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The handkerchief guide: a simple and practical method to improve ataxic gait in cerebellar subjects

Overview of attention for article published in Rinshō shinkeigaku Clinical neurology, January 2015
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Title
The handkerchief guide: a simple and practical method to improve ataxic gait in cerebellar subjects
Published in
Rinshō shinkeigaku Clinical neurology, January 2015
DOI 10.5692/clinicalneurol.cn-000630
Pubmed ID
Authors

Kiyomi Nagumo, Yumiko Kunimi, Susumu Nomura, Masatosi Beppu, Keizo Hirayama

Abstract

Ataxic gait can be remarkably improved by a simple method called the "handkerchief guide" involving the patient and caregiver holding opposite ends of a handkerchief and walking together. Our objective was to assess the effect of the handkerchief guide on gait in patients with cerebellar ataxia. Gait analysis was carried out on seven patients with degenerative cerebellar disease (DCD), seven patients with unilateral cerebellar vascular disease (CVD), and seven healthy control (HC) subjects. All subjects performed two walking tasks: free walking (FW) and handkerchief-guided walking (HGW) on a 10 m pathway. In the HGW condition, each subject walked with the caregiver while maintaining slight tension on the handkerchief. The HCs and patients with DCD held the handkerchief with their right hand, while the patients with unilateral limb ataxia due to CVD grasped it with their affected and unaffected hands in different trials. We measured 10 gait parameters. The HGW attenuated body-sway, lengthened step, and increased gait velocity in patients with cerebellar ataxia. In DCD, the HGW significantly improved seven parameters. In CVD, HGW with the affected hand improved five parameters, and HGW with the unaffected hand improved seven parameters. The HGW stabilized upright posture in patients with cerebellar ataxia during level-ground walking, probably by enabling subconscious postural adjustments to minimize changes in the arm and hand position relative to trunk, and in arm configuration. This led to improvement of gait performance. The handkerchief guide may be useful for walk training in patients with cerebellar ataxia. COM, center of mass; COG, center of gravity (projection of the COM onto the ground plane); COP, center of pressure; CVD, cerebellar vascular disease; DCD, degenerative cerebellar disease; FW, free walking; HAT, head, arms, and trunk segment; HC, healthy control; HGW, handkerchief-guided walking.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Luxembourg 1 3%
Unknown 31 97%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 11 34%
Unspecified 7 22%
Student > Doctoral Student 5 16%
Student > Master 4 13%
Professor 2 6%
Other 3 9%
Readers by discipline Count As %
Nursing and Health Professions 12 38%
Medicine and Dentistry 9 28%
Unspecified 7 22%
Agricultural and Biological Sciences 1 3%
Psychology 1 3%
Other 2 6%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 September 2015.
All research outputs
#7,886,096
of 12,568,782 outputs
Outputs from Rinshō shinkeigaku Clinical neurology
#136
of 384 outputs
Outputs of similar age
#124,464
of 233,738 outputs
Outputs of similar age from Rinshō shinkeigaku Clinical neurology
#4
of 8 outputs
Altmetric has tracked 12,568,782 research outputs across all sources so far. This one is in the 23rd percentile – i.e., 23% of other outputs scored the same or lower than it.
So far Altmetric has tracked 384 research outputs from this source. They receive a mean Attention Score of 1.8. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 233,738 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 4 of them.