The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study

[Purpose] The purpose of this study was to investigate the relationship between muscle activity and gait function following aquatic trunk exercise in hemiplegic stroke patients. [Subjects and Methods] This study’s participants included thirteen hemiplegic patients (ten males and three females). The...

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Main Authors: Park, Byoung-Sun, Noh, Ji-Woong, Kim, Mee-Young, Lee, Lim-Kyu, Yang, Seung-Min, Lee, Won-Deok, Shin, Yong-Sub, Kim, Ju-Hyun, Lee, Jeong-Uk, Kwak, Taek-Yong, Lee, Tae-Hyun, Kim, Ju-Young, Park, Jaehong, Kim, Junghwan
Format: Online
Language:English
Published: The Society of Physical Therapy Science 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681943/
id pubmed-4681943
recordtype oai_dc
spelling pubmed-46819432015-12-22 The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study Park, Byoung-Sun Noh, Ji-Woong Kim, Mee-Young Lee, Lim-Kyu Yang, Seung-Min Lee, Won-Deok Shin, Yong-Sub Kim, Ju-Hyun Lee, Jeong-Uk Kwak, Taek-Yong Lee, Tae-Hyun Kim, Ju-Young Park, Jaehong Kim, Junghwan Original Article [Purpose] The purpose of this study was to investigate the relationship between muscle activity and gait function following aquatic trunk exercise in hemiplegic stroke patients. [Subjects and Methods] This study’s participants included thirteen hemiplegic patients (ten males and three females). The aquatic therapy consisted of administering concentrative aquatic therapy for four weeks in a therapeutic pool. Gait parameters were measured using a gait analysis system adjusted to each subject’s comfortable walking speed. Electromyographic signals were measured for the rectus abdominis, external abdominal oblique, transversus abdominis/internal-abdominal oblique, and erector spine of each patients. [Results] The pre- and post-training performances of the transversus abdominis/internal-abdominal oblique were compared statistically. There was no statistical difference between the patients’ pre- and post-training values of maximal voluntary isometric contraction of the rectus abdominis, but the external abdominal oblique values tended to improve. Furthermore, gait factors improved significantly in terms of walking speeds, walking cycles, affected-side stance phases, affected-stride lengths, and stance-phase symmetry indices, respectively. [Conclusion] These results suggest that the trunk exercise during aquatic therapy may in part contribute to clinically relevant improvements in muscle activities and gait parameters. The Society of Physical Therapy Science 2015-11-30 2015-11 /pmc/articles/PMC4681943/ /pubmed/26696736 http://dx.doi.org/10.1589/jpts.27.3549 Text en 2015©by the Society of Physical Therapy Science. Published by IPEC Inc. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Park, Byoung-Sun
Noh, Ji-Woong
Kim, Mee-Young
Lee, Lim-Kyu
Yang, Seung-Min
Lee, Won-Deok
Shin, Yong-Sub
Kim, Ju-Hyun
Lee, Jeong-Uk
Kwak, Taek-Yong
Lee, Tae-Hyun
Kim, Ju-Young
Park, Jaehong
Kim, Junghwan
spellingShingle Park, Byoung-Sun
Noh, Ji-Woong
Kim, Mee-Young
Lee, Lim-Kyu
Yang, Seung-Min
Lee, Won-Deok
Shin, Yong-Sub
Kim, Ju-Hyun
Lee, Jeong-Uk
Kwak, Taek-Yong
Lee, Tae-Hyun
Kim, Ju-Young
Park, Jaehong
Kim, Junghwan
The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study
author_facet Park, Byoung-Sun
Noh, Ji-Woong
Kim, Mee-Young
Lee, Lim-Kyu
Yang, Seung-Min
Lee, Won-Deok
Shin, Yong-Sub
Kim, Ju-Hyun
Lee, Jeong-Uk
Kwak, Taek-Yong
Lee, Tae-Hyun
Kim, Ju-Young
Park, Jaehong
Kim, Junghwan
author_sort Park, Byoung-Sun
title The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study
title_short The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study
title_full The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study
title_fullStr The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study
title_full_unstemmed The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study
title_sort effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study
description [Purpose] The purpose of this study was to investigate the relationship between muscle activity and gait function following aquatic trunk exercise in hemiplegic stroke patients. [Subjects and Methods] This study’s participants included thirteen hemiplegic patients (ten males and three females). The aquatic therapy consisted of administering concentrative aquatic therapy for four weeks in a therapeutic pool. Gait parameters were measured using a gait analysis system adjusted to each subject’s comfortable walking speed. Electromyographic signals were measured for the rectus abdominis, external abdominal oblique, transversus abdominis/internal-abdominal oblique, and erector spine of each patients. [Results] The pre- and post-training performances of the transversus abdominis/internal-abdominal oblique were compared statistically. There was no statistical difference between the patients’ pre- and post-training values of maximal voluntary isometric contraction of the rectus abdominis, but the external abdominal oblique values tended to improve. Furthermore, gait factors improved significantly in terms of walking speeds, walking cycles, affected-side stance phases, affected-stride lengths, and stance-phase symmetry indices, respectively. [Conclusion] These results suggest that the trunk exercise during aquatic therapy may in part contribute to clinically relevant improvements in muscle activities and gait parameters.
publisher The Society of Physical Therapy Science
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681943/
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