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Effects of Kinesiotape® taping on plantar pressure and impact acceleration during walking - Effet du Kinesiotape® sur la pression plantaire et la cinématique de la marche au moment de l’impact / P. PEREZ-SORIANO in Science & sports, volume 29 numéro 5 (Octobre 2014)
[article]
Titre : Effects of Kinesiotape® taping on plantar pressure and impact acceleration during walking - Effet du Kinesiotape® sur la pression plantaire et la cinématique de la marche au moment de l’impact Type de document : texte imprimé Auteurs : P. PEREZ-SORIANO, Auteur ; A.G. LUCAS-CUEVAS, Auteur ; I. APARICIO-APARICIO, Auteur ; S. LLANA-BELLOCH, Auteur Année de publication : 2014 Article en page(s) : p.282 - p.287 Langues : Français (fre) Mots-clés : Kinesio Tape® Plantar pressure Acceleration Walking Pression plantaire Accélération Marche Résumé : Objectives
The aim of this study was to analyse the plantar pressure pattern, contact time, stride rate and impact acceleration in the shank during walking with and without Kinesio Tape (KT®) placed on two muscle groups: peroneus and triceps surae.
Methods
Among the subjects, 29 (12 men, 17 women) participated in the study. KT® was placed on the triceps surae and peroneus and participants walked at two different speeds (V1: 0.73m/s; V2: 1.30m/s) with and without KT®. The pedobarographic system Biofoot IBV® 6.0 was used to analyse plantar pressure (mean peak pressure [kPa]) in 5 foot areas and the kinematic variables of the study (contact time [s]; stride rate [steps/second]). One uni-axial accelerometer (Sportmetrics®) was placed on the shank for the impact loading analysis.
Results
No significant difference was observed on plantar pressure (P>0.05), and kinematics variables (P>0.05) with and without KT®. However, results revealed a relationship of dependence between speed and plantar pressure and kinematics parameters, especially under the rearfoot and the medial part of the foot (P<0.005).
Conclusion
The results suggest that application of KT® on peroneus and triceps surae does not have a direct effect on impact accelerations and plantar pressure pattern of healthy individuals during walking.
Objectifs
L’objectif de cette étude était d’analyser la pression plantaire, le temps de contact, le rythme de foulée et l’accélération du tibia au moment de l’impact lors de la marche avec et sans Kinesio Tape (KT®).
Méthodes
Parmi les sujets, 29 (12 hommes, 17 femmes) ont participé à l’étude. KT® a été appliqué sur le triceps sural et le péronier. Les participants ont marché à deux vitesses (V1 : 0,73m/s ; V2 : 1,30m/s), avec et sans KT®. Le système pedobarographic Biofoot IBV® 6.0 a été utilisé pour analyser les pressions plantaires (pression maximale moyenne [kPa]) à cinq endroits sous le pied, et les variables relatives à la cinématique (temps de contact [s] ; rythme de foulée [des étapes/min]). Un accéléromètre uni-axial (Sportmetrics®) a été placé sur le tibia pour l’analyse des impacts.
Résultats
Aucune différence significative entre les conditions avec et sans Kinesio Tape® n’a été observée au niveau de la pression plantaire (p>0,05) et des variables cinématiques (p>0,05). Cependant, les résultats ont révélé une association entre la vitesse, la pression plantaire et les paramètres cinématiques, en particulier sous l’arrière-pied et la partie médiale du pied (p<0,005).
Conclusions
Les résultats suggèrent que l’application de Kinesio Tape® sur le péronier et le triceps sural n’a pas un effet direct sur la cinématique de la marche de personnes en parfaite santé.Permalink : ./index.php?lvl=notice_display&id=33613
in Science & sports > volume 29 numéro 5 (Octobre 2014) . - p.282 - p.287[article] Effects of Kinesiotape® taping on plantar pressure and impact acceleration during walking - Effet du Kinesiotape® sur la pression plantaire et la cinématique de la marche au moment de l’impact [texte imprimé] / P. PEREZ-SORIANO, Auteur ; A.G. LUCAS-CUEVAS, Auteur ; I. APARICIO-APARICIO, Auteur ; S. LLANA-BELLOCH, Auteur . - 2014 . - p.282 - p.287.
Langues : Français (fre)
in Science & sports > volume 29 numéro 5 (Octobre 2014) . - p.282 - p.287
Mots-clés : Kinesio Tape® Plantar pressure Acceleration Walking Pression plantaire Accélération Marche Résumé : Objectives
The aim of this study was to analyse the plantar pressure pattern, contact time, stride rate and impact acceleration in the shank during walking with and without Kinesio Tape (KT®) placed on two muscle groups: peroneus and triceps surae.
Methods
Among the subjects, 29 (12 men, 17 women) participated in the study. KT® was placed on the triceps surae and peroneus and participants walked at two different speeds (V1: 0.73m/s; V2: 1.30m/s) with and without KT®. The pedobarographic system Biofoot IBV® 6.0 was used to analyse plantar pressure (mean peak pressure [kPa]) in 5 foot areas and the kinematic variables of the study (contact time [s]; stride rate [steps/second]). One uni-axial accelerometer (Sportmetrics®) was placed on the shank for the impact loading analysis.
Results
No significant difference was observed on plantar pressure (P>0.05), and kinematics variables (P>0.05) with and without KT®. However, results revealed a relationship of dependence between speed and plantar pressure and kinematics parameters, especially under the rearfoot and the medial part of the foot (P<0.005).
Conclusion
The results suggest that application of KT® on peroneus and triceps surae does not have a direct effect on impact accelerations and plantar pressure pattern of healthy individuals during walking.
Objectifs
L’objectif de cette étude était d’analyser la pression plantaire, le temps de contact, le rythme de foulée et l’accélération du tibia au moment de l’impact lors de la marche avec et sans Kinesio Tape (KT®).
Méthodes
Parmi les sujets, 29 (12 hommes, 17 femmes) ont participé à l’étude. KT® a été appliqué sur le triceps sural et le péronier. Les participants ont marché à deux vitesses (V1 : 0,73m/s ; V2 : 1,30m/s), avec et sans KT®. Le système pedobarographic Biofoot IBV® 6.0 a été utilisé pour analyser les pressions plantaires (pression maximale moyenne [kPa]) à cinq endroits sous le pied, et les variables relatives à la cinématique (temps de contact [s] ; rythme de foulée [des étapes/min]). Un accéléromètre uni-axial (Sportmetrics®) a été placé sur le tibia pour l’analyse des impacts.
Résultats
Aucune différence significative entre les conditions avec et sans Kinesio Tape® n’a été observée au niveau de la pression plantaire (p>0,05) et des variables cinématiques (p>0,05). Cependant, les résultats ont révélé une association entre la vitesse, la pression plantaire et les paramètres cinématiques, en particulier sous l’arrière-pied et la partie médiale du pied (p<0,005).
Conclusions
Les résultats suggèrent que l’application de Kinesio Tape® sur le péronier et le triceps sural n’a pas un effet direct sur la cinématique de la marche de personnes en parfaite santé.Permalink : ./index.php?lvl=notice_display&id=33613 Exemplaires (1)
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Exclu du prêtEffects of superficial heating and insulation on walking speed in people with hereditary and spontaneous spastic paraparesis: A randomised crossover study / A. Denton in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)
[article]
Titre : Effects of superficial heating and insulation on walking speed in people with hereditary and spontaneous spastic paraparesis: A randomised crossover study Type de document : texte imprimé Auteurs : A. Denton ; A. Hough ; Jennifer A. Freeman ; Jonathan F. Marsden Année de publication : 2018 Article en page(s) : p. 72-77 Note générale : Doi : 10.1016/j.rehab.2017.12.001 Langues : Anglais (eng) Mots-clés : Hyperthermia induced Walking Spastic paraparesis Résumé : Objectives
Cooling of the lower limb in people with Hereditary and Spontaneous Spastic Paraparesis (pwHSSP) has been shown to affect walking speed and neuromuscular impairments. The investigation of practical strategies, which may help to alleviate these problems is important. The potential of superficial heat to improve walking speed has not been explored in pwHSSP. Primary objective was to explore whether the application of superficial heat (hot packs) to lower limbs in pwHSSP improves walking speed. Secondary objective was to explore whether wearing insulation after heating would prolong any benefits.
Methods
A randomised crossover study design with 21 pwHSSP. On two separate occasions two hot packs and an insulating wrap (Neo-G™) were applied for 30minutes to the lower limbs of pwHSSP. On one occasion the insulating wrap was maintained for a further 30minutes and on the other occasion it was removed. Measures of temperature (skin, room and core), walking speed (10 metre timed walk) and co-ordination (foot tap time) were taken at baseline (T1), after 30 mins (T2) and at one hour (T3).
Results
All 21 pwHSSP reported increased lower limb stiffness and decreased walking ability when their legs were cold. After thirty minutes of heating, improvements were seen in walking speed (12.2%, P<0.0001, effect size 0.18) and foot tap time (21.5%, P<0.0001, effect size 0.59). Continuing to wear insulation for a further 30minutes gave no additional benefit; with significant improvements in walking speed maintained at one hour (9.9%, P>0.001) in both conditions.
Conclusions
Application of 30minutes superficial heating moderately improved walking speed in pwHSSP with effects maintained at 1hour. The use of hot packs applied to lower limbs should be the focus of further research for the clinical management of pwHSSP who report increased stiffness of limbs in cold weather and do not have sensory deficits.Permalink : ./index.php?lvl=notice_display&id=80449
in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 72-77[article] Effects of superficial heating and insulation on walking speed in people with hereditary and spontaneous spastic paraparesis: A randomised crossover study [texte imprimé] / A. Denton ; A. Hough ; Jennifer A. Freeman ; Jonathan F. Marsden . - 2018 . - p. 72-77.
Doi : 10.1016/j.rehab.2017.12.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 72-77
Mots-clés : Hyperthermia induced Walking Spastic paraparesis Résumé : Objectives
Cooling of the lower limb in people with Hereditary and Spontaneous Spastic Paraparesis (pwHSSP) has been shown to affect walking speed and neuromuscular impairments. The investigation of practical strategies, which may help to alleviate these problems is important. The potential of superficial heat to improve walking speed has not been explored in pwHSSP. Primary objective was to explore whether the application of superficial heat (hot packs) to lower limbs in pwHSSP improves walking speed. Secondary objective was to explore whether wearing insulation after heating would prolong any benefits.
Methods
A randomised crossover study design with 21 pwHSSP. On two separate occasions two hot packs and an insulating wrap (Neo-G™) were applied for 30minutes to the lower limbs of pwHSSP. On one occasion the insulating wrap was maintained for a further 30minutes and on the other occasion it was removed. Measures of temperature (skin, room and core), walking speed (10 metre timed walk) and co-ordination (foot tap time) were taken at baseline (T1), after 30 mins (T2) and at one hour (T3).
Results
All 21 pwHSSP reported increased lower limb stiffness and decreased walking ability when their legs were cold. After thirty minutes of heating, improvements were seen in walking speed (12.2%, P<0.0001, effect size 0.18) and foot tap time (21.5%, P<0.0001, effect size 0.59). Continuing to wear insulation for a further 30minutes gave no additional benefit; with significant improvements in walking speed maintained at one hour (9.9%, P>0.001) in both conditions.
Conclusions
Application of 30minutes superficial heating moderately improved walking speed in pwHSSP with effects maintained at 1hour. The use of hot packs applied to lower limbs should be the focus of further research for the clinical management of pwHSSP who report increased stiffness of limbs in cold weather and do not have sensory deficits.Permalink : ./index.php?lvl=notice_display&id=80449 Exemplaires (1)
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Exclu du prêtPredicting the oxygen cost of walking in hemiparetic stroke patients / M. Compagnat in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)
[article]
Titre : Predicting the oxygen cost of walking in hemiparetic stroke patients Type de document : texte imprimé Auteurs : M. Compagnat ; S. Mandigout ; D. Chaparro ; Jean-Yves Salle ; Jean-Christophe Daviet Année de publication : 2018 Article en page(s) : p. 3009-314 Note générale : Doi : 10.1016/j.rehab.2018.03.001 Langues : Anglais (eng) Mots-clés : Stroke Walking Oxygen cost Speed Résumé : Objective
To verify the relation between spontaneous walking speed (Sfree) and oxygen cost of walking at Sfree (Cwfree) in post-stroke hemiparetic patients and to test the validity of a prediction model to estimate Cwfree based on Sfree.
Design
We included 26 participants (mean age 65.1 years [SD 15.7]) with mild to moderate disability after stroke who walked at Sfree using mobility aids if necessary for 6min. The Cwfree was measured at a stabilized metabolic rate by indirect calorimetry with the Metamax 3B spiroergometry device. The relation between Sfree and Cwfree was analyzed by the correlation coefficient (r) and coefficient of determination (R2). The Cwfree prediction model was developed from a regression equation, then tested on a second population of 29 patients (mean age 62.1 years [SD 13.4]) with the same inclusion and exclusion criteria.
Results
For the 26 participants, the Sfree and Cwfree were highly correlated (r=−0.94 and R2=0.97), which allowed for formulating a regression equation and developing the Cwfree prediction model based on Sfree. The prediction model tests yielded accurate results (mean bias −0.02mL.kg−1.m−1; 95% limits of agreement −0.31 to 0.26mL.kg−1.m−1). The relation between Cwfree estimated by the model and measured by Metamax was high (R2=0.98).
Conclusion
Cwfree was strongly correlated with Sfree, which allowed for the development of a valid Cwfree prediction model. A practitioner could estimate the energy expenditure of walking for a patient without using an indirect calorimeter.Permalink : ./index.php?lvl=notice_display&id=80626
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 3009-314[article] Predicting the oxygen cost of walking in hemiparetic stroke patients [texte imprimé] / M. Compagnat ; S. Mandigout ; D. Chaparro ; Jean-Yves Salle ; Jean-Christophe Daviet . - 2018 . - p. 3009-314.
Doi : 10.1016/j.rehab.2018.03.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 3009-314
Mots-clés : Stroke Walking Oxygen cost Speed Résumé : Objective
To verify the relation between spontaneous walking speed (Sfree) and oxygen cost of walking at Sfree (Cwfree) in post-stroke hemiparetic patients and to test the validity of a prediction model to estimate Cwfree based on Sfree.
Design
We included 26 participants (mean age 65.1 years [SD 15.7]) with mild to moderate disability after stroke who walked at Sfree using mobility aids if necessary for 6min. The Cwfree was measured at a stabilized metabolic rate by indirect calorimetry with the Metamax 3B spiroergometry device. The relation between Sfree and Cwfree was analyzed by the correlation coefficient (r) and coefficient of determination (R2). The Cwfree prediction model was developed from a regression equation, then tested on a second population of 29 patients (mean age 62.1 years [SD 13.4]) with the same inclusion and exclusion criteria.
Results
For the 26 participants, the Sfree and Cwfree were highly correlated (r=−0.94 and R2=0.97), which allowed for formulating a regression equation and developing the Cwfree prediction model based on Sfree. The prediction model tests yielded accurate results (mean bias −0.02mL.kg−1.m−1; 95% limits of agreement −0.31 to 0.26mL.kg−1.m−1). The relation between Cwfree estimated by the model and measured by Metamax was high (R2=0.98).
Conclusion
Cwfree was strongly correlated with Sfree, which allowed for the development of a valid Cwfree prediction model. A practitioner could estimate the energy expenditure of walking for a patient without using an indirect calorimeter.Permalink : ./index.php?lvl=notice_display&id=80626 Exemplaires (1)
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Exclu du prêtUnstable Footwear as a Speed-Dependent Noise-Based Training Gear to Exercise Inverted Pendulum Motion During Walking / Frédéric Dierick
Titre : Unstable Footwear as a Speed-Dependent Noise-Based Training Gear to Exercise Inverted Pendulum Motion During Walking Type de document : document électronique Auteurs : Frédéric Dierick ; Anne-France Bouché ; Mikael Scohier ; Clément Guille ; Fabien Buisseret Note générale : Cet article est une pré-publication. La version définitive a été publiée dans la revue "Journal of Sports Sciences", volume 36, issue 24 (2018) sous le doi.org/10.1080/02640414.2018.1474726. Langues : Anglais (eng) Mots-clés : Unstable footwear Walking Motion analysis Stochastic noise Résumé : Previous research on unstable footwear has suggested that it may induce plantar mechanical noise during walking. The purpose of this study was to explore whether unstable footwear could be considered as a noise-based training gear to exercise body center of mass (CoM) motion during walking or not. Ground reaction forces were collected among 24 healthy young women walking at speeds between 3 and 6 km h-1 with control running shoes and unstable rocker-bottom shoes. The external mechanical work, the recovery of mechanical energy of the CoM during and within the step cycles, and the phase shift between potential and kinetic energy curves of the CoM were computed. Our findings support the idea that unstable rocker-bottom footwear could serve as a speed-dependent noise- based training gear to exercise CoM motion during walking. At slow speed, it acts as a stochastic resonance or facilitator, whereas at brisk speed it acts as a constraint. En ligne : https://arxiv.org/pdf/1702.04944.pdf Permalink : ./index.php?lvl=notice_display&id=84491 Unstable Footwear as a Speed-Dependent Noise-Based Training Gear to Exercise Inverted Pendulum Motion During Walking [document électronique] / Frédéric Dierick ; Anne-France Bouché ; Mikael Scohier ; Clément Guille ; Fabien Buisseret . - [s.d.].
Cet article est une pré-publication. La version définitive a été publiée dans la revue "Journal of Sports Sciences", volume 36, issue 24 (2018) sous le doi.org/10.1080/02640414.2018.1474726.
Langues : Anglais (eng)
Mots-clés : Unstable footwear Walking Motion analysis Stochastic noise Résumé : Previous research on unstable footwear has suggested that it may induce plantar mechanical noise during walking. The purpose of this study was to explore whether unstable footwear could be considered as a noise-based training gear to exercise body center of mass (CoM) motion during walking or not. Ground reaction forces were collected among 24 healthy young women walking at speeds between 3 and 6 km h-1 with control running shoes and unstable rocker-bottom shoes. The external mechanical work, the recovery of mechanical energy of the CoM during and within the step cycles, and the phase shift between potential and kinetic energy curves of the CoM were computed. Our findings support the idea that unstable rocker-bottom footwear could serve as a speed-dependent noise- based training gear to exercise CoM motion during walking. At slow speed, it acts as a stochastic resonance or facilitator, whereas at brisk speed it acts as a constraint. En ligne : https://arxiv.org/pdf/1702.04944.pdf Permalink : ./index.php?lvl=notice_display&id=84491 Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals / M. Compagnat in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
[article]
Titre : Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals Type de document : texte imprimé Auteurs : M. Compagnat ; S. Mandigout ; C.S. Batcho ; Nicolas Vuillerme ; Jean-Yves Salle ; Romain David ; Jean-Christophe Daviet Année de publication : 2020 Article en page(s) : p. 209-215 Note générale : doi.org/10.1016/j.rehab.2019.07.002 Langues : Anglais (eng) Mots-clés : Energy cost Walking Energy expenditure Calibration Accelerometer Algorithm Résumé : Background
Recent studies reported that wearable sensor devices show low validity for assessing the amount of energy expenditure in individuals after stroke.
Objective
We aimed to evaluate the validity of energy expenditure calculation based on the product of energy cost and walked distance estimated by wearable devices in individuals after hemispheric stroke.
Methods
We recruited individuals with hemispheric stroke sequelae who were able to walk without human assistance. The participants wore a tri-axial accelerometer (Actigraph GT3x) and a pedometer (ONStep 400) on the unaffected hip in addition to a respiratory gas exchange analyzer (METAMAX 3B) during 6 min of walking at their self-selected walking speed and mode. The energy expenditure was calculated from the product of energy cost measured by the METAMAX 3B and the distance estimated by wearable devices. It was compared to the energy expenditure measured by the METAMAX 3B and the energy expenditure values recorded by the devices according to the manufacturer's algorithms. The validity was investigated by Bland-Altman analysis (mean bias [MB], root mean square error [RMSE], limits of agreement [95%LoA]), and Pearson correlation analysis (r).
Results
We included 26 participants (mean [SD] age 64.6 [14.8] years). With the pedometer, the energy expenditure calculated from the product of energy cost and walked distance showed high accuracy and agreement with METAMAX 3B values (MB = −1.6 kcal; RMSE = 4.1 kcal; 95%LoA = −9.9; 6.6 kcal; r = 0.87, P < 0.01) but low accuracy and agreement with Actigraph GT3x values (MB = 15.7 kcal; RMSE = 8.7 kcal; 95%LoA = −1.3; 32.6 kcal; r = 0.44, P = 0.02) because of poorer estimation of walked distance. With the pedometer, this new method of calculation strongly increased the validity parameter values for estimating energy expenditure as compared with the manufacturer's algorithm.
Conclusions
This new method based on the energy cost and distance estimated by wearable devices provided better energy expenditure estimates for the pedometer than did the manufacturer's algorithm. The validity of this method depended on the accuracy of the sensor to measure the distance walked by an individual after stroke.Permalink : ./index.php?lvl=notice_display&id=90797
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 209-215[article] Validity of wearable actimeter computation of total energy expenditure during walking in post-stroke individuals [texte imprimé] / M. Compagnat ; S. Mandigout ; C.S. Batcho ; Nicolas Vuillerme ; Jean-Yves Salle ; Romain David ; Jean-Christophe Daviet . - 2020 . - p. 209-215.
doi.org/10.1016/j.rehab.2019.07.002
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 209-215
Mots-clés : Energy cost Walking Energy expenditure Calibration Accelerometer Algorithm Résumé : Background
Recent studies reported that wearable sensor devices show low validity for assessing the amount of energy expenditure in individuals after stroke.
Objective
We aimed to evaluate the validity of energy expenditure calculation based on the product of energy cost and walked distance estimated by wearable devices in individuals after hemispheric stroke.
Methods
We recruited individuals with hemispheric stroke sequelae who were able to walk without human assistance. The participants wore a tri-axial accelerometer (Actigraph GT3x) and a pedometer (ONStep 400) on the unaffected hip in addition to a respiratory gas exchange analyzer (METAMAX 3B) during 6 min of walking at their self-selected walking speed and mode. The energy expenditure was calculated from the product of energy cost measured by the METAMAX 3B and the distance estimated by wearable devices. It was compared to the energy expenditure measured by the METAMAX 3B and the energy expenditure values recorded by the devices according to the manufacturer's algorithms. The validity was investigated by Bland-Altman analysis (mean bias [MB], root mean square error [RMSE], limits of agreement [95%LoA]), and Pearson correlation analysis (r).
Results
We included 26 participants (mean [SD] age 64.6 [14.8] years). With the pedometer, the energy expenditure calculated from the product of energy cost and walked distance showed high accuracy and agreement with METAMAX 3B values (MB = −1.6 kcal; RMSE = 4.1 kcal; 95%LoA = −9.9; 6.6 kcal; r = 0.87, P < 0.01) but low accuracy and agreement with Actigraph GT3x values (MB = 15.7 kcal; RMSE = 8.7 kcal; 95%LoA = −1.3; 32.6 kcal; r = 0.44, P = 0.02) because of poorer estimation of walked distance. With the pedometer, this new method of calculation strongly increased the validity parameter values for estimating energy expenditure as compared with the manufacturer's algorithm.
Conclusions
This new method based on the energy cost and distance estimated by wearable devices provided better energy expenditure estimates for the pedometer than did the manufacturer's algorithm. The validity of this method depended on the accuracy of the sensor to measure the distance walked by an individual after stroke.Permalink : ./index.php?lvl=notice_display&id=90797 Exemplaires (1)
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Exclu du prêtEffects of robotic gait training after stroke : A meta-analysis / Geoffroy Moucheboeuf in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
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