Exploiting Interlimb Arm and Leg Connections for Walking Rehabilitation: A Training Intervention in Stroke

dc.contributor.authorKlarner, Taryn
dc.contributor.authorBarss, Trevor
dc.contributor.authorSun, Yao
dc.contributor.authorKaupp, Chelsea
dc.contributor.authorLoadman, Pamela M.
dc.contributor.authorZehr, E. Paul
dc.date.accessioned2017-11-05T14:04:34Z
dc.date.available2017-11-05T14:04:34Z
dc.date.copyright2016en_US
dc.date.issued2016
dc.descriptionClinical Studyen_US
dc.description.abstractRhythmic arm and leg (A&L) movements share common elements of neural control. The extent to which A&L cycling training can lead to training adaptations which transfer to improved walking function remains untested. The purpose of this study was to test the efficacy of A&L cycling training as a modality to improve locomotor function after stroke. Nineteen chronic stroke (>six months) participants were recruited and performed 30 minutes of A&L cycling training three times a week for five weeks. Changes in walking function were assessed with (1) clinical tests; (2) strength during isometric contractions; and (3) treadmill walking performance and cutaneous reflex modulation. A multiple baseline (3 pretests) within-subject control design was used. Data show that A&L cycling training improved clinical walking status increased strength by ~25%, improved modulation of muscle activity by ~25%, increased range of motion by ~20%, decreased stride duration, increased frequency, and improved modulation of cutaneous reflexes during treadmill walking. On most variables, the majority of participants showed a significant improvement in walking ability. These results suggest that exploiting arm and leg connections with A&L cycling training, an accessible and cost-effective training modality, could be used to improve walking ability after stroke.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipFunding for this study was provided by The Heart and Stroke Foundation of Canada.en_US
dc.identifier.citationKlarner, T., Barss, T.S., Sun, Y., Kaupp, C., Loadman, P.M., & Zehr, E.P. (2014). Exploiting Interlimb Arm and Leg Connections for Walking Rehabilitation: A Training Intervention in Stroke. Neural Plasticity, Vol. 2016, Article ID 1517968.en_US
dc.identifier.urihttp://dx.doi.org/10.1155/2016/1517968
dc.identifier.urihttp://hdl.handle.net/1828/8777
dc.language.isoenen_US
dc.publisherNeural Plasticityen_US
dc.subjectRehabilitation Neuroscience Laboratory
dc.subjectCentre for Biomedical Research
dc.subject.departmentDivision of Medical Sciences
dc.subject.departmentSchool of Medical Sciences
dc.titleExploiting Interlimb Arm and Leg Connections for Walking Rehabilitation: A Training Intervention in Strokeen_US
dc.typeArticleen_US

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