Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-1646
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dc.contributor.authorGabel, Charles Philip-
dc.contributor.authorRando, Natalie-
dc.contributor.authorMelloh, Markus-
dc.date.accessioned2018-02-07T14:56:20Z-
dc.date.available2018-02-07T14:56:20Z-
dc.date.issued2016-08-18-
dc.identifier.issn2218-5836de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/2671-
dc.description.abstractTo ascertain the effectiveness of slacklining as a supplementary therapy for elderly stroke patients who are functionally non-progressing. This case study involved an 18-mo prospective observation of the management of an 87-year-old female stroke-patient of the left hemisphere with reduced balance, reduced lower limb muscular activation, hypertonia, and concurrent postural deficits. This entailed the initial acute care phase through to discharge to home and 18-mo final status in her original independent living setting. The introduction of slacklining as an adjunct therapy was made 12 mo post incident. Slacklining involves balance retention on a tightened band where external environmental changes cause a whole-body dynamic response to retain equilibrium. It is a complex neuromechanical task enabling individualized self-developed response strategies to be learned and adapted. This facilitates the innate process of balance retention, lower-limb and core muscle activation, and stable posture through a combination of learned motor skills and neurological system down regulation. Individuals adopt and follow established sequential motor learning stages where the acquired balance skills are achieved in a challenging composite-chain activity. Slacklining could be considered an adjunct therapy for lower limb stroke rehabilitation where function is compromised due to decreased muscle recruitment, decreased postural control and compromised balance. Initial inpatient rehabilitation involved one-month acute-care, one-month rehabilitation, and one-month transitional care prior to home discharge. A further six months of intensive outpatient rehabilitation was provided with five hourly sessions per week including:supervised and self-managed hydrotherapy, plus one individual and two group falls’ prevention sessions. These were supported by daily home exercises. At 12 mo post incident, recovery plateaued, then regressed following three falls. Rehabilitation was subsequently modified with the hydrotherapy retained and the group sessions replaced with an additional individual session supplemented with slacklining. The slacklining followed stages one and two of a standardized five-stage protocol. Self-reported functional progression resumed with improvement by 14 mo which further increased and was sustained 18 mo (Students’t test P < 0.05). Slacklining’s external stimulations activate global-body responses through innate balance, optimal postural and potentially down-regulated reflex control. Incorporated into stroke rehabilitation programs, slacklining can provide measurable functional gains.de_CH
dc.language.isoende_CH
dc.publisherBaishideng Publishing Groupde_CH
dc.relation.ispartofWorld Journal of Orthopedicsde_CH
dc.rightshttp://creativecommons.org/licenses/by-nc/4.0/de_CH
dc.subjectStrokede_CH
dc.subjectRehabilitationde_CH
dc.subjectLower limbsde_CH
dc.subjectBalancede_CH
dc.subjectSlackliningde_CH
dc.subject.ddc616: Innere Medizin und Krankheitende_CH
dc.subject.ddc700: Künste und Unterhaltungde_CH
dc.titleSlacklining and stroke : a rehabilitation case study considering balance and lower limb weaknessde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Gesundheitswissenschaften (IGW)de_CH
zhaw.publisher.placeBeijingde_CH
dc.identifier.doi10.5312/wjo.v7.i8.513de_CH
dc.identifier.doi10.21256/zhaw-1646de_CH
zhaw.funding.euNode_CH
zhaw.issue8de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end518de_CH
zhaw.pages.start513de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume7de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
Appears in Collections:Publikationen Gesundheit

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