Technology-based assessment of balance and mobility post-stroke

Summary

Clinical assessment of balance and mobility after stroke primarily relies on observational rating scales. We want to know if we can use technology (force plates, pressure mats, mobile technology) to provide more specific and quantitative information about balance and mobility, and to better inform clinical interventions to improve balance and mobility post-stroke. We are working on these assessments in partnership with the Mobility Innovations Centre at the Toronto Rehabilitation Institute.


Funding

This work is currently unfunded.


Trainees

Rabea Aryan (PhD student)

Andrew Huntley (post-doctoral fellow)

Gabriela Rozanski (former post-doctoral fellow)

Elise Belhacel (former visiting undergraduate student)

Cynthia Campos (former undergraduate co-op student)

Rosh Rajachandrakumar (former undergraduate co-op student)

Alison Schinkel-Ivy (former post-doctoral fellow)

I am not currently recruiting new trainees to work on this project


Papers

Schinkel-Ivy A, Aqui A, Danells CJ, Mansfield A. Characterization of reactions to laterally-directed perturbations in individuals with chronic stroke. Phys Ther. 2018;98(7):585-594. doi:10.1093/ptj/pzy039

Campos C, DePaul VG, Knorr S, Wong JS, Mansfield A, Patterson KK. Validity of the Actigraph activity monitor for individuals who walk slowly post-stroke. Top Stroke Rehabil. 2018;24(4):295-304. doi:10.1080/10749357.2018.1446487

Huntley A, Schinkel-Ivy A, Aqui A, Mansfield A. Validation of simplified centre of mass models during gait in individuals with chronic stroke. Clin Biomech. 2017;48:97-102. doi:10.1016/j.clinbiomech.2017.07.015

Inness EL, Bayley M, Biasin L, Brunton K, Danells CJ, Mansfield A, McIlroy WE, Poon V, Salbach NM, Zee J. Fostering clinical-research partnerships to advance physiotherapy practice: the role of an innovative neurorehabilitation clinic. Physiother Can. 2017;69(3):187-189. doi:10.3138/ptc.69.3.GEE

Rajachandrakumar R, Fraser JE, Schinkel-Ivy A, Inness EL, Biasin L, Brunton K, McIlroy WE, Mansfield A. Atypical anticipatory postural adjustments during gait initiation among individuals with sub-acute stroke. Gait Posture. 2017;52(2):325-331;doi:10.1016/j.gaitpost.2016.12.020

Schinkel-Ivy A, Huntley A, Inness EL, Mansfield A. Changes in the timing of reactive stepping under ‘single-‘ and ‘dual-task’ conditions among individuals with sub-acute stroke. Heliyon. 2016;2:e00186;doi:10.1016/j.heliyon.2016.e00186

Schinkel-Ivy A, Singer JC, Inness EL, Mansfield A. Do quiet standing centre of pressure measures within specific frequencies differ based on balance recovery abilities in individuals with stroke? Clin Neurophysiol. 2016;126(6):2463-2471. doi:10.1016/j.clinph.2016.02.021

Schinkel-Ivy A, Inness EL, Mansfield A. Relationships between fear of falling, balance confidence, and control of balance, gait, and reactive stepping in individuals with sub-acute stroke. Gait Posture. 2016;43(1):154-159. doi:10.1016/j.gaitpost.2015.09.015

Mansfield A, Inness EL. Force plate assessment of quiet standing balance control: perspectives on clinical application within stroke rehabilitation. Rehabilitation Process and Outcome. 2015;4:7-15. doi:10.4137/RPO.S20363

Mansfield A, Fraser J, Rajachandrakumar R, Danells CJ, Knorr S, Campos J. Is perception of vertical impaired in individuals with chronic stroke with a history of ‘pushing’? Neurosci Lett. 2015;590:172-177. doi:10.1016/j.neulet.2015.02.007

Pak P, Jawed H, Tirone C, Lamb B, Cott C, Brunton K, Mansfield A, Inness EL. Incorporating research technology into clinical assessment of balance and mobility: perspectives of physiotherapists and patients with stroke. Physiother Can. 2015;67(1):1-8. doi:10.3138/ptc.2013-63

Wong JS, Jasani H, Poon V, Inness EL, McIlroy WE, Mansfield A. Inter- and intra-rater reliability of the GAITRite system among individuals with sub-acute stroke. Gait Posture. 2014;40(1):259-261. doi:10.1016/j.gaitpost.2014.02.007

Chisholm AE, Makepeace S, Inness EL, Perry SD, McIlroy WE, Mansfield A. Spatial-temporal gait variability post-stroke: variations in measurement and implications of measuring change. Arch Phys Med Rehabil. 2014;95(7):1335-1341. doi:10.1016/j.apmr.2014.02.014

Hendrickson J, Patterson KK, Inness EL, McIlroy WE, Mansfield A. Relationship between asymmetry of quiet standing balance control and walking post-stroke. Gait Posture. 2014;39(1):177-181. doi:10.1016/j.gaitpost.2013.06.022

Mansfield A, Mochizuki G, Inness EL, McIlroy WE. Clinical correlates of between-limb synchronization of standing balance control and falls during in-patient stroke rehabilitation. Neurorehabil Neural Repair. 2012;26(6):627-635. doi:10.1177/1545968311429688

Mansfield A, Danells CJ, Inness EL, Mochizuki G, McIlroy WE. Between-limb synchronization for control of standing balance in individuals with stroke. Clin Biomech. 2011;26(3):312-317. doi:10.1016/j.clinbiomech.2010.10.001