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Biomedical subjects

G D Baer

Publications and source records attributed to G D Baer.

3 recordsLinked to original sources

Achievement of simple mobility milestones after stroke.

OBJECTIVES: To observe the mobility outcomes of an inpatient population of stroke patients grouped according to the Oxfordshire Community Stroke Project classification. STUDY DESIGN: "Mobility milestones," standardized measures of functional movement, were used to examine mobility recovery. PARTICIPANTS: Two hundred thirty-eight stroke patients admitted to the Western General Hospital, Edinburgh. MAIN OUTCOME MEASURES: Times taken to achieve four mobility milestones: 1-minute sitting balance, 10-second standing balance, a 10-step walk, and a 10-meter walk. RESULTS: For all subjects the median times to achieve the milestones were as follows: 1-minute sitting balance, day of stroke; 10-second standing balance, 3 days; 10-step walk, 6 days; and a 10-meter walk, 9 days. Subjects sustaining a partial anterior circulation infarct, lacunar infarct, or posterior circulation infarct achieved the mobility milestones most rapidly and generally had a shorter hospital stay. CONCLUSIONS: A hierarchical pattern of recovery of mobility reflecting variation between subgroups was observed. Predicted timescales for recovery of mobility are suggested.

Achievement↗

Trunk movements in older subjects during sit-to-stand.

Sitting to standing (STS) is an activity that is performed many times during the course of a day and is an important prerequisite to the achievement of many functional goals. This article presents the results from a pilot study, the purpose of which was to develop a method for investigating the activity of sit-to-stand. The study describes STS timing and patterns of trunk movement during standing up in a population of 30 normal older adult subjects (mean age, 61.6 years; SD, 7.7 years). Data were gathered using a three-dimensional movement analysis system, CODA-3. Time taken to stand up was recorded, as were the trunk movements of pelvic and shoulder rotation, trunk lateral flexion, pelvic and shoulder lateral shift, and backward shoulder movement to achieve stance. Results show that normal subjects stood up quickly (mean, 1.67 sec; SD, .27 sec; range, 1.26 to 2.13 sec), and despite large amounts of trunk forward flexion and upward motion necessary to achieve the task of standing up, only small amounts of trunk rotation, trunk lateral flexion, and trunk lateral shift were measured during the activity. The identification of these movements characteristics may be beneficial in assisting with analysis of the STS movement pattern.

Aged↗