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Volume 08 Journal of Novel Physiotherapies Rehabilitation Medicine 2018
May 18-19, 2018
May 18-19, 2018 Osaka, Japan
7th World Congress on
Physical Medicine and Rehabilitation
Influence of differences in assistance method on walking on lower leg muscle activity in paralyzed late
stance in post-stroke: From kinematic mechanics and neurophysiological point of view
Yasutada Yamamoto
Takarazuka Rehabilitation Hospital, Japan
It is possible to improve the function in walking exercises after stroke even in therapist assistance. We mainly used two ways
of assistance and chose the way to make the patient walk in a better posture. The difference in these methods of assistance
affects kinematic mechanics and muscle activity, but the influence on neurological aspects is not clear. The purpose of this
study was to examine the influence of differences in assistive method on kinematic and neurophysiological factors on post-
stroke requiring assistance for walking. Subject was one sub-acute stroke, lower limb BRS was α. The method was a method
in which one physiotherapist unlocks the knee joint of the long limb orthosis and posterior assistance gait (posterior) in
which walk assistance was conducted from behind and two physiotherapists provide walk assistance from the side during
walking (lateral). We analyzed to compare the kinematics and neurophysiological factor using EMG coherence analysis in two
conditions. Walking speed, number of steps, plantar-flexor torque, gastrocnemius activity (MG) and beta band frequency in
MG showed high values in lateral side. On the other hand, there were no significant changes in the tibialis-anterior activity and
theta band in MG during assistive walking. From these results, it was suggested that differences in neurological aspects such as
corticospinal excitability, in addition to the influence on kinematic dynamics factors, due to differences in assistive methods.
Biography
Yasutada Yamamoto has obtained Physiotherapist License from Tokushima College of Medical Sciences and Welfare, Japan.
Yasutada Yamamoto, J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C2-027