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Anterior fall-recovery training applied to individuals with chronic stroke
Journal article   Open access   Peer reviewed

Anterior fall-recovery training applied to individuals with chronic stroke

Jamie Pigman, Darcy S. Reisman, Ryan T. Pohlig, John J. Jeka, Tamara R. Wright, Benjamin C. Conner, Drew A. Petersen and Jeremy R. Crenshaw
Clinical biomechanics (Bristol), v 69, pp 205-214
Oct 2019
DOI: https://doi.org/10.1016/j.clinbiomech.2019.07.031
PMID: 31382163
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823156View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Balance Falls Perturbation training Postural instability Rehabilitation Stroke
To study the effects of the initial stepping limb on anterior fall-recovery performance and kinematics, as well as to determine the benefits of fall-recovery training on those outcomes in individuals with chronic stroke. Single-group intervention of 15 individuals with chronic stroke who performed up to six sessions of fall-recovery training. Each session consisted of two progressions of treadmill-induced perturbations to induce anterior falls from a standing position. Progressions focused on initial steps with the paretic or non-paretic limb. Fall-recovery performance (the highest disturbance level achieved and the proportion of successful recoveries), as well as step and trunk kinematics were compared between the initial stepping limbs on the first session. Limb-specific outcomes were also compared between the first and last training sessions. There were no between-limb differences in fall-recovery performance in the first session. With training, participants successfully recovered from a higher proportion of falls (p's = 0.01, Cohen's d's > 0.7) and progressed to larger perturbation magnitudes (p's < 0.06, d's > 0.5). Initial steps with the paretic limb were wider and shorter relative to the center of mass (p's < 0.06, d's > 0.5). With training, initial paretic-limb steps became longer relative to the CoM (p = 0.03, d = 0.7). Trunk forward rotation was reduced when first stepping with the non-paretic limb (p = 0.03, d = 0.6). The initial stepping limb affects relevant step kinematics during anterior fall recovery. Fall-recovery training improved performance and select kinematic outcomes in individuals with chronic stroke. •The initial stepping limb did not influence performance-based variables of fall-recovery.•People with chronic stroke improved their fall-recovery performance with training.•The initial stepping limb influenced frontal plane step kinematics.•With training, trunk rotation was reduced and initial non-paretic steps were lengthened.

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10 Record Views
8 citations in Web of Science
6 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Engineering, Biomedical
Orthopedics
Sport Sciences
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