Journal ArticleDOI
Use of an elliptical machine for improving functional walking capacity in individuals with chronic stroke: a case series.
TLDR
Elliptical training appears to be a safe and feasible training alternative for ambulatory individuals with chronic stroke, and participants did demonstrate variable improvements in endurance, balance, and functional mobility.Abstract:
Background and purpose Decreased functional walking capacity is a common consequence of stroke. Identifying practical and cost-effective methods to improve walking in individuals with stroke is an important goal of rehabilitation professionals. Participants Participants were 3 men with chronic (>6 month) stroke, who could walk on level surfaces either without an assistive device or with a single-point cane. Intervention Participants trained 2 to 3 times per week for 8 weeks, using an elliptical machine. The training target was 20 minutes of uninterrupted training, while maintaining predetermined parameters of heart rate and perceived exertion. Outcomes Outcome measures assessed before and after training included habitual and fast gait speed, 6-minute walk test (6MWT), Timed "Up & Go" test, and Berg Balance Scale. Following training there was no change in walking speed. There was no change in 6MWT performance for participants 1 and 2. While participant 3 showed a 25% improvement in 6MWT, this change did not meet the minimal detectable change for walking speed in individuals with stroke. All participants demonstrated improved Berg Balance Scale performance (9%-28%), with participant 1 exceeding the minimal detectable change in this measure. Timed Up & Go test performance improved by 5% to 15% in all participants. Discussion Elliptical training appears to be a safe and feasible training alternative for ambulatory individuals with chronic stroke. Training 2 to 3 days per week resulted in no improvements in walking speed; however, participants did demonstrate variable improvements in endurance, balance, and functional mobility. It is possible that a higher training frequency and/or training speed are required to influence walking performance in individuals who are ambulatory. Equipment design, principles of exercise prescription, and participant characteristics should be considered when selecting elliptical training as an intervention.read more
Citations
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Interlimb neural coupling: Implications for poststroke hemiparesis
TL;DR: The aim of the present review was to understand the interlimb coordination and neural coupling and its implication in stroke rehabilitation and suggests incorporating the movements of bilateral upper and lower limbs either simultaneously or consecutively for hemiparetic subjects.
Journal ArticleDOI
Persons With Multiple Sclerosis Show Altered Joint Kinetics During Walking After Participating in Elliptical Exercise
TL;DR: Results show that elliptical exercise significantly altered joint torques at the ankles and hip and joint powers at the ankle during stance, which indicates that, after training, patients with MS employed a walking strategy that is more similar to that of healthy young adults.
Journal ArticleDOI
Lower extremity kinematics during walking and elliptical training in individuals with and without traumatic brain injury.
TL;DR: If incorporation of complex movements similar to walking is a goal of rehabilitation, elliptical training is a reasonable alternative to treadmill-based training.
Journal ArticleDOI
Interlimb coupling in poststroke rehabilitation: a pilot randomized controlled trial.
TL;DR: The interlimb coupling training, a feasible program may enhance recovery of the upper and lower limbs and gait in stroke.
References
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Journal ArticleDOI
The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons
TL;DR: This study evaluated a modified, timed version of the “Get‐Up and Go” Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital and suggested that the timed “Up & Go’ test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time.
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Physical Activity and Public Health Updated Recommendation for Adults From the American College of Sports Medicine and the American Heart Association
William L. Haskell,I-Min Lee,Russell R. Pate,Kenneth E. Powell,Steven N. Blair,Barry A. Franklin,Caroline A. Macera,Gregory W. Heath,Paul D. Thompson,Adrian Bauman +9 more
TL;DR: The purpose of the present report is to update and clarify the 1995 recommendations on the types and amounts of physical activity needed by healthy adults to improve and maintain health.
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Physical Activity and Public Health in Older Adults Recommendation From the American College of Sports Medicine and the American Heart Association
Miriam E. Nelson,W. Jack Rejeski,Steven N. Blair,Pamela W. Duncan,James O. Judge,Abby C. King,Carol A. Macera,Carmen Castaneda-Sceppa +7 more
TL;DR: The recommendation for older adults is similar to the updated ACSM/AHA recommendation for adults, but has several important differences including: the recommended intensity of aerobic activity takes into account the older adult's aerobic fitness; activities that maintain or increase flexibility are recommended; and balance exercises are recommended for Older adults at risk of falls.
Journal Article
Measuring balance in the elderly: validation of an instrument
TL;DR: Balance scores predicted the occurrence of multiple falls among elderly residents and were strongly correlated with functional and motor performance in stroke patients.