Author/Editor     Matjačić, Zlatko; Rusjan, Špela; Stanonik, Irena; Goljar, Nika; Olenšek, Andrej
Title     Vpliv treninga vzdrževanja ravnotežja med stojo na kinetiko hoje osebe s kronično hemiparezo
Type     članek
Source     In: Goljar N, Štefančič M, editors. Novosti v rehabilitaciji po možganski kapi. Zbornik predavanj 15. dnevi rehabilitacijske medicine; 2004 mar 26-27; Ljubljana. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo,
Publication year     2004
Volume     str. 243-52
Language     slo
Abstract     An important aspect of neurological rehabilitation in hemiparetic population after stroke is re-learning of walking where neurotherapeutic methods and techniques are used. In the past decade different therapeutic approaches focusing on the aspect of cyclical activities of both lower extremities accompanied with partial body weight support were developed. Another crucial component of bipedal walking is also efficient control apparatus for dynamic balancing of the trunk. In the paper we present a novel method and the mechanical apparatus that enables trunk balance training during starcding and stepping in a controlled and fall-safe training conditions with an adjustable level of mechanical support. The developed training methodology was applied and evaluated in a case study with selected subject with chronic hemiparesis. The subject was subjected to a balance-training program for two weeks, twice a day for half an hour. Kinematic and kinetic gait patterns were recorded and derived with the instrumented gait analysis at three instances: before balance training program commenced, immediately after the completion and three weeks after the completion of the balance training. The comparison between the three measurements showed very similar patterns for the unaffected extremity in all joints. Similarly the patterns were comparable also for the affected extremity throughout the gait cycle with the exception of the first 10% of the cycle. In this period the extensionlflexion and adduction/abduction hip moments were significantly different. In the gait before balance training a noticeable oscillations were seen that indicate impaired trunk balancing abilities. After the completion of the therapeutic intervention these oscillations were completely diminished. (Abstract truncated at 2000 characters).
Descriptors     CEREBRAL INFARCTION
HEMIPLEGIA
GAIT
EXERCISE THERAPY
BIOMECHANICS