarnošću

Tahir Masood, Tasmiya Asghar, Arshad Nawaz Malik

 

Tahir Masood, Tasmiya Asghar, Arshad Nawaz Malik – Effects of additional mental imagery training on lower limb function in stroke patients treated with virtual reality –  Fizjoterapia Polska 2024; 24(2); 89-93

DOI: https://doi.org/10.56984/8ZG56083OG

Sažetak: Cilj. Procijeniti mogu li bolesnici s moždanim udarom koji primaju kombiniranu trening usmjeren na zadatke i trening u virtualnoj stvarnosti dodatno profitirati dodavanjem motoričke slikovne obuke u pogledu senzomotorne funkcije donjih udova, ravnoteže, hoda i rizika od pada.
Materijal i metode. Trideset bolesnika s kroničnim moždanim udarom (40-60 godina) sudjelovalo je u ovoj jednokrilnoj randomiziranoj kontroliranoj studiji, regrutiranih metodom uzorkovanja pogodnosti, slučajno raspoređenih u eksperimentalnu skupinu ili kontrolnu skupinu. Eksperimentalna skupina je prošla trening u virtualnoj stvarnosti u kombinaciji s mentalnim slikama, dok je kontrolna skupina primala trening u virtualnoj stvarnosti uz konvencionalno liječenje. Obje intervencije trajale su 6 tjedana, s 3 sesije tjedno. Podaci su prikupljeni pomoću Bergove skale ravnoteže, Fugl-Meyerove procjene donjih udova, Viskonsinske skale hoda, testa ustajanja i hoda i testa hodanja na 10 metara na početku, te nakon 3 i 6 tjedana.
Rezultati. Sudionici u eksperimentalnoj skupini pokazali su značajno bolje rezultate u usporedbi s kontrolnom skupinom na svim mjerama istraživanja (P < 0.05). Nadalje, obje skupine su se značajno poboljšale u usporedbi s početnim vrijednostima (P < 0.05).
Zaključci. Integracija motoričke slikovne obuke u rehabilitacijske planove bolesnika s kroničnim moždanim udarom liječenih treningom usmjerenim na zadatke i treningom u virtualnoj stvarnosti značajno poboljšava rezultate pacijenata.
Registar kliničkih ispitivanja: NCT05812638

Ključne riječi: Motorička slika, Moždani udar, Funkcija donjih udova, Exergaming, Hod

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Zmiany w równowadze ciała spowodowane narażeniem na urazy – badania wieloośrodkowe

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Anna Walińska, Kinga Gonta, Elżbieta Szkiler, Milena Kraft, Alina Kirpichnikova, Karolina Trąbska, Anna Parus, Tomasz Kupc, Malwina Waleryn-Sagun, Anna Szadkowska, Rafał Mosur, Kamila Mosur, Damian Szyguła, Nicola Książek, Małgorzata Barszczewska, Patrycja Janta, Aneta Mandrosa, Joanna Jarosławska, Klaudia Smolińska, Marta Szewczyk, Agnieszka Byszewska, Anna Morzyńska, Marzena Tuszkowska, Barbara Wrocławska-Tuszkowska, Marek Gapiński, Tomasz Kowalik, Karolina Adamska, Katarzyna Pawliwiec, Jan Głodowski, Konrad Kijak, Małgorzata Kowacka, Danuta Lietz-Kijak

Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Danuta Lietz-Kijak et al – Changes in body balance due to exposure to trauma – multi-center studies. Fizjoterapia Polska 2023; 23(5); 313-326

DOI: https://doi.org/10.56984/8ZG20Bb3T

Streszczenie
Cel. Celem badania było ocenienie wpływu doświadczonego przez osobę zdarzenia traumatycznego na równowagę posturalną i biomechaniczne parametry chodu.
Metodologia badania. Badanie objęło 31 osób (n = 100%), w tym 22 kobiety (nk% = 70.97%) i 9 mężczyzn (nm% = 29.03), w wieku 29-60 lat. Z badania wykluczono osoby z chorobami i dysfunkcjami wpływającymi na równowagę ciała i wzorzec chodu.
Testy równowagi i chodu przeprowadzono przy użyciu pedobarografii (pedobarograf mod. EPS R2, oprogramowanie Biomech Studio v2). Test równowagi przeprowadzano w pozycji stojącej, przez 20 sekund, z próbkowaniem co 1 ms (milisekundę) – liczba próbek podczas jednego testu wynosi 20,000. Testy oceny równowagi i chodu przeprowadzono dwukrotnie. Test I obejmował testowanie w neutralnych warunkach, Test II obejmował testowanie w warunkach, w których osoba była narażona na doświadczone w przeszłości przez siebie zdarzenie traumatyczne (tzw. ekspozycja na “doświadczone traumy”).
Wyniki. Uzyskane wyniki badań wpływu ekspozycji na doświadczone traumy na równowagę ciała podczas stania wykazały istotne różnice w wahaniach ciała w najważniejszych parametrach oceny stabilometrycznej.
Uzyskane wyniki badań wpływu ekspozycji na traumę na chód osoby nie wykazały istotnych różnic między testem w neutralnych warunkach a testem podczas ekspozycji.
Wnioski. (1) Ekspozycja na doświadczone przez osobę traumy znacząco wpływa na równowagę ciała w pozycji stojącej. (2) Badania nie wykazały wpływu ekspozycji na doświadczone traumy na chód osoby w zakresie czasu kontaktu stóp z podłożem oraz na wartości maksymalnego i średniego ciśnienia; Obszar płaszczyzny, na której stopy są umieszczone na podłożu, zmienia się znacząco przed i po ekspozycji na doświadczone traumy. (3) W badaniach wpływu traumy na postawę ciała należy uwzględnić szczegółowe wyniki badań zakresu fluktuacji COP w każdej płaszczyźnie – badanie wykazało, że analiza tylko średnich wyników może znacząco wskazywać błędny wynik w ocenie równowagi ciała.

Słowa kluczowe
stres, trauma, PTSD, równowaga ciała, chód, stabilometria, pedobarografia

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The gait. Part I – the analysis of the gait biomechanics in the rehabilitation

Mirosław Janiszewski, Beata Rechcińska-Roślak, Joanna Błaszczyk-Suszyńska

Mirosław Janiszewski, Beata Rechcińska-Roślak, Joanna Błaszczyk-Suszyńska – The gait. Part I – the analysis of the gait biomechanics in the rehabilitation. Fizjoterapia Polska 2002; 2(4); 311-318

Abstract
In the article the present state of knowledge regarding the gait of human is described. It has been presented what movements are performed in the upper and lower limbs joints while walking and in what position the centre of human gravity is. In the enclosed figures there is stated what biomechanics of the human is like.

Key words:
Gait, Biomechanics, Rehabilitation

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Ground reaction forces of the gait in patients undergoing physiotherapy after articular cartilage surgeries

Andrzej Czamara, Tadeusz Trzaska

Andrzej Czamara, Tadeusz Trzaska – Ground reaction forces of the gait in patients undergoing physiotherapy after articular cartilage surgeries. Fizjoterapia Polska 2006; 6(4); 289-297

Abstract
Background. The goal of our study was the evaluation of the ground reaction forces (N) of vertical component in flat surface gait in patients undergoing 10 to 14 weeks of physiotherapy after chosen surgeries of the knee joint cartilage. Material and methods. We measured ground reaction forces of the gait in 58 people. 31 patients after the carrier surface of knee joint cartilage surgeries and 27 people with no cartilage injuries were examined. When the patients developed individual gait after 10 to 14 weeks of physiotherapy, we measured ground reaction forces of their gait. The examination was carried on a track with, computer programmed, mtd-balance tensometric platforms. Results and Conclusions. Between 10th and 14th week after the surgery, the patients regained the gait. The values of ground reaction forces of the gait during stance phase for the operated limbs were close to the results of healthy limbs. The results did not differ from the results reached by the people with no cartilage injuries and oscillated between 1,19 to 1,21 of body weight. Moreover, minor asymmetry was reported between left and right limbs in groups with no articular cartilage injuries and in patients which did not exceed 5%.

Key words:
physiotherapy, gait, knee joint cartilage, ground reaction forces

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Assessment of kinematics of pathological gait after articular cartillage surgery

Andrzej Czamara, Sławomir Winiarski, Zbigniew Jethon, Andrzej Bugajski, Rafał Szafraniec, Andrzej Zaleski, Wiesław Tomaszewski

Andrzej Czamara, Sławomir Winiarski, Zbigniew Jethon, Andrzej Bugajski, Rafał Szafraniec, Andrzej Zaleski, Wiesław Tomaszewski – Assessment of kinematics of pathological gait after articular cartillage surgery. Fizjoterapia Polska 2007; 7(1); 1-9

Abstract

Background. Thirty two male patients with the full-thickness lesion of articular cartilage on the load-bearing surface of the knee joint (Outerbridge Grade III-IV) were involved in the study. The goal of this paper is the biomechanical assessment of changes in the kinematics of gait of patients after selected articular cartilage surgeries of knee joint examined by the 3D motion analysis system (SIMI Reality Motion Systems GmbH, Germany). Material and methods. Gait of thirty two patients with the articular cartilage surgery of knee joint was analyzed while they underwent 2 out of 4 stages of our original physiotherapy treatment. In order to test the progress of the rehabilitation program the spatial kinematic data of the gait was collected and the angle-time characteristics acquired. The first measurement was taken between the 2nd and 3rd week postoperatively, the second was taken between 6th and 8th week postop. The last measurement was taken between 10th and 14th week postoperatively, when the patient’s gait was fully restored and being improved. The values of step and stride lengths (meters), gait velocity (meters per sec.) and the step cadence (steps per sec.) were monitored as well as the stance and swing ratios (percent of the gait cycle) of the affected and unaffected limb. Range of motion in the knee joint was examined in dynamics and the angles at heel-strike and toe-off measured for both lower limbs. Results. As a consequence of our rehabilitation procedure satisfactory results were obtained individually between 10th and 14th week postop. in test patients with reference to the control group. The spatial gait parameters step and stride lengths have significantly increased and the stance to swing ratio have decreased for the affected limb compared to the first measurement. The gait velocity was found to be doubled. In addition an increase in range of motion in the joints was noticed and the angle characteristics was similar to the one of the control group. Conclusions. The extensive surgical and physiotherapeutic procedures applied in the treatment have improved gait parameters between 10th and 14th week postop in all tested patients.

Key words:
biomechanics, gait, gait disorders, articular cartilage, surgery, rehabilitation
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The influence of external loading on weight compensatory changes and pelvic behaviour during walking in scoliotic children

Olga Nowotny-Czupryna, Krzysztof Czupryna, Anna Brzęk, Małgorzata Domagalska, Andrzej Szopa

Olga Nowotny-Czupryna, Krzysztof Czupryna, Anna Brzęk, Małgorzata Domagalska, Andrzej Szopa – The influence of external loading on weight compensatory changes and pelvic behaviour during walking in scoliotic children. Fizjoterapia Polska 2008; 8(4); 436-444

Abstract
Background. Compensatory changes in the spatial arrangement of body segments are a characteristic sign of the development of scoliosis. Additional external loads may lead to intensification of existing signs in both static and dynamic conditions. The manner of carrying heavy objects on a daily basis is a key factor here. The aim of this paper was to assess some changes in static and dynamic parameters associated with carrying the school pack in children with scoliosis.Material and methods. Thirty-six children aged 8-15 years with low-grade scoliosis were examined. Foot pressure in static conditions was recorded using a force platform without additional loading, and with a 4 kg external load carried in a symmetric or asymmetric manner. Three-dimensional gait analysis was also performed using a Zebris® system. Parameters were registered during walking without and with the external load.Results. Signs of asymmetric foot pressures were observed that intensified during external loading of spine (both symmetric and asymmetric). These changes were not clearly related to body posture parameters. There were also signs of gait asymmetry that intensified during walking with asymmetrical external loading. The most marked changes were observed with respect to pelvis-related gait determinants. The magnitude of changes was related to the manner of carrying the school pack rather than to body posture parameters. Conclusions. External loads intensify the asymmetry of foot pressure distribution as a result of spontaneous and unpredictable compensatory dislocations. The manner of carrying the school pack is not irrelevant in children with scoliosis.
Key words:
scolioses, foot pressure, gait, locomotion, external loading, gait determinants
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PNF method of gait analysis in patients after ischemic stroke

Piotr Lutowski, Łukasz Sielski, Katarzyna Lutowska

Piotr Lutowski, Łukasz Sielski, Katarzyna Lutowska – PNF method of gait analysis in patients after ischemic stroke. Fizjoterapia Polska 2011; 11(2); 143-154

Abstract
Cerebral stroke is one of the most common diseases of the nervous system. Paresis or hemiparesis are the main consequences of this diseases. For patients and their carers, such disorders are burdensome as they affect multiple aspects of everyday life. The study was a research project aimed at determining the effect of gait reeducation using PNF approach in patients with the history of ischemic cerebral stroke.he sample comprised 23 patients with the history of ischemic cerebral stroke, admitted to the rehabilitation unit. The patients were qualified for the study based on Berg Balance Scale, informed consent and the value of weight bearing symmetry index for the lower limbs.The study consisted of:• tandem balance test used to calculate weight bearing symmetry index for the lower limbs,• walk test at a distance of 20 m. to determine gait velocity and step length,• Subjective assessment of individual gait phases based on observation,• Berg Balance Scale.Improvement in all the studied parameters was noted in the studied sample.Proprioceptive Neuromuscular Facilitatiobn (PNF) is an effective method of rehabilitation for patients with the history of ischemic cerebral stroke. It contributes to improvement in the qualitative and quantitative parameters of gait.
Key words:
cerebral stroke, Rehabilitation, PNF method, Gait
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Body Weight Support Treadmill Training – a systematic review of meta-analyses

Marcin Błaszcz, Beata Stach

M.Błaszcz, B. Stach – Body Weight Support Treadmill Training – a systematic review of meta-analyses. Fizjoterapia Polska 2020; 20(1); 66-77

Abstract
Aim. Although the effectiveness of Body Weight Support Treadmill Training has already been confirmed in various patients, its superiority over other physiotherapeutic interventions is unclear. The aim of this review was to compare the effectiveness of BWSTT in relation to other methods in various patients group.
Material and methods. A systematic review of meta-analyses was performed with: Cochrane Database of Systematic Reviews, MEDLINE and PEDro from the beginning until January 2019. 1775 publications were identified, of which 4 metaanalyses and one systematic review were included.
Results. BWSTT was more effective than other physiotherapeutic interventions in short-term increasing gait endurance and speed in stroke patients walking independently, and in improving functionality after hip replacement. In terms of: increasing the chance of independent walking, improving gait endurance and speed in dependent stroke patients; increasing walking distance and speed after a spinal cord injury and increasing the walking speed and cadence and stride length in Parkinson’s disease BWSTT was not more effective than standard physiotherapy.
Conclusion. The use of BWSTT may be beneficial for stroke patients who walk independently and at people after hip replacement. In the other areas, insufficient evidences were found.

Key words:
Body Weight Support Treadmill Training, gait, body weight support, systematic review, meta-analysis

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