A Comparison Study of Walking Ability Using Thera-Band Wrapping at Knee Level and Hip Level in Stroke Patients
Keywords:
A stroke; Rehabilitation; Walking training; Elastic BandAbstract
Background and Objective: Rehabilitation for walking after stroke is crucial. Thera-Band can be an option for the gait rehabilitation in stroke patients with foot drop. The aim of this study was to examine the effect of Thera-Band wrapping at knee level and to compare the effect of knee and hip level wrapping on walking ability.
Methods: A randomized crossover trial was done in ten stroke patients. Patients were assessed by the Wisconsin Gait Scale (WGS) and the 10 meter walk test (10MWT) at baseline. Patients were then randomized to walk with Thera-Band wrapping at knee and hip levels. WGS and 10MWT were assessed for each wrapping level.
Results: Wrapping at knee level decreased WGS from 23.5 to 20.4 (p = 0.016), increased comfortable gait speed from 0.44 to 0.57 m/s (p = 0.007) and fast gait speed from 0.70 to 0.76 m/s (p = 0.017). Patients walking with wrapping at knee level had higher fast gait speed compared to wrapping at hip level (0.76 vs 0.73, p = 0.047). No difference was found in WGS and comfortable gait speed.
Conclusions: The use of Thera-Band wrapping at both hip and knee levels improved walking ability and gait speed. Thera-Band at knee level led to higher fast gait speed compared to hip level.
References
1. Johnson CO, Nguyen M, Roth GA, Nichols E, Alam T, Abate D, et al. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurology 2019; 18: 439-58.
2. รายงานประจำปี 2561 สำนักโรคไม่ติดต่อ กรมควบคุมโรค กระทรวงสาธารณสุข. กลุ่มยุทธศาสตร์ แผนการประเมินผล สำนักโรคไม่ติดต่อ กรมควบคุมโรค กระทรวงสาธารณสุข. [ออนไลน์] 27 พฤษภาคม 2562 [อ้างเมื่อ 23 ธันวาคม 2562]. จากhttp://www.thaincd.com/document/file/download/paper-manual/AnnualNCD61.pdf
3. Jang SH. The recovery of walking in stroke patients: a review. Int J Rehabil Res 2010; 33(4): 285-9.
4. Stoquart G, Detrembleur C, Lejeune TM. The reasons why stroke patients expend so much energy to walk slowly. Gait & Posture 2012; 36: 409-13.
5. Weerdesteyn V, de Niet M, van Duijnhoven HJR, Geurts ACH. Falls in individuals with stroke. J Rehabil Res Dev 2008; 45: 1195-213.
6. Dobkin BH. Rehabilitation after stroke. New Engl J Med 2005; 352: 1677-84.
7. Gil-Castillo J, Alnajjar F, Koutsou A, Torricelli D, Moreno JC. Advances in neuroprosthetic management of foot drop: a review. J Neuro eng Rehabil 2020; 17: 46.
8. Abe H, Michimata A, Sugawara K, Sugaya N, Izumi SI. Improving gait stability in stroke hemiplegic patients with a plastic ankle-foot orthosis. Tohoku J Exp Med 2009; 218: 193-9.
9. Simons CDM, van Asseldonk EHF, van der Kooij H, Geurts ACH, Buurke JH. Ankle-foot orthoses in stroke: effects on functional balance, weight-bearing asymmetry and the contribution of each lower limb to balance control. Clin Biomech (Bristol, Avon) 2009; 24: 769-75.
10. Park YH, Kim YM, Lee BH. An ankle proprioceptive control program improves balance, gait ability of chronic stroke patients. J Phys Ther Sci 2013; 25: 1321-4.
11. Harkema SJ, Hurley SL, Patel UK, Requejo PS, Dobkin BH, Edgerton VR. Human lumbosacral spinal cord interprets loading during stepping. J Neurophysiol 1997; 77: 797-811.
12. Kularathna R, Wanigasinghe J. The effectiveness of assisted thera-band resistance exercises on improving the swing phase of gait in hemiplegic patients. [Internet]. [cited Sep 26, 2018]. Available from: http://ir.kdu.ac.lk/bitstream/handle/345/1494/h016.pdf?sequence=1&isAllowed=y
13. Veneri D. combining the treatment modalities of body weight support treadmill training and thera-band: a case study of an individual with hemiparetic gait. Top Stroke Rehabil 2011; 18: 402-16.
14. Veneri D. Does combining body weight support treadmill training with theraband® improve hemiparetic gait? J Nov Physiother 2012; 2: 1-5.
15. Patil P, Rao SA. Effects of Thera-Band (R) elastic resistance-assisted gait training in stroke patients: a pilot study. Eur J Phys Rehabil Med. 2011; 47: 427-33.
16. Hwang YI, Yoo WG, An DH. Effects of the elastic walking band on gait in stroke patients. Neurorehabil 2013; 32: 317-22.
17. Hwang YI, Yoo WG, An DH, Heo HJ. The effect of an AFO-shaped elastic band on drop-foot gait in patients with central neurological lesions. Neurorehabil 2013; 32: 377-83.
18. Isaac S, Michael BW. Handbook in research and evaluation a collection of principles, methods, and strategies useful in the planning, design, and evaluation of studies in education and the behavioral sciences. San Diego, CA: Educational and industrial testing services: EDITS Publishers; 1981: 234
19. Clerkenwell Workshops L. Create a blocked randomisation list | Sealed Envelope [cited Sep 26, 2018]. Available from: https://www.sealedenvelope.com/simple-randomiser/v1/lists.
20. Rodriquez AA, Black PO, Kile KA, Sherman J, Stellberg B, McCormick J, et al. Gait training efficacy using a home-based practice model in chronic hemiplegia. Arch Phys Med Rehabil 1996; 77: 801-5.
21. Estrada-Barranco C, Cano-de-la-Cuerda R, Molina-Rueda F. Construct validity of the Wisconsin Gait Scale in acute, subacute and chronic stroke. Gait Posture 2019; 68: 363-8.
22. Guzik A, Druzbickia M, Wolan-Nieroda A, Przysada G, Kwolek A. The Wisconsin gait scale - The minimal clinically important difference. Gait Posture 2019; 68: 453-7.
23. James F Malec, Jessica M Ketchum. A Standard method for determining the minimal clinically important difference for rehabilitation measures. Arch Phys Med Rehabil 2020; 101: 1090-1094. doi: 10.1016/j.apmr.2019.12.008.
24. Yaliman A, Kesiktas N, Ozkaya M, Eskiyurt N, Erkan O, Yilmaz E. Evaluation of intrarater and interrater reliability of the Wisconsin Gait Scale with using the video taped stroke patients in a Turkish sample. NeuroRehabil 2014; 34: 253-8.
25. Collen FM, Wade DT, Bradshaw CM. Mobility after stroke: reliability of measures of impairment and disability. Int Disabil Stud 1990; 12: 6-9.
26. Flansbjer UB, Holmbäck AM, Downham D, Patten C, Lexell J. Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med 2005; 37: 75-82.
27. Tyson S, Connell L. The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: a systematic review. Clin Rehabil 2009; 23: 1018-33.
28. Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc 2006; 54: 743-9.
29. Amachaya S, Chuadthong J, Thaweewannaku T, Srisim K and Phonthee S. Levels of community ambulation ability in patients with stroke who live in a rural area. Malays J Med Sci 2016; 23: 56-62.
30. von Schroeder HP, Coutts RD, Lyden PD, Billings E, Nickel VL. Gait parameters following stroke: a practical assessment. J Rehabil Res Dev 1995; 32: 25-31.
31. Olney SJ, Griffin MP, McBride ID. Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: a regression approach. Phys Ther. 1994; 74: 872-85.
32. Hwang Y-I. Effects of an Elastic AFO on the Walking Patterns of Foot-drop Patients with Stroke. J Korean Soc Phys Med 2020; 15: 1-9.
33. Kim JH, Sim WS, Won BH. Effectiveness of elastic band-type ankle-foot orthoses on postural control in poststroke elderly patients as determined using combined measurement of the stability index and body weight-bearing ratio. Clin Interv Aging 2015; 10: 1839-47.
34. Nadeau S, Gravel D, Arsenault AB, Bourbonnais D. Plantarflexor weakness as a limiting factor of gait speed in stroke subjects and the compensating role of hip flexors. Clin Biomech (Bristol, Avon) 1999; 14: 125-35.
35. Schmid A, Duncan PW, Studenski S, Lai SM, Richards L, Perera S, et al. Improvements in speed-based gait classifications are meaningful. Stroke 2007; 38: 2096-100.
36. Bowden MG, Balasubramanian CK, Behrman AL, Kautz SA. Validation of a Speed-Based Classification System Using Quantitative Measures of Walking Performance Poststroke. Neurorehabil Neural Repair 2008; 22: 672-5.
2. รายงานประจำปี 2561 สำนักโรคไม่ติดต่อ กรมควบคุมโรค กระทรวงสาธารณสุข. กลุ่มยุทธศาสตร์ แผนการประเมินผล สำนักโรคไม่ติดต่อ กรมควบคุมโรค กระทรวงสาธารณสุข. [ออนไลน์] 27 พฤษภาคม 2562 [อ้างเมื่อ 23 ธันวาคม 2562]. จากhttp://www.thaincd.com/document/file/download/paper-manual/AnnualNCD61.pdf
3. Jang SH. The recovery of walking in stroke patients: a review. Int J Rehabil Res 2010; 33(4): 285-9.
4. Stoquart G, Detrembleur C, Lejeune TM. The reasons why stroke patients expend so much energy to walk slowly. Gait & Posture 2012; 36: 409-13.
5. Weerdesteyn V, de Niet M, van Duijnhoven HJR, Geurts ACH. Falls in individuals with stroke. J Rehabil Res Dev 2008; 45: 1195-213.
6. Dobkin BH. Rehabilitation after stroke. New Engl J Med 2005; 352: 1677-84.
7. Gil-Castillo J, Alnajjar F, Koutsou A, Torricelli D, Moreno JC. Advances in neuroprosthetic management of foot drop: a review. J Neuro eng Rehabil 2020; 17: 46.
8. Abe H, Michimata A, Sugawara K, Sugaya N, Izumi SI. Improving gait stability in stroke hemiplegic patients with a plastic ankle-foot orthosis. Tohoku J Exp Med 2009; 218: 193-9.
9. Simons CDM, van Asseldonk EHF, van der Kooij H, Geurts ACH, Buurke JH. Ankle-foot orthoses in stroke: effects on functional balance, weight-bearing asymmetry and the contribution of each lower limb to balance control. Clin Biomech (Bristol, Avon) 2009; 24: 769-75.
10. Park YH, Kim YM, Lee BH. An ankle proprioceptive control program improves balance, gait ability of chronic stroke patients. J Phys Ther Sci 2013; 25: 1321-4.
11. Harkema SJ, Hurley SL, Patel UK, Requejo PS, Dobkin BH, Edgerton VR. Human lumbosacral spinal cord interprets loading during stepping. J Neurophysiol 1997; 77: 797-811.
12. Kularathna R, Wanigasinghe J. The effectiveness of assisted thera-band resistance exercises on improving the swing phase of gait in hemiplegic patients. [Internet]. [cited Sep 26, 2018]. Available from: http://ir.kdu.ac.lk/bitstream/handle/345/1494/h016.pdf?sequence=1&isAllowed=y
13. Veneri D. combining the treatment modalities of body weight support treadmill training and thera-band: a case study of an individual with hemiparetic gait. Top Stroke Rehabil 2011; 18: 402-16.
14. Veneri D. Does combining body weight support treadmill training with theraband® improve hemiparetic gait? J Nov Physiother 2012; 2: 1-5.
15. Patil P, Rao SA. Effects of Thera-Band (R) elastic resistance-assisted gait training in stroke patients: a pilot study. Eur J Phys Rehabil Med. 2011; 47: 427-33.
16. Hwang YI, Yoo WG, An DH. Effects of the elastic walking band on gait in stroke patients. Neurorehabil 2013; 32: 317-22.
17. Hwang YI, Yoo WG, An DH, Heo HJ. The effect of an AFO-shaped elastic band on drop-foot gait in patients with central neurological lesions. Neurorehabil 2013; 32: 377-83.
18. Isaac S, Michael BW. Handbook in research and evaluation a collection of principles, methods, and strategies useful in the planning, design, and evaluation of studies in education and the behavioral sciences. San Diego, CA: Educational and industrial testing services: EDITS Publishers; 1981: 234
19. Clerkenwell Workshops L. Create a blocked randomisation list | Sealed Envelope [cited Sep 26, 2018]. Available from: https://www.sealedenvelope.com/simple-randomiser/v1/lists.
20. Rodriquez AA, Black PO, Kile KA, Sherman J, Stellberg B, McCormick J, et al. Gait training efficacy using a home-based practice model in chronic hemiplegia. Arch Phys Med Rehabil 1996; 77: 801-5.
21. Estrada-Barranco C, Cano-de-la-Cuerda R, Molina-Rueda F. Construct validity of the Wisconsin Gait Scale in acute, subacute and chronic stroke. Gait Posture 2019; 68: 363-8.
22. Guzik A, Druzbickia M, Wolan-Nieroda A, Przysada G, Kwolek A. The Wisconsin gait scale - The minimal clinically important difference. Gait Posture 2019; 68: 453-7.
23. James F Malec, Jessica M Ketchum. A Standard method for determining the minimal clinically important difference for rehabilitation measures. Arch Phys Med Rehabil 2020; 101: 1090-1094. doi: 10.1016/j.apmr.2019.12.008.
24. Yaliman A, Kesiktas N, Ozkaya M, Eskiyurt N, Erkan O, Yilmaz E. Evaluation of intrarater and interrater reliability of the Wisconsin Gait Scale with using the video taped stroke patients in a Turkish sample. NeuroRehabil 2014; 34: 253-8.
25. Collen FM, Wade DT, Bradshaw CM. Mobility after stroke: reliability of measures of impairment and disability. Int Disabil Stud 1990; 12: 6-9.
26. Flansbjer UB, Holmbäck AM, Downham D, Patten C, Lexell J. Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med 2005; 37: 75-82.
27. Tyson S, Connell L. The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: a systematic review. Clin Rehabil 2009; 23: 1018-33.
28. Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc 2006; 54: 743-9.
29. Amachaya S, Chuadthong J, Thaweewannaku T, Srisim K and Phonthee S. Levels of community ambulation ability in patients with stroke who live in a rural area. Malays J Med Sci 2016; 23: 56-62.
30. von Schroeder HP, Coutts RD, Lyden PD, Billings E, Nickel VL. Gait parameters following stroke: a practical assessment. J Rehabil Res Dev 1995; 32: 25-31.
31. Olney SJ, Griffin MP, McBride ID. Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: a regression approach. Phys Ther. 1994; 74: 872-85.
32. Hwang Y-I. Effects of an Elastic AFO on the Walking Patterns of Foot-drop Patients with Stroke. J Korean Soc Phys Med 2020; 15: 1-9.
33. Kim JH, Sim WS, Won BH. Effectiveness of elastic band-type ankle-foot orthoses on postural control in poststroke elderly patients as determined using combined measurement of the stability index and body weight-bearing ratio. Clin Interv Aging 2015; 10: 1839-47.
34. Nadeau S, Gravel D, Arsenault AB, Bourbonnais D. Plantarflexor weakness as a limiting factor of gait speed in stroke subjects and the compensating role of hip flexors. Clin Biomech (Bristol, Avon) 1999; 14: 125-35.
35. Schmid A, Duncan PW, Studenski S, Lai SM, Richards L, Perera S, et al. Improvements in speed-based gait classifications are meaningful. Stroke 2007; 38: 2096-100.
36. Bowden MG, Balasubramanian CK, Behrman AL, Kautz SA. Validation of a Speed-Based Classification System Using Quantitative Measures of Walking Performance Poststroke. Neurorehabil Neural Repair 2008; 22: 672-5.
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Published
2020-09-08
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Rachashiha S, Saengsuwan J. A Comparison Study of Walking Ability Using Thera-Band Wrapping at Knee Level and Hip Level in Stroke Patients. SRIMEDJ [Internet]. 2020 Sep. 8 [cited 2024 Apr. 25];35(5):537-44. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/246672
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