Deficits in intersegmental trunk coordination during walking are related to clinical balance and gait function in chronic stroke

Journal of Neurologic Physical Therapy

Volumn 36, Issue 4, 2012, Pages 173-181

  Hacmon, Revital R ^a,b   Krasovsky, Tal ^a,b   Lamontagne, Anouk ^a,b   Levin, Mindy F ^a,b  

^a MCGILL UNIVERSITY   (Canada)

^b JEWISH REHABILITATION HOSPITAL   (Canada)

Author keywords

continuous relative phase (CRP); coordination; evaluation; locomotion; physical therapy; stroke; thorax pelvis

Indexed keywords

AGED; ARTICLE; BIOMECHANICS; BODY EQUILIBRIUM; CEREBROVASCULAR ACCIDENT; EXERCISE TEST; FEMALE; GAIT; HUMAN; JOINT CHARACTERISTICS AND FUNCTIONS; MALE; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; WALKING;

AGED; BIOMECHANICS; EXERCISE TEST; FEMALE; GAIT; HUMANS; MALE; MIDDLE AGED; POSTURAL BALANCE; RANGE OF MOTION, ARTICULAR; STROKE; WALKING;

EID: 84871023786     PISSN: 15570576     EISSN: 15570584     Source Type: Journal    
DOI: 10.1097/NPT.0b013e31827374c1     Document Type: Article

References (42)

1. Duarte E, Marco E, Muniesa J, et al. Trunk control test as a functional predictor in stroke patients. J Rehabil Med. 2002;34: 267-272.
2. Carr JH, Shepherd RB. Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill. Butterworth-Heinemann; 2003.
3. Verheyden G, Nieuwboer A, Mertin J, Preger R, Kiekens C, De Weerdt W. The Trunk Impairment Scale: a new tool to measuremotor impairment of the trunk after stroke. Clin Rehabil. 2004;18:326-334.
4. Verheyden G, Nieuwboer A, Feys H, Thijs V, Vaes K, De Weerdt W. Discriminant ability of the Trunk Impairment Scale: a comparison between stroke patients and healthy individuals. Disabil Rehabil. 2005;27:1023-1028.
5. Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Rehabil. 2006;20:451-458.
6. Karatas M, C etin N, Bayramoglu M, Dilek A. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil. 2004;83:81-87.
7. Wagenaar RC, Beek WJ. Hemiplegic gait: a kinematic analysis using walking speed as a basis. J Biomech. 1992;25:1007-1015.
8. Bruijn SM, Meijer OG, van Dien JH, Kingma I, Lamoth CJC. Coordination of leg swing, thorax rotations, and pelvis rotations during gait: the organisation of total body angular momentum. Gait Posture. 2008;27:455-462.
9. Van Emmerik REA,Wagenaar RC. Effects of walking velocity on relative phase dynamics in the trunk in human walking. J Biomech. 1996;29:1175-1184.
10. Lamontagne A, De Serres SJ, Fung J, Paquet N. Stroke affects the coordination and stabilization of head, thorax and pelvis during voluntary horizontal head motions performed in walking. Clin Neurophysiol. 2005;116:101-111.
11. Lamoth C, Beek P, Meijer O. Pelvis-thorax coordination in the transverse plane during gait. Gait Posture. 2002;16:101-114.
12. Haken H, Kelso JAS, Bunz H. A theoretical model of phase transitions in human hand movements. Biol Cybern. 1985;51:347-356.
13. Van Emmerik R, McDermott W, Haddad J, Van Wegen E. Age-related changes in upper body adaptation to walking speed in human locomotion. Gait Posture. 2005;22:233-239.
14. Lamoth CJC, Meijer OG, Daffertshofer A, Wuisman PIJM, Beek PJ. Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control. Eur Spine J. 2006;15:23-40.
15. Lamoth CJC, Daffertshofer A, Meijer OG, Beek PJ. How do persons with chronic lowback pain speed up and slowdown? Trunk-pelvis coordination and lumbar erector spinae activity during gait. Gait Posture. 2006;23:230-239.
16. Seay JF, Van Emmerik REA, Hamill J. Low back pain status affects pelvis-trunk coordination and variability during walking and running. Clin Biomech. 2011;26(6):572-578.
17. Van Emmerik REA,Wagenaar RC,Winogrodzka A,Wolters EC. Identification of axial rigidity during locomotion in Parkinson disease. Arch Phys Med Rehabil. 1999;80:186-191.
18. Levin MF, Hacmon RR, Krasovsky T, Lamontagne A, Levin MF. Intersegmental coordination of the trunk and functional locomotor deficits in chronic stroke. Soc Neurosci Abstr. 2011;587:03.
19. Gowland C, Stratford P, Ward M, et al. Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment. Stroke. 1993;24:58-63.
20. Gauthier L, Dehaut F, Joanette Y. The Bells Test: a quantitative and qualitative test for visual neglect. Int J Clin Neuropsychol. 1989;11:49-54.
21. Fugl-Meyer A, Jaasko L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. A method for evaluation of physical performance. Scand J Rehabil Med. 1975;7:13-31
22. Wrisley DM, Marchetti GF, Kuharsky DK, Whitney SL. Reliability, internal consistency, and validity of data obtained with the functional gait assessment. Phys Ther. 2004;84:906-918.
23. Horak FB, Wrisley DM, Frank J. The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Phys Ther. 2009;89:484-498.
24. Shumway-Cook A, Horak B. Assessing the influence of sensory interaction on balance. Phys Ther. 1986;66:1548-1550.
25. Podsiadlo D, Richardson S. The Timed Up & Go: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142-148.
26. Lin JH, Hsu MJ, Hsu HW, Wu HC, Hsieh CL. Psychometric comparisons of 3 functional ambulation measures for patients with stroke. Stroke. 2010;41:2021-2025.
27. Mulavara AP, Bloomberg JJ. Identifying head-trunk and lower limb contributions to gaze stabilization during locomotion. J Vestib Res. 2002;12:255-270.
28. Stinear JW, ByblowWD. Phase transitions and postural deviations during bimanual kinesthetic tracking. Exp Brain Res. 2001;137:467-477.
29. Chen G, Patten C, Kothari DH, Zajac FE. Gait differences between individuals with post-stroke hemiparesis and non-disabled controls at matched speeds. Gait Posture. 2005;22:51-56.
30. Perry J, Garrett M, Gronley JAK, Mulroy SJ. Classification of walking handicap in the stroke population. Stroke. 1995;26:982-989.
31. Richards C, Malouin F, Dumas F, Tardif D. Gait velocity as an outcome measure of locomotor recovery after stroke. In: Craik RL, Oatis CA, eds. Gait Analysis: Theory and Application. St Louis, MO: Mosby 1995:355-355.
32. Robinson CA, Shumway-Cook A, Matsuda PN, Ciol MA. Understanding physical factors associated with participation in community ambulation following stroke. Disabil Rehabil. 2011;33:1033-1042.
33. Schmid A, Duncan PW, Studenski S, et al. Improvements in speed-based gait classifications are meaningful. Stroke. 2007;38: 2096-2100.
34. Daly JJ, Sng K, Roenigk K, Fredrickson E, DohringM. Intra-limb coordination deficit in stroke survivors and response to treatment. Gait Posture. 2007;25:412-418.
35. Kim CM, Eng JJ. Magnitude and pattern of 3D kinematic and kinetic gait profiles in persons with stroke: relationship to walking speed. Gait Posture. 2004;20:140-146.
36. Archambault P, Pigeon P, Feldman A, Levin M. Recruitment and sequencing of different degrees of freedom during pointing movements involving the trunk in healthy and hemiparetic subjects. Exp Brain Res. 1999;126:55-67.
37. Cirstea M, Levin MF. Compensatory strategies for reaching in stroke. Brain. 2000;123:940-953.
38. Michaelsen SM, Luta A, Roby-Brami A, Levin MF. Effect of trunk restraint on the recovery of reaching movements in hemiparetic patients. Stroke. 2001;32:1875-1883.
39. Ustinova KI, Goussev VM, Balasubramaniam R, Levin MF. Disruption of coordination between arm, trunk, and center of pressure displacement in patients with hemiparesis. Mot Control. 2004;8:139-159.
40. Bayat R, Barbeau H, Lamontagne A. Speed and temporal-distance adaptations during treadmill and overground walking following stroke. Neurorehabil Neural Repair. 2005;19(2):115-124.
41. Ford MP,Wagenaar RC, Newell KM. The effects of auditory rhythms and instruction on walking patterns in individuals post-stroke. Gait Posture. 2007;26:150-155.
42. Roerdink M, Lamoth CJ, Kwakkel G, van Wieringen PC, Beek PJ. Gait coordination after stroke: benefits of acoustically paced treadmill walking. Phys Ther. 2007;87:1009-1022.