NDLI: Postactivation depression changes after robotic-assisted gait training in hemiplegic stroke patients.

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Postactivation depression changes after robotic-assisted gait training in hemiplegic stroke patients.

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Postactivation depression changes after robotic-assisted gait training in hemiplegic stroke patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Trompetto, Carlo Marinelli, Lucio Mori, Laura Cossu, Elena Zilioli, Roberto Simonini, Marina Abbruzzese, Giovanni Baratto, Luigi
Description	Country affiliation: Italy Author Affiliation: Trompetto C ( Institute of Neurology, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Largo Daneo 3, 16132 Genova, Italy.)
Abstract	Postactivation depression is decreased in patients with spasticity and partially restored by physical exercise in spinal cord injured patients. Up until now, the possibility to modulate postactivation depression with motor training has never been explored in subjects with spasticity following brain lesions. Postactivation depression, assessed as frequency related depression of soleus H-reflex, was investigated before and after robotic-assisted gait training in a group of seven subjects with spastic hemiparesis following hemispheric stroke. Patients received three sessions per week of robotic-assisted gait training for a period of 4 weeks (12 sessions in total). Postactivation depression was measured before the treatment (T0), after the first session (T1) and after the last session (T2). Postactivation depression was quantified as the ratio between H-reflex amplitude at 1 Hz and at 0.1 Hz. The greater the 1 Hz/0.1 Hz ratio, the smaller the postactivation depression. Following robotic-assisted gait training, the 1 Hz/0.1 Hz ratio decreased from 0.79±0.26 at T0 to 0.56±0.18 at T1 and 0.58±0.13 at T2. Post hoc analysis showed a significant difference between T0 and T1 and between T0 and T2, stating an increase of postactivation depression. No significant differences were found between T1 and T2. This study provides the first demonstration that physical exercise can determine a partial normalization of postactivation depression in hemiparetic patients with spasticity following unilateral hemispheric stroke.
File Format	HTM / HTML
ISSN	09666362
Issue Number	4
Volume Number	38
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2013-09-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Neural Inhibition H-reflex Humans Middle Aged Innervation Male Gait Disorders, Neurologic Exercise Therapy Robotics Journal Article Case-control Studies Etiology Hemiplegia Adult Female Physiology Infarction, Middle Cerebral Artery Clinical Trial Complications Reflex, Stretch Treatment Outcome Physiopathology Long-term Synaptic Depression Aged Rehabilitation Muscle, Skeletal Methods
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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