The effect of aquatic and treadmill exercise in individuals with chronic stroke
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
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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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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1787713739751948288 |