Effects of Aquatic Pole Walking on the Reduction of Spastic Hypertonia in a Patient with Hemiplegia: A Case Study

@article{Obata2017EffectsOA,
  title={Effects of Aquatic Pole Walking on the Reduction of Spastic Hypertonia in a Patient with Hemiplegia: A Case Study},
  author={Hiroki Obata and Tetsuya Ogawa and Motonori Hoshino and Chiho Fukusaki and Yohei Masugi and H. Kobayashi and Hideo Yano and Kimitaka Nakazawa},
  journal={International Journal of Physical Medicine \& Rehabilitation},
  year={2017},
  volume={05}
}
Here we report an acute effect of aquatic pole walking (PW) training intervention on a 64-year-old male patient with chronic hemiparesis and symptoms of spasticity in the right lower limb. A comparison of over ground walking before and after 20 minutes of aquatic PW training revealed a significant improvement in gait performance. As a main result, the average speed of walking after the intervention was 0.16 m/s after the intervention as compared to 0.04 m/s in the initial condition. The time… 
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Figures and Tables from this paper

Spatiotemporal characteristics of locomotor adaptation of walking with two handheld poles.
TLDR
The result showed that adaptations to the split-belt treadmill in PW and CW were found only in interlimb parameters (step length and double support time ratios (fast/slow limb)), not in intralimb parameters (stride length and stance time ratios).
Unique controlling mechanisms underlying walking with two handheld poles in contrast to those of conventional walking as revealed by split-belt locomotor adaptation
TLDR
The results suggest that the neural control mechanisms of PW and CW are not independent, and it is possible that PW could be a locomotor behavior built upon a basic locomotor pattern of CW.

References

SHOWING 1-10 OF 17 REFERENCES
Rehabilitation procedures in the management of spasticity.
TLDR
Existing evidence supports the potential role of rehabilitation interventions as a therapeutic tool, which could be integrated with traditional pharmacological procedures in the management of the spastic movement disorder.
Short-term effects of thermotherapy for spasticity on tibial nerve F-waves in post-stroke patients
TLDR
It is demonstrated that thermotherapy is an effective nonpharmacological antispastic treatment that might facilitate stroke rehabilitation and play an important role in decreased spasticity.
The Effect of Underwater Gait Training on Balance Ability of Stroke Patients
TLDR
Compared to the general rehabilitation program, underwater treadmill gait training was not more effective at improving the balance ability of stroke patients than land-based training.
Percentage Weight-Bearing During Partial Immersion in the Hydrotherapy Pool
TLDR
Values determined will enable physiotherapists to use a more scientific approach to weight-bearing in the pool and to correlate their hydrotherapy treatments with walking re-education on dry land.
Effects of Aquatic Intervention on the Cardiopulmonary System in the Geriatric Population
TLDR
Evidence-based recommendations are provided for safe and effective methods of implementing and monitoring aquatic activity in both the geriatric population who are healthy and those with pathology.
Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications
  • B. Becker
  • Medicine, Psychology
    PM & R : the journal of injury, function, and rehabilitation
  • 2009
Effects of postural threat on spinal stretch reflexes: evidence for increased muscle spindle sensitivity?
TLDR
It is proposed that an increase in sensitivity of muscle spindles activated in the T-reflexes must be more sensitive in the threatening conditions to satisfy the conflicting needs to restrict movement with threat, while maintaining a certain amount of sensory information related to postural control.
...
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