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Contributors Preface to the Second Edition Preface to the First Edition I: Introduction II: Neurophysiology of Stroke Recovery III: Neurologic Impairments and their Treatment IV: Sensorimotor Impairments and Their Treatment 19: Patterns of Locomotor Recovery After Stroke 20: Task-Oriented Training to Promote Upper Extremity Recovery 21: Neuromuscular Electrical Stimulation for Motor Restoration in Hemiplegia 22: Robots in Stroke Rehabilitation 23: Virtual Reality and Video Games for Stroke Rehabilitation 24: Walking Recovery and Rehabilitation After Stroke 25: Recovery and Rehabilitation of Standing Balance After Stroke
V: Poststroke Complications and Their Treatment 26: Secondary Prevention of Ischemic Stroke 27: Prevention of Deconditioning After Stroke 28: Medical Complications After Stroke 29: Physiology and Management of Spasticity After Stroke 30: Musculoskeletal Complications After Stroke 31: Depression and Other Neuropsychiatric Complications 32: Fatigue After Stroke 33: Sleep Disturbances and Stroke 34: Malnutrition After Stroke 35: Bladder and Bowel Management After Stroke
VI: Other Rehabilitation Therapeutics VII: Stroke Care Systems and Outcomes VIII: Psychosocial and Community Reintegration
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19: Patterns of Locomotor Recovery After Stroke
Contributors Preface to the Second Edition Preface to the First Edition I: Introduction II: Neurophysiology of Stroke Recovery III: Neurologic Impairments and their Treatment IV: Sensorimotor Impairments and Their Treatment 19: Patterns of Locomotor Recovery After Stroke 20: Task-Oriented Training to Promote Upper Extremity Recovery 21: Neuromuscular Electrical Stimulation for Motor Restoration in Hemiplegia 22: Robots in Stroke Rehabilitation 23: Virtual Reality and Video Games for Stroke Rehabilitation 24: Walking Recovery and Rehabilitation After Stroke 25: Recovery and Rehabilitation of Standing Balance After Stroke
V: Poststroke Complications and Their Treatment 26: Secondary Prevention of Ischemic Stroke 27: Prevention of Deconditioning After Stroke 28: Medical Complications After Stroke 29: Physiology and Management of Spasticity After Stroke 30: Musculoskeletal Complications After Stroke 31: Depression and Other Neuropsychiatric Complications 32: Fatigue After Stroke 33: Sleep Disturbances and Stroke 34: Malnutrition After Stroke 35: Bladder and Bowel Management After Stroke
VI: Other Rehabilitation Therapeutics VII: Stroke Care Systems and Outcomes VIII: Psychosocial and Community Reintegration
10.1891/9781617051708.0019
- Richards, Carol L. |
- Malouin, Francine |
- Dumas, Francine
Abstract
This chapter describes the patterns of locomotor recovery in persons who have sustained a cerebral stroke. It reviews the recovery trajectories after stroke obtained from longitudinal studies using clinical measures and underlying mechanisms associated with the recovery of strokes of different severities. The chapter presents the data describing the recovery, from stroke onset to two years after stroke, of walking speed and its relation to movements and muscle activations of the lower extremity in a cohort of subjects with a middle cerebral artery ischemic stroke who participated in a clinical trial. It also describes the compensatory kinetic strategies during gait of persons with different stroke severities. Prediction models that are adjusted for the effects of time after stroke suggest that outcome is largely defined within the first weeks after stroke, although functional improvement has been found to extend beyond six months after stroke.
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