Improvement of Gait in Patients with Stroke Using Rhythmic Sensory Stimulation: A Case-Control Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Study Procedures
2.3. Extraction of Gait Parameters and Providing Rhythmic Sensory Stimulation
2.4. Statistical Analysis
3. Results
4. Discussion
Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Stroke (n = 20) | Control (n = 20) | p-Value | |
---|---|---|---|
Age (years) | 72.10 ± 7.15 | 72.65 ± 6.93 | NS |
Height (cm) | 162.30 ± 8.65 | 163.60 ± 8.09 | NS |
Weight (kg) | 63.55 ± 8.65 | 65.51 ± 10.04 | NS |
Gender (female/male) | 8/12 | 8/12 | NS |
BMI (kg/m2) | 23.97 ± 2.52 | 24.44 ± 2.89 | NS |
WHR (waist/hip ratio) | 0.87 ± 0.05 | 0.89 ± 0.05 | NS |
Education (years) | 16.50 ± 7.03 | 16.55 ± 5.24 | NS |
MMSE † (Max score: 30) | 24.15 ± 4.90 | 28.45 ± 1.53 | <0.001 * |
RMI ‡ (Max score: 15) | 11.85 ± 2.10 | 15.00 ± 0.00 | <0.001 * |
Timed Up and Go test (s) | 17.32 ± 7.19 | 7.76 ± 1.13 | <0.001 * |
No. of falls in previous year (No (%)) | 0.55 ± 0.99 (35%) | 0.05 ± 0.22 (5%) | 0.040 * |
Period after stroke onset (months) | 114.95 ± 78.23 | ||
Hemiparetic side (right/left) | 6/14 | ||
Type of stroke (I/H) § | 16/4 | ||
Use of walking aid (yes/no) | 7/13 |
Walking Condition | |||||||
---|---|---|---|---|---|---|---|
Gait Variable | Group | Normal † | RAS ‡ | RSS § | RCS ¶ | p-Value | |
Speed (m/s) | Stroke (n = 20) | 0.81 ± 0.23 | 0.88 ± 0.24 | 0.88 ± 0.23 | 0.88 ± 0.23 | Group < 0.001 * | 0.607 |
Control (n = 20) | 1.35 ± 0.16 | 1.34 ± 0.17 | 1.36 ± 0.17 | 1.36 ± 0.17 | Condition < 0.001 * | 0.158 | |
Interaction 0.002 * | 0.143 | ||||||
Stride length (m) | Stroke (n = 20) | 0.91 ± 0.22 | 0.98 ± 0.22 | 0.98 ± 0.23 | 0.98 ± 0.23 | Group < 0.001 * | 0.490 |
Control (n = 20) | 1.33 ± 0.14 | 1.31 ± 0.14 | 1.33 ± 0.14 | 1.33 ± 0.14 | Condition < 0.001 * | 0.163 | |
Interaction < 0.001 * | 0.232 | ||||||
Gait cycle (s) | Stroke (n = 20) | 1.18 ± 0.20 | 1.16 ± 0.20 | 1.16 ± 0.20 | 1.15 ± 0.19 | Group < 0.001 * | 0.260 |
Control (n = 20) | 0.99 ± 0.06 | 0.99 ± 0.07 | 0.99 ± 0.07 | 0.98 ± 0.07 | Condition 0.023 * | 0.096 | |
Interaction 0.257 | 0.035 | ||||||
Cadence (steps/min) | Stroke (n = 20) | 104.10 ± 15.60 | 105.59 ± 15.37 | 105.95 ± 15.28 | 106.32 ± 14.95 | Group < 0.001 * | 0.305 |
Control (n = 20) | 121.03 ± 8.17 | 121.33 ± 9.37 | 121.99 ± 9.68 | 122.22 ± 9.86 | Condition 0.014 * | 0.104 | |
Interaction 0.581 | 0.015 | ||||||
Stance (%) | Stroke (n = 20) | 63.19 ± 4.06 | 62.61 ± 3.52 | 62.58 ± 4.08 | 62.49 ± 3.80 | Group 0.010 * | 0.163 |
Control (n = 20) | 60.11 ± 2.39 | 60.03 ± 2.16 | 59.89 ± 2.53 | 60.06 ± 2.35 | Condition 0.126 | 0.052 | |
Interaction 0.326 | 0.029 | ||||||
Swing (%) | Stroke (n = 20) | 36.80 ± 4.06 | 37.38 ± 3.52 | 37.41 ± 4.08 | 37.50 ± 3.80 | Group 0.010 * | 0.163 |
Control (n = 20) | 39.88 ± 2.39 | 39.96 ± 2.16 | 40.10 ± 2.53 | 39.93 ± 2.35 | Condition 0.126 | 0.052 | |
Interaction 0.326 | 0.029 | ||||||
Double support (%) | Stroke (n = 20) | 28.54 ± 7.07 | 26.65 ± 6.36 | 27.20 ± 6.81 | 27.01 ± 6.61 | Group < 0.001 * | 0.314 |
Control (n = 20) | 20.28 ± 4.18 | 20.03 ± 4.10 | 19.89 ± 4.19 | 20.27 ± 3.95 | Condition < 0.001 * | 0.157 | |
Interaction 0.006 * | 0.106 | ||||||
Stride length CV (%) | Stroke (n = 20) | 6.87 ± 2.92 | 5.13 ± 1.59 | 5.24 ± 1.75 | 5.14 ± 1.78 | Group < 0.001 * | 0.488 |
Control (n = 20) | 2.60 ± 0.71 | 3.20 ± 0.95 | 3.10 ± 0.96 | 2.91 ± 0.59 | Condition 0.008 * | 0.119 | |
Interaction < 0.001 * | 0.286 | ||||||
Gait cycle CV (%) | Stroke (n = 20) | 4.69 ± 2.28 | 3.37 ± 1.25 | 3.54 ± 1.39 | 3.54 ± 1.41 | Group < 0.001 * | 0.357 |
Control (n = 20) | 2.05 ± 0.87 | 2.23 ± 0.71 | 2.15 ± 0.63 | 2.14 ± 0.67 | Condition < 0.001 * | 0.151 | |
Interaction < 0.001 * | 0.218 | ||||||
Stance CV (%) | Stroke (n = 20) | 4.04 ± 1.42 | 3.16 ± 0.82 | 3.15 ± 1.05 | 3.12 ± 0.88 | Group 0.003 * | 0.213 |
Control (n = 20) | 2.36 ± 1.09 | 2.50 ± 1.09 | 2.26 ± 1.24 | 2.37 ± 1.13 | Condition < 0.001 * | 0.129 | |
Interaction < 0.001 * | 0.138 | ||||||
Swing CV (%) | Stroke (n = 20) | 7.29 ± 3.73 | 5.40 ± 1.91 | 5.50 ± 2.63 | 5.39 ± 2.15 | Group < 0.001 * | 0.247 |
Control (n = 20) | 3.56 ± 1.64 | 3.78 ± 1.64 | 3.41 ± 1.88 | 3.59 ± 1.71 | Condition < 0.001 * | 0.162 | |
Interaction < 0.001 * | 0.177 | ||||||
Double support CV (%) | Stroke (n = 20) | 11.16 ± 3.05 | 9.54 ± 2.43 | 9.65 ± 2.91 | 9.22 ± 2.85 | Group 0.575 | 0.008 |
Control (n = 20) | 10.05 ± 5.03 | 11.24 ± 5.89 | 10.10 ± 4.92 | 10.92 ± 4.53 | Condition 0.280 | 0.033 | |
Interaction 0.002 * | 0.124 |
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Lee, Y.; Shin, S. Improvement of Gait in Patients with Stroke Using Rhythmic Sensory Stimulation: A Case-Control Study. J. Clin. Med. 2022, 11, 425. https://doi.org/10.3390/jcm11020425
Lee Y, Shin S. Improvement of Gait in Patients with Stroke Using Rhythmic Sensory Stimulation: A Case-Control Study. Journal of Clinical Medicine. 2022; 11(2):425. https://doi.org/10.3390/jcm11020425
Chicago/Turabian StyleLee, Yungon, and Sunghoon Shin. 2022. "Improvement of Gait in Patients with Stroke Using Rhythmic Sensory Stimulation: A Case-Control Study" Journal of Clinical Medicine 11, no. 2: 425. https://doi.org/10.3390/jcm11020425