作者
Alexander S Aruin, Tim Hanke, Gouri Chaudhuri, Richard Harvey, Noel Rao
发表日期
2000/1/1
期刊
Journal of rehabilitation research and development
卷号
37
期号
1
页码范围
65-72
出版商
REHIBILITATION RESEARCH & DEVELOPMENT SERVICE
简介
The hypotheses have been tested that 1) symmetry of weightbearing in persons who have sustained a stroke could be improved by the addition of a lift to the shoe on the nonparetic lower limb and 2) compelled weightbearing resulting from the addition of a lift in conjunction with targeted exercise helps to overcome the learned disuse of the paretic limb. Weightbearing on the paretic side was measured in eight persons with hemiparesis during quiet standing and in conditions of compelled weight shift. Compelled weight shifts were applied with special lifts to the shoe on the non-paretic limb of the subjects. An increase in symmetrical weightbearing was recorded in conditions of compelled weight shifts: 10-mm lift provided the best symmetry of bipedal standing. We suggest that improved symmetry of bipedal standing obtained with the lift of the nonparetic limb would help in overcoming the learned disuse of the affected limb. Pre-and post-test results of a person with hemiparesis who was wearing a shoe lift on the non-paretic limb during a 6-week physical therapy program showed statistically significant improvement of walking speed, stride length, and weightbearing. Such findings support the idea of using compelled weightbearing via lifting and targeted exercise during treatment.
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