A Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter

Walking function disorders are typical for patients after cerebral stroke. Biofeedback technology (BFB) is currently considered effective and promising for training walking function, including in patients after cerebral stroke. Most studies recognize that BFB training is a promising tool for improvi...

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Autores principales:	Dmitry V. Skvortsov, Sergey N. Kaurkin, Galina E. Ivanova
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	biofeedback gait training gait analysis stroke early recovery phase Chemical technology TP1-1185
Acceso en línea:	https://doaj.org/article/6c6951b0ec5945ca98fd24cc26c048e8
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spelling	oai:doaj.org-article:6c6951b0ec5945ca98fd24cc26c048e82021-11-11T19:11:47ZA Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter10.3390/s212172171424-8220https://doaj.org/article/6c6951b0ec5945ca98fd24cc26c048e82021-10-01T00:00:00Zhttps://www.mdpi.com/1424-8220/21/21/7217https://doaj.org/toc/1424-8220Walking function disorders are typical for patients after cerebral stroke. Biofeedback technology (BFB) is currently considered effective and promising for training walking function, including in patients after cerebral stroke. Most studies recognize that BFB training is a promising tool for improving walking function; however, the data on the use of highly selective walking parameters for BFB training are very limited. The aim of our study was to investigate the feasibility of using BFB training targeting one of the basic parameters of gait symmetry—stance phase duration—in cerebral stroke patients in the early recovery period. The study included 20 hemiparetic patients in the early recovery period after the first hemispheric ischemic stroke. The control group included 20 healthy subjects. The BFB training and biomechanical analysis of walking (before and after all BFB sessions) were done using an inertial system. The mean number of BFB sessions was nine (from 8 to 11) during the three weeks in clinic. There was not a single negative response to BFB training among the study patients, either during the sessions or later. The spatiotemporal parameters of walking showed the whole syndrome complex of slow walking and typical asymmetry of temporal walking parameters, and did not change significantly as a result of the study therapy. The changes were more significant for the functioning of hip and knee joints. The contralateral hip amplitude returned to the normal range. For the knee joint, the amplitude of the first flexion increased and the value of the amplitude of hyperextension decreased in the middle of the stance phase. Concerning muscle function, the observed significant decrease in the function of m. Gastrocnemius and the hamstring muscles on the paretic side remained without change at the end of the treatment course. We obtained positive dynamics of the biomechanical parameters of walking in patients after the BFB training course. The feasibility and efficacy of their use for targeted correction need further research.Dmitry V. SkvortsovSergey N. KaurkinGalina E. IvanovaMDPI AGarticlebiofeedback gait traininggait analysisstrokeearly recovery phaseChemical technologyTP1-1185ENSensors, Vol 21, Iss 7217, p 7217 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	biofeedback gait training gait analysis stroke early recovery phase Chemical technology TP1-1185
spellingShingle	biofeedback gait training gait analysis stroke early recovery phase Chemical technology TP1-1185 Dmitry V. Skvortsov Sergey N. Kaurkin Galina E. Ivanova A Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter
description	Walking function disorders are typical for patients after cerebral stroke. Biofeedback technology (BFB) is currently considered effective and promising for training walking function, including in patients after cerebral stroke. Most studies recognize that BFB training is a promising tool for improving walking function; however, the data on the use of highly selective walking parameters for BFB training are very limited. The aim of our study was to investigate the feasibility of using BFB training targeting one of the basic parameters of gait symmetry—stance phase duration—in cerebral stroke patients in the early recovery period. The study included 20 hemiparetic patients in the early recovery period after the first hemispheric ischemic stroke. The control group included 20 healthy subjects. The BFB training and biomechanical analysis of walking (before and after all BFB sessions) were done using an inertial system. The mean number of BFB sessions was nine (from 8 to 11) during the three weeks in clinic. There was not a single negative response to BFB training among the study patients, either during the sessions or later. The spatiotemporal parameters of walking showed the whole syndrome complex of slow walking and typical asymmetry of temporal walking parameters, and did not change significantly as a result of the study therapy. The changes were more significant for the functioning of hip and knee joints. The contralateral hip amplitude returned to the normal range. For the knee joint, the amplitude of the first flexion increased and the value of the amplitude of hyperextension decreased in the middle of the stance phase. Concerning muscle function, the observed significant decrease in the function of m. Gastrocnemius and the hamstring muscles on the paretic side remained without change at the end of the treatment course. We obtained positive dynamics of the biomechanical parameters of walking in patients after the BFB training course. The feasibility and efficacy of their use for targeted correction need further research.
format	article
author	Dmitry V. Skvortsov Sergey N. Kaurkin Galina E. Ivanova
author_facet	Dmitry V. Skvortsov Sergey N. Kaurkin Galina E. Ivanova
author_sort	Dmitry V. Skvortsov
title	A Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter
title_short	A Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter
title_full	A Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter
title_fullStr	A Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter
title_full_unstemmed	A Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter
title_sort	study of biofeedback gait training in cerebral stroke patients in the early recovery phase with stance phase as target parameter
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6c6951b0ec5945ca98fd24cc26c048e8
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A Study of Biofeedback Gait Training in Cerebral Stroke Patients in the Early Recovery Phase with Stance Phase as Target Parameter

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