Arm weight effects on dynamic walking stability in individuals with hemiparetic stroke.

This study examined the effects of arm weights on dynamic stability during overground walking in individuals with hemiparetic stroke. Arm weights have been shown to improve mobility in stroke survivors, potentially at the cost of decreased dynamic stability and increased fall risk. Data from nine st...

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Main Authors: Hyung Suk Yang, Lee T Atkins, C Roger James
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0314463
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author Hyung Suk Yang
Lee T Atkins
C Roger James
author_facet Hyung Suk Yang
Lee T Atkins
C Roger James
author_sort Hyung Suk Yang
collection DOAJ
description This study examined the effects of arm weights on dynamic stability during overground walking in individuals with hemiparetic stroke. Arm weights have been shown to improve mobility in stroke survivors, potentially at the cost of decreased dynamic stability and increased fall risk. Data from nine stroke survivors (8 males, 1 female; age: 58.0 ± 6.8 years) were assessed under four conditions: no weight, weight attached to the non-hemiparetic side, weight attached to the hemiparetic side, and bilateral weights. Each condition used 0.45 kg sandbags. Kinematic data were captured using an eight-camera motion system and analyzed to assess center of mass position and velocity relative to the base of support. Although repeated measures ANOVA showed no significant differences in stability across conditions, individual scatter plots revealed variable responses among participants. Some maintained or improved their stability, while others experienced decreases under specific conditions. These findings underscore the need for personalized approaches in rehabilitation planning, suggesting that integrating arm weights into rehabilitation protocols may not compromise dynamic stability for most stroke survivors. Further research with larger sample sizes and varied weights is essential to validate these findings and tailor the use of arm weights in stroke rehabilitation more effectively.
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spelling doaj-art-47cc6afcb363451dace5ae53cbdfc4712025-08-20T03:02:11ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031446310.1371/journal.pone.0314463Arm weight effects on dynamic walking stability in individuals with hemiparetic stroke.Hyung Suk YangLee T AtkinsC Roger JamesThis study examined the effects of arm weights on dynamic stability during overground walking in individuals with hemiparetic stroke. Arm weights have been shown to improve mobility in stroke survivors, potentially at the cost of decreased dynamic stability and increased fall risk. Data from nine stroke survivors (8 males, 1 female; age: 58.0 ± 6.8 years) were assessed under four conditions: no weight, weight attached to the non-hemiparetic side, weight attached to the hemiparetic side, and bilateral weights. Each condition used 0.45 kg sandbags. Kinematic data were captured using an eight-camera motion system and analyzed to assess center of mass position and velocity relative to the base of support. Although repeated measures ANOVA showed no significant differences in stability across conditions, individual scatter plots revealed variable responses among participants. Some maintained or improved their stability, while others experienced decreases under specific conditions. These findings underscore the need for personalized approaches in rehabilitation planning, suggesting that integrating arm weights into rehabilitation protocols may not compromise dynamic stability for most stroke survivors. Further research with larger sample sizes and varied weights is essential to validate these findings and tailor the use of arm weights in stroke rehabilitation more effectively.https://doi.org/10.1371/journal.pone.0314463
spellingShingle Hyung Suk Yang
Lee T Atkins
C Roger James
Arm weight effects on dynamic walking stability in individuals with hemiparetic stroke.
PLoS ONE
title Arm weight effects on dynamic walking stability in individuals with hemiparetic stroke.
title_full Arm weight effects on dynamic walking stability in individuals with hemiparetic stroke.
title_fullStr Arm weight effects on dynamic walking stability in individuals with hemiparetic stroke.
title_full_unstemmed Arm weight effects on dynamic walking stability in individuals with hemiparetic stroke.
title_short Arm weight effects on dynamic walking stability in individuals with hemiparetic stroke.
title_sort arm weight effects on dynamic walking stability in individuals with hemiparetic stroke
url https://doi.org/10.1371/journal.pone.0314463
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