The effect of aquatic and treadmill exercise in individuals with chronic stroke

Detalhes bibliográficos
Autor(a) principal: Franciulli, Patrícia Martins
Data de Publicação: 2019
Outros Autores: Bigongiari, Aline, Grilletti, Juliana Valente Francica, Mazuchi, Flávia de Andrade e Souza, Amadio, Alberto Carlos, Mochizuki, Luis
Tipo de documento: Artigo
Idioma: por
Título da fonte: Fisioterapia e Pesquisa
Texto Completo: https://www.revistas.usp.br/fpusp/article/view/186892
Resumo: We compared the effect of gait training on treadmill versus deep water on balance and gait in 12 ischemic stroke chronic survivors randomly sorted to the Pool or Treadmill Groups. Berg Scale (BBS) and timed up and go test (TUG) were applied before and after the interventions. Just one person applied all tests and she was blinded for the aims of the study. Surface EMG of the paretic and non-paretic (NP) side muscles were recorded during walking on a treadmill. Three 100-ms epochs were extracted from the EMG related to gait phases: weight acceptance; propulsion; and pre-strike. For each epoch, we calculated the RMS of the EMG signal. Participants did gait training for 9 weeks (3 times/week, 40 minutes/session). The Pool group did the deep-water walking with a swimming belt. The Treadmill group walked on the treadmill at the maximum speed they could stand. The Manova group compared the effect of training, group, side, muscles, and gait phase into the EMG. Anova was used to test the effect of training, group side, and gait phase into BBS, TUG and EMG variables. Pool and Treadmill had increased balance and agility. The highest EMG RMS occurred at the paretic side, for the Treadmill and after training. The mm. tibialis anterior, gastrocnemius lateralis, vastus lateralis, and biceps femoris presented the highest RMS for the NP side; while for mm. rectus femoris and semitendinosus, the paretic side presented the highest RMS. Thus, the both types of exercise lead to similar functional adaptations with different muscular activations during walking.
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spelling The effect of aquatic and treadmill exercise in individuals with chronic strokeEl efecto del ejercicio en piscina y en cinta de correr en pacientes hemiparéticos crónicosEfeito do treinamento aeróbio em piscina e em esteira em hemiparéticos crônicosStrokeGaitElectromyographyAerobicTrainingAccidente CerebrovascularMarchaEletromiografiaTrataTratamiento AeróbioAcidente Vascular Cerebral;MarchaEletromiografiaTreinamento Aeróbio We compared the effect of gait training on treadmill versus deep water on balance and gait in 12 ischemic stroke chronic survivors randomly sorted to the Pool or Treadmill Groups. Berg Scale (BBS) and timed up and go test (TUG) were applied before and after the interventions. Just one person applied all tests and she was blinded for the aims of the study. Surface EMG of the paretic and non-paretic (NP) side muscles were recorded during walking on a treadmill. Three 100-ms epochs were extracted from the EMG related to gait phases: weight acceptance; propulsion; and pre-strike. For each epoch, we calculated the RMS of the EMG signal. Participants did gait training for 9 weeks (3 times/week, 40 minutes/session). The Pool group did the deep-water walking with a swimming belt. The Treadmill group walked on the treadmill at the maximum speed they could stand. The Manova group compared the effect of training, group, side, muscles, and gait phase into the EMG. Anova was used to test the effect of training, group side, and gait phase into BBS, TUG and EMG variables. Pool and Treadmill had increased balance and agility. The highest EMG RMS occurred at the paretic side, for the Treadmill and after training. The mm. tibialis anterior, gastrocnemius lateralis, vastus lateralis, and biceps femoris presented the highest RMS for the NP side; while for mm. rectus femoris and semitendinosus, the paretic side presented the highest RMS. Thus, the both types of exercise lead to similar functional adaptations with different muscular activations during walking. Se comparó el efecto del entrenamiento de la marcha en cinta de correr y en piscina en el equilibrio y la marcha de 12 sobrevivientes crónicos de accidente cerebrovascular isquémico, quienes fueron clasificados aleatoriamente en los grupos piscina o cinta de correr. Se aplicaron la Escala de Equilibrio de Berg (BBS) y la Timed up and go test (TUG) antes y después de las intervenciones. Solo una persona aplicó todas las pruebas con evaluación ciega para los objetivos del estudio. Se registró la EMG de superficie de los músculos laterales paréticos y no paréticos durante la caminata en la cinta. Se extrajeron tres momentos de 100 ms de la EMG relacionadas con las etapas de la marcha: aceptación de peso; propulsión; y precontacto del pie. Para cada momento, se calculó el RMS de la señal EMG. Los participantes realizaron entrenamientos de marcha durante 9 semanas (3 veces/semana, 40 minutos/sesión). El grupo piscina caminó con un cinturón de natación. El grupo cinta de correr caminó en la cinta a la velocidad máxima confortable. Utilizando la Manova se comparó el efecto del entrenamiento, el grupo, los músculos laterales y la fase de la marcha en la EMG. Con la ANOVA se probó el efecto del entrenamiento, el lado grupal y la fase de marcha en las variables BBS, TUG y EMG. El equilibrio y la agilidad aumentaron en ambos grupos. El EMG RMS más alto ocurrió en el lado parético del grupo cinta de correr y después del entrenamiento. Los músculos tibial anterior, gastrocnemio lateral, vasto lateral y bíceps femoral presentaron el RMS más alto en el lado no parético; mientras que en los músculos recto femoral y semitendinoso, el lado parético presentó el RMS más alto. Por lo tanto, los dos tipos de ejercicio conducen a adaptaciones funcionales similares con diferentes activaciones musculares durante la marcha.Comparamos o efeito do treinamento de marcha em esteira versus piscina no equilíbrio e na marcha em 12 sobreviventes crônicos de AVC isquêmico separados aleatoriamente nos grupos piscina ou esteira. A escala de Berg (EEB) e timed up and go test (TUG) foram aplicados antes e após as intervenções. A EMG de superfície dos músculos do lado parético e não parético foi registrada na caminhada em esteira. Três janelas de 100 ms foram extraídas da EMG relacionada às fases da marcha: aceitação de peso; propulsão; e pré-contato do pé. Para cada fase, calculou-se o RMS do sinal EMG. Os participantes treinaram 9 semanas (3 vezes/semana, 40 minutos/sessão). O grupo piscina fez marcha na água com cinto de natação. O grupo esteira fez treinamento de marcha na na velocidade máxima confortável. A Manova comparou o efeito do treinamento, grupo, lado, músculos e fase da marcha na EMG. A Anova testou o efeito do treinamento, lado do grupo e fase da marcha nas variáveis BBS, TUG e EMG. Os grupos piscina e esteira aumentaram o equilíbrio e a agilidade. O maior EMG RMS ocorreu no lado parético, no grupo esteira e após o treinamento. Os músculos: tibial anterior, gastrocnêmio lateral, vasto lateral e bíceps femoral apresentaram o maior RMS para o lado não parético; enquanto para os músculos reto femoral e semitendíneo, o lado parético apresentou o maior RMS. Assim, os dois tipos de exercício levaram a adaptações funcionais semelhantes com diferentes ativações musculares durante a caminhada.Universidade de São Paulo. Faculdade de Medicina2019-08-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/18689210.1590/1809-2950/17027326042019Fisioterapia e Pesquisa; Vol. 26 No. 4 (2019); 353-359Fisioterapia e Pesquisa; Vol. 26 Núm. 4 (2019); 353-359Fisioterapia e Pesquisa; v. 26 n. 4 (2019); 353-3592316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/186892/172410https://www.revistas.usp.br/fpusp/article/view/186892/172409Copyright (c) 2019 Patrícia Martins Franciulli, Aline Bigongiari, Juliana Valente Francica Grilletti, Flávia de Andrade e Souza Mazuchi, Alberto Carlos Amadio, Luis Mochizukihttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessFranciulli, Patrícia MartinsBigongiari, AlineGrilletti, Juliana Valente FrancicaMazuchi, Flávia de Andrade e SouzaAmadio, Alberto CarlosMochizuki, Luis2023-05-26T13:23:49Zoai:revistas.usp.br:article/186892Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-05-26T13:23:49Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv The effect of aquatic and treadmill exercise in individuals with chronic stroke
El efecto del ejercicio en piscina y en cinta de correr en pacientes hemiparéticos crónicos
Efeito do treinamento aeróbio em piscina e em esteira em hemiparéticos crônicos
title The effect of aquatic and treadmill exercise in individuals with chronic stroke
spellingShingle The effect of aquatic and treadmill exercise in individuals with chronic stroke
Franciulli, Patrícia Martins
Stroke
Gait
Electromyography
Aerobic
Training
Accidente Cerebrovascular
Marcha
Eletromiografia
Trata
Tratamiento Aeróbio
Acidente Vascular Cerebral;
Marcha
Eletromiografia
Treinamento Aeróbio
title_short The effect of aquatic and treadmill exercise in individuals with chronic stroke
title_full The effect of aquatic and treadmill exercise in individuals with chronic stroke
title_fullStr The effect of aquatic and treadmill exercise in individuals with chronic stroke
title_full_unstemmed The effect of aquatic and treadmill exercise in individuals with chronic stroke
title_sort The effect of aquatic and treadmill exercise in individuals with chronic stroke
author Franciulli, Patrícia Martins
author_facet Franciulli, Patrícia Martins
Bigongiari, Aline
Grilletti, Juliana Valente Francica
Mazuchi, Flávia de Andrade e Souza
Amadio, Alberto Carlos
Mochizuki, Luis
author_role author
author2 Bigongiari, Aline
Grilletti, Juliana Valente Francica
Mazuchi, Flávia de Andrade e Souza
Amadio, Alberto Carlos
Mochizuki, Luis
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Franciulli, Patrícia Martins
Bigongiari, Aline
Grilletti, Juliana Valente Francica
Mazuchi, Flávia de Andrade e Souza
Amadio, Alberto Carlos
Mochizuki, Luis
dc.subject.por.fl_str_mv Stroke
Gait
Electromyography
Aerobic
Training
Accidente Cerebrovascular
Marcha
Eletromiografia
Trata
Tratamiento Aeróbio
Acidente Vascular Cerebral;
Marcha
Eletromiografia
Treinamento Aeróbio
topic Stroke
Gait
Electromyography
Aerobic
Training
Accidente Cerebrovascular
Marcha
Eletromiografia
Trata
Tratamiento Aeróbio
Acidente Vascular Cerebral;
Marcha
Eletromiografia
Treinamento Aeróbio
description We compared the effect of gait training on treadmill versus deep water on balance and gait in 12 ischemic stroke chronic survivors randomly sorted to the Pool or Treadmill Groups. Berg Scale (BBS) and timed up and go test (TUG) were applied before and after the interventions. Just one person applied all tests and she was blinded for the aims of the study. Surface EMG of the paretic and non-paretic (NP) side muscles were recorded during walking on a treadmill. Three 100-ms epochs were extracted from the EMG related to gait phases: weight acceptance; propulsion; and pre-strike. For each epoch, we calculated the RMS of the EMG signal. Participants did gait training for 9 weeks (3 times/week, 40 minutes/session). The Pool group did the deep-water walking with a swimming belt. The Treadmill group walked on the treadmill at the maximum speed they could stand. The Manova group compared the effect of training, group, side, muscles, and gait phase into the EMG. Anova was used to test the effect of training, group side, and gait phase into BBS, TUG and EMG variables. Pool and Treadmill had increased balance and agility. The highest EMG RMS occurred at the paretic side, for the Treadmill and after training. The mm. tibialis anterior, gastrocnemius lateralis, vastus lateralis, and biceps femoris presented the highest RMS for the NP side; while for mm. rectus femoris and semitendinosus, the paretic side presented the highest RMS. Thus, the both types of exercise lead to similar functional adaptations with different muscular activations during walking.
publishDate 2019
dc.date.none.fl_str_mv 2019-08-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/186892
10.1590/1809-2950/17027326042019
url https://www.revistas.usp.br/fpusp/article/view/186892
identifier_str_mv 10.1590/1809-2950/17027326042019
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/186892/172410
https://www.revistas.usp.br/fpusp/article/view/186892/172409
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
dc.source.none.fl_str_mv Fisioterapia e Pesquisa; Vol. 26 No. 4 (2019); 353-359
Fisioterapia e Pesquisa; Vol. 26 Núm. 4 (2019); 353-359
Fisioterapia e Pesquisa; v. 26 n. 4 (2019); 353-359
2316-9117
1809-2950
reponame:Fisioterapia e Pesquisa
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Fisioterapia e Pesquisa
collection Fisioterapia e Pesquisa
repository.name.fl_str_mv Fisioterapia e Pesquisa - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||revfisio@usp.br
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