手外伤激光照射康复护理观察研究

目的：探讨激光照射对手外伤患者的康复效果。方法：随机选取87例手外伤患者为观察组,采用激光照射与作业疗法,支具、心理疗法相结合;对照组63例,只采用作业疗法、支具及心理疗法。观测伤部疼痛减轻及消退情况,肿胀消退时间,康复治疗2月进行手功能评定。结果：观察组疼痛消失时间,肿胀消退时间,手功能康复均优于对照组,两组比较,差异均具有显著意义。结论：手外伤术后患者激光照射治疗能明显缩短手康复时间,提高康复质量。     

The influence of locomotor training on dynamic balance during steady-state walking post-stroke

Slow walking speed and lack of balance control are common impairments post-stroke. While locomotor training often improves walking speed, its influence on dynamic balance is unclear. The goal of this study was to assess the influence of a locomotor training program on dynamic balance in individuals post-stroke during steady-state walking and determine if improvements in walking speed are associated with improved balance control. Kinematic and kinetic data were collected pre- and post-training from seventeen participants who completed a 12-week locomotor training program. Dynamic balance was quantified biomechanically (peak-to-peak range of frontal plane whole-body angular-momentum) and clinically (Berg-Balance-Scale and Dynamic-Gait-Index). To understand the underlying biomechanical mechanisms associated with changes in angular-momentum, foot placement and ground-reaction-forces were quantified. As a group, biomechanical assessments of dynamic balance did not reveal any improvements after locomotor training. However, improved dynamic balance post-training, observed in a sub-group of 10 participants (i.e., Responders), was associated with a narrowed paretic foot placement and higher paretic leg vertical ground-reaction-force impulse during late stance. Dynamic balance was not improved post-training in the remaining seven participants (i.e., Non-responders), who did not alter their foot placement and had an increased reliance on their nonparetic leg during weight-bearing. As a group, increased walking speed was not correlated with improved dynamic balance. However, a higher pre-training walking speed was associated with higher gains in dynamic balance post-training. These findings highlight the importance of the paretic leg weight bearing and mediolateral foot placement in improving frontal plane dynamic balance post-stroke.     

The effect of EMG biofeedback training on muscle activation in an impingement population

Subacromial impingement syndrome (SAIS) is one of the most diagnosed causes of pain in the upper extremity. The purpose of this study was to investigate muscle activity between asymptomatic and SAIS shoulders on the same subject while understanding the effectiveness of EMG biofeedback training (EBFB) on bilateral overhead movements. Ten participants (7 male), that tested positive for 2/3 SAIS clinical tests, volunteered for the study. Bilateral muscle activity was measured via electrodes on the upper trapezius (UT), lower trapezius (LT), serratus anterior (SA), and lumbar paraspinals (LP). Participants performed bilateral scapular plane overhead movements before and after EBFB. EBFB consisted of 10 bilateral repetitions of I, W, T, and Y exercises focused on reducing UT and increasing LT and SA activity. Prior to EBFB, no significant difference in muscle activity was present between sides. A significant main effect of time indicated that after EBFB both sides exhibited reduced UT activity at 60° (p = 0.003) and 90° (p = 0.036), LT activity was increased at all measured humeral angles (p < 0.0005), and SA muscle activity was increased at 110° (p = 0.001). EBFB in conjunction with scapular based exercise effectively alters muscle activity of asymptomatic and symptomatic scapular musculature.     

上肢康复机器人联合等速肌力训练对脑卒中恢复期偏瘫患者的康复效果研究

摘要 目的：探讨等速肌力训练联合上肢康复机器人在脑卒中恢复期偏瘫患者中的应用效果。方法：根据随机数字表法,将2020年1月-2022年12月期间合肥市第二人民医院收治的136例脑卒中恢复期偏瘫患者分为对照组（n=68,等速肌力训练）与观察组（n=68,等速肌力训练联合上肢康复机器人干预）。两组均干预3周,观察两组Fugl-Meyer上肢运动功能量表（FMA-UL）评分、改良Barthel指数（MBI）评分、偏瘫Brunnstrom分级、表面肌电图相关指标和生活质量评分变化情况。结果：观察组干预3周后FMA-UL、MBI评分高于对照组（P<0.05）。观察组干预3周后IV级患者例数多于对照组（P<0.05）。观察组干预3周后肱二头肌、肱三头肌、三角肌前束、三角肌中束的均方根值（RMS）和积分肌电值（iEMG）高于对照组（P<0.05）。观察组干预3周后生理职能、躯体疼痛、生理功能、总体健康、精神健康、活力、情感职能、社会功能各维度评分高于对照组（P<0.05）。结论：脑卒中恢复期偏瘫患者经等速肌力训练、上肢康复机器人联合干预,可促进偏瘫上肢肌肉激活和运动单位募集同步化,改善上肢肌力,提高患者的生活质量。     

The effects of wrist motion and hand orientation on muscle forces: A physiologic wrist simulator study

Although the orientations of the hand and forearm vary for different wrist rehabilitation protocols, their effect on muscle forces has not been quantified. Physiologic simulators enable a biomechanical evaluation of the joint by recreating functional motions in cadaveric specimens. Control strategies used to actuate joints in physiologic simulators usually employ position or force feedback alone to achieve optimum load distribution across the muscles. After successful tests on a phantom limb, unique combinations of position and force feedback – hybrid control and cascade control – were used to simulate multiple cyclic wrist motions of flexion-extension, radioulnar deviation, dart thrower’s motion, and circumduction using six muscles in ten cadaveric specimens. Low kinematic errors and coefficients of variation of muscle forces were observed for planar and complex wrist motions using both novel control strategies. The effect of gravity was most pronounced when the hand was in the horizontal orientation, resulting in higher extensor forces (p < 0.017) and higher out-of-plane kinematic errors (p < 0.007), as compared to the vertically upward or downward orientations. Muscle forces were also affected by the direction of rotation during circumduction. The peak force of flexor carpi radialis was higher in clockwise circumduction (p = 0.017), while that of flexor carpi ulnaris was higher in anticlockwise circumduction (p = 0.013). Thus, the physiologic wrist simulator accurately replicated cyclic planar and complex motions in cadaveric specimens. Moreover, the dependence of muscle forces on the hand orientation and the direction of circumduction could be vital in the specification of such parameters during wrist rehabilitation.     

A study of correlates of hand preferences in squirrel monkeys (Saimiri sciureus)

The purpose of this study was to test the influence of sex, age, social rank, matriline membership, posture, and visual and tactual motor control on manual preferences inSaimiri sciureus. A well-established social group of 12 squirrel monkeys, aged 2 to 14 yrs and consisting of two matrilines with social rank known for each animal, was presented with four different food-reaching tasks and assessed for hand preferences with a minimum of 100 reaches per animal. Frequency of occurrence of hand preferences at the group level and degree of hand preferences at the individual level depended on posture and on whether the reaching act took place under visual or tactual guidance. Sex, age, social rank, and matriline membership were not found to determine frequency of occurrence, direction or degree of hand preferences with the exception of one task in which a significant negative correlation between the degree of hand preference and age was found. Nine out of 12 monkeys showed task-dependent changes in the hand they used preferentially while only three animals preferred the same hand in all four tasks. Significant preferences for the use of right or left hand on a given task were distributed almost equally between individuals. Thus, the results of this study suggest task-specific demands like posture and/or whether reaching was visually or tactually guided to be the major correlates of hand preferences in food-reaching tasks in squirrel monkeys.     

Functional and morphological affinities of the subadult hand (O.H. 7) from Olduvai Gorge.

Study of the O.H. 7 hand was based primarily on morphological comparisons with a large series of hand skeletons of extant hominoid primates. Most of the hand elements are fragmentary or have missing epiphyses and only comparisons based on qualitative morphological observations are possible. The distal phalanges are complete, however, and were analyzed metrically utilizing univariate and multivariate statistical techniques. To compensate for size differences among the Hominoidea a number of size adjustments were employed. None of the adjustments were totally satisfactory from theoretical and practical standpoints and none completely eliminated the influence of size. There is no entirely satisfactory procedure to eliminate size and it is advisable to use several techniques that are not closely related, to compare the results and interpret them with caution. In certain features the wrist and fingers resemble those of African apes; in others they are more like modern human hands; in still others they are unique. The scaphoid and the proximal articular surface of the trapezium retain ape-like features, as do the proximal and middle phalanges. The pollical carpometacarpal joint and the distal phalanges are closer in morphology to those of modern humans. The scaphoid, proximal phalanges and middle phalanges of rays II-V indicate a hand capable of a strong power grip. A number of features of the thumb and the distal phalanges suggest that the O.H. 7 individual was capable of more precise manipulation that extant apes. FLK NN-A, a first distal phalanx, does not closely resemble the first distal phalanx of any of the living Hominoidea. Multivariate distance analysis indicates, however, that it is closest in overall morphology to the pollical distal phalanx of modern humans. In some features not included in the metric analysis, FLK NN-A also resembles the hallucial distal phalanx of modern humans.     

The effects of biofeedback training for efficient activation of infraspinatus on proprioception and EMG activity during shoulder external rotation

The purpose of this study investigated which biofeedback (BF) training enables efficient activation of the infraspinatus muscle that affect joint position sense (JPS) and force sense (FS) of the shoulder joint. Twenty healthy males participated and performed three external rotation (ER) exercises under three randomly assigned training conditions: 1) non-biofeedback (NBF), 2) BF and 3) force biofeedback (FBF). Each exercise was performed at intervals of one week between training conditions. After performed the ER exercise under each training condition, the relative error (RE) was calculated at shoulder ER 45° and 80°, and then shoulder ER force were measured to determine the JPS error and FS error, respectively. Muscle activity of infraspinatus and posterior deltoid were measured and compared between training conditions. The RE of shoulder ER 45° and 80° were significantly lower under the FBF conditions than other training conditions (P < 0.05). The RE of shoulder ER force were also significantly lower under the FBF conditions compared to those under the other training conditions (P < 0.05). The activity of the infraspinatus muscle was significantly higher under the FBF conditions during all three ER exercises than other training conditions (p < 0.05). We suggest that BF trainings can be useful to improve the proprioception of shoulder joint as well as activation of infraspinatus muscle while performing the ER exercises.     

The effects of repetitive bouts of a fatiguing exertion (with breaks) on the slope of EMG measures of localized muscle fatigue

Decreases in the median frequency of the power spectrum and increases in amplitude measures of an electromyographic signal have been used to assess localized muscle fatigue. How these responses are affected by repetitive bouts of exertions - separated by rest breaks - is not well understood. It was hypothesized that repetitive bouts of a fatiguing, isometric exertion, separated by periods of rest, would have cumulative effects (across bouts) on the slope of these EMG-based variables, with an expectation of a steeper rate of decline in the median frequency and a steeper rate of increase in amplitude measures in subsequent bouts. To test these hypotheses, 24 participants performed four bouts of an isometric (15% MVC) elbow flexion exertion. Each exertion lasted for four minutes and then a 15-minute break was provided between bouts. Surface electromyography was used to capture the activity of the biceps brachii at twenty-second intervals during the exertions. The median frequency and average rectified value were calculated, as were the slopes of these variables within each of the four-minute bouts. Contrary to the original hypotheses, the results showed that there were no statistically significant differences in the slopes of these EMG-based measures across bouts. One direction for future work is to explore different combinations of work-rest durations to refine this response while another may be to explore alternate EMG-based measures of muscular fatigue that may be more sensitive to this cumulative effect.     

The effects of temperature and exercise training on swimming performance in juvenile qingbo (Spinibarbus sinensis)

To investigate the effects of temperature and exercise training on swimming performance in juvenile qingbo (Spinibarbus sinensis), we measured the following: (1) the resting oxygen consumption rate $ \left( {{\dot{\text{M}}\text{O}}_{{ 2 {\text{rest}}}} } \right) $ , critical swimming speed (U _crit) and active oxygen consumption rate $ \left( {{\dot{\text{M}}\text{O}}_{{ 2 {\text{active}}}} } \right) $ of fish at acclimation temperatures of 10, 15, 20, 25 and 30 °C and (2) the $ \dot{M}{\text{O}}_{{ 2 {\text{rest}}}} $ , U _crit and $ \dot{M}{\text{O}}_{{ 2 {\text{active}}}} $ of both exercise-trained (exhaustive chasing training for 14 days) and control fish at both low and high acclimation temperatures (15 and 25 °C). The relationship between U _crit and temperature (T) approximately followed a bell-shaped curve as temperature increased: U _crit = 8.21/{1 + [(T ? 27.2)/17.0]²} (R ² = 0.915, P < 0.001, N = 40). The optimal temperature for maximal U _crit (8.21 BL s^?1) in juvenile qingbo was 27.2 °C. Both the $ \dot{M}{\text{O}}_{{ 2 {\text{active}}}} $ and the metabolic scope (MS, $ \dot{M}{\text{O}}_{{ 2 {\text{active}}}} - \dot{M}{\text{O}}_{{ 2 {\text{rest}}}} $ ) of qingbo increased with temperature from 10 to 25 °C (P < 0.05), but there were no significant differences between fish acclimated to 25 and 30 °C. The relationships between $ \dot{M}{\text{O}}_{{ 2 {\text{active}}}} $ or MS and temperature were described as $ {\dot{\text{M}}\text{O}}_{{ 2 {\text{active}}}} = 1,214.29/\left\{ {1 + \left[ {\left( {T - 28.8} \right)/10.6} \right]^{2} } \right\}\;\left( {R^{2} = 0.911,\;P < 0.001,\;N = 40} \right) $ and MS = 972.67/{1 + [(T ? 28.0)/9.34]²} (R ² = 0.878, P < 0.001, N = 40). The optimal temperatures for $ \dot{M}{\text{O}}_{{ 2 {\text{active}}}} $ and MS in juvenile qingbo were 28.8 and 28.0 °C, respectively. Exercise training resulted in significant increases in both U _crit and $ \dot{M}{\text{O}}_{{ 2 {\text{active}}}} $ at a low temperature (P < 0.05), but training exhibited no significant effect on either U _crit or $ \dot{M}{\text{O}}_{{ 2 {\text{active}}}} $ at a high temperature. These results suggest that exercise training had different effects on swimming performance at different temperatures. These differences may be related to changes in aerobic metabolic capability, arterial oxygen delivery, available dissolved oxygen, imbalances in ion fluxes and stimuli to remodel tissues with changes in temperature.     

无菌小鼠的人工哺乳培育

采用无菌子宫摘取术,在隔离器中剥离子宫取仔１６只,生存１５只,在我国首次采用每２４小时插胃管灌胃５～６次的人工哺乳方法,哺乳１５只,离乳６只。粪便、垫料、棉拭子经无菌检查,均无细菌生长。同时对人工乳成分进行了分析比较,比较了人工乳灭菌温度与时间对各营养成分破坏情况,比较了人工乳、豚鼠母乳与小鼠母乳之间的差异     

A spatiotemporal analysis of acoustic interactions between great reed warblers (Acrocephalus arundinaceus) using microphone arrays and robot audition software HARK

Acoustic interactions are important for understanding intra‐ and interspecific communication in songbird communities from the viewpoint of soundscape ecology. It has been suggested that birds may divide up sound space to increase communication efficiency in such a manner that they tend to avoid overlap with other birds when they sing. We are interested in clarifying the dynamics underlying the process as an example of complex systems based on short‐term behavioral plasticity. However, it is very problematic to manually collect spatiotemporal patterns of acoustic events in natural habitats using data derived from a standard single‐channel recording of several species singing simultaneously. Our purpose here was to investigate fine‐scale spatiotemporal acoustic interactions of the great reed warbler. We surveyed spatial and temporal patterns of several vocalizing color‐banded great reed warblers (Acrocephalus arundinaceus) using an open‐source software for robot audition HARK (Honda Research Institute Japan Audition for Robots with Kyoto University) and three new 16‐channel, stand‐alone, and water‐resistant microphone arrays, named DACHO spread out in the bird's habitat. We first show that our system estimated the location of two color‐banded individuals’ song posts with mean error distance of 5.5 ± 4.5 m from the location of observed song posts. We then evaluated the temporal localization accuracy of the songs by comparing the duration of localized songs around the song posts with those annotated by human observers, with an accuracy score of average 0.89 for one bird that stayed at one song post. We further found significant temporal overlap avoidance and an asymmetric relationship between songs of the two singing individuals, using transfer entropy. We believe that our system and analytical approach contribute to a better understanding of fine‐scale acoustic interactions in time and space in bird communities.     

Patterns and laterality of hand use in free-ranging aye-ayes (<Emphasis Type="Italic">Daubentonia madagascariensis</Emphasis>) and a comparison with captive studies

We observed hand use in free-ranging aye-ayes (Daubentonia madagascariensis) on an island in the Mananara River, eastern Madagascar. The results were compared with those of two conflicting studies on hand laterality in captive aye-ayes. We argue that patterns of hand preference in wild aye-ayes are comparable to those of captive animals and that discrepancies between studies are—at least partly—caused by different ways of collecting and processing data. Aye-ayes fit Level 2 of the categories of hand laterality described by McGrew and Marchant (Yearb Phys Anthropol 40:201–232, 1997), with some individuals showing significant hand preference, but with the proportion of right- to left-preferent animals being very close to 1:1. We observed hand preference to be consistent for two of the most frequent behaviors, tapping and probing with fingers. Reaching and holding objects in hands is rare in aye-ayes, and the patterns of hand use in aye-ayes are therefore not directly comparable with those of other prosimians in which laterality has been studied. We detected no effect of sex on hand preference and were unable to determine whether there is an effect of age. The posture adopted by the animals did not influence hand preference.     

The effects of electromyography-assisted modelling in estimating musculotendon forces during gait in children with cerebral palsy

Neuro-musculoskeletal modelling can provide insight into the aberrant muscle function during walking in those suffering cerebral palsy (CP). However, such modelling employs optimization to estimate muscle activation that may not account for disturbed motor control and muscle weakness in CP. This study evaluated different forms of neuro-musculoskeletal model personalization and optimization to estimate musculotendon forces during gait of nine children with CP (GMFCS I-II) and nine typically developing (TD) children. Data collection included 3D-kinematics, ground reaction forces, and electromyography (EMG) of eight lower limb muscles. Four different optimization methods estimated muscle activation and musculotendon forces of a scaled-generic musculoskeletal model for each child walking, i.e. (i) static optimization that minimized summed-excitation squared; (ii) static optimization with maximum isometric muscle forces scaled to body mass; (iii) an EMG-assisted approach using optimization to minimize summed-excitation squared while reducing tracking errors of experimental EMG-linear envelopes and joint moments; and (iv) EMG-assisted with musculotendon model parameters first personalized by calibration. Both static optimization approaches showed a relatively low model performance compared to EMG envelopes. EMG-assisted approaches performed much better, especially in CP, with only a minor mismatch in joint moments. Calibration did not affect model performance significantly, however it did affect musculotendon forces, especially in CP. A model more consistent with experimental measures is more likely to yield more physiologically representative results. Therefore, this study highlights the importance of calibrated EMG-assisted modelling when estimating musculotendon forces in TD children and even more so in children with CP.     

The effects of alignment of an articulated ankle-foot orthosis on lower limb joint kinematics and kinetics during gait in individuals post-stroke

Mechanical tuning of an ankle-foot orthosis (AFO) is important in improving gait in individuals post-stroke. Alignment and resistance are two factors that are tunable in articulated AFOs. The aim of this study was to investigate the effects of changing AFO ankle alignment on lower limb joint kinematics and kinetics with constant dorsiflexion and plantarflexion resistance in individuals post-stroke. Gait analysis was performed on 10 individuals post-stroke under four distinct alignment conditions using an articulated AFO with an ankle joint whose alignment is adjustable in the sagittal plane. Kinematic and kinetic data of lower limb joints were recorded using a Vicon 3-dimensional motion capture system and Bertec split-belt instrumented treadmill. The incremental changes in the alignment of the articulated AFO toward dorsiflexion angles significantly affected ankle and knee joint angles and knee joint moments while walking in individuals post-stroke. No significant differences were found in the hip joint parameters. The alignment of the articulated AFO was suggested to play an important role in improving knee joint kinematics and kinetics in stance through improvement of ankle joint kinematics while walking in individuals post-stroke. Future studies should investigate long-term effects of AFO alignment on gait in the community in individuals post-stroke.     

A report of behavioral lateralization in an infant orang-utan (Pongo pygmaeus)

The limb used to perform seven common activities was recorded during weekly observations of an infant orang-utan. For five of these behaviors, preferences were found that remained consistent in their direction, although there were week to week fluctuations in magnitude. Most notably, a right hand preference was found for nonfood reaching and a right hindlimb preference appeared for initiating locomotion. Although initially, food reaching was predominantly with the right hand, a shift toward preferential left hand use occurred during the final weeks of the study. Additionally, a left hand preference appeared when the infant touched either its body or head.     

The effects of an isometric knee extension with hip adduction (KEWHA) exercise on selective VMO muscle strengthening

We investigated the effects of four weeks of training using a knee extension with hip adduction (KEWHA) exercise in asymptomatic participants. In addition, we compared different methods of electromyographic (EMG) onset-time detection. Eighteen participants who achieved earlier activation of the vastus lateralis (VL) muscle compared to that of the vastus medialis obliquus (VMO) muscle performed the isometric KEWHA exercise in the sitting position for four weeks. A 15° hip adduction was added to the existing knee extension in the KEWHA exercise. EMG onset times were detected using a computer-analyzed system and evaluated using two methods in which the thresholds for activity onset were set at two and three standard deviations (SDs) of the mean baseline activity. No significant difference in the EMG onset-time for the VMO muscle was observed compared to that of the VL muscle between the pre- and post-tests (p > 0.05) when data at 2 SDs of the mean baseline activity were analyzed. However, a significant difference in the onset times for the VMO muscle and VL muscle was found between the pre- and post-tests (p < 0.05) when data at 3 SDs of the mean baseline activity were analyzed. In addition, less variation was observed in data analyzed at 3 SDs compared to that of the data at 2 SDs. The normalized VMO:VL muscle ratio was not significantly different between the pre- and post-tests. These findings show that the KEWHA exercise may decrease the difference between the onset times of VMO and VL muscles. In addition, we suggest that task-specific EMG onset-time detection methods are required to minimize variations in the data obtained during the recording of muscle activation.     

The hand structure of Carnotaurus sastrei (Theropoda,Abelisauridae): implications for hand diversity and evolution in abelisaurids

Abstract: Carnotaurus sastrei is an abelisaurid dinosaur from the Late Cretaceous of Argentina that has very reduced, but robust, forelimbs and derived hands with four digits, including a large, conical‐shaped metacarpal IV lacking an articulation for a phalanx. The analysis presented in this work highlights a series of additional autapomorphies of C. sastrei. For example, the proximal phalanges are longer than the metacarpals in digits II and III, and digit III includes only one phalanx besides the ungual. The hand of Carnotaurus shares several features with those of Aucasaurus and Majungasaurus, but the hands of the latter genera also display autapomorphies, indicating that the diversity in abelisaurid hand structure is similar to the diversity of cranial protuberances of these dinosaurs.     

The integration of electromyography (SEMG) at the workstation: assessment,treatment, and prevention of repetitive strain injury (RSI)

This paper reviews the ergonomic and psychosocial factors that affect musculoskeletal disorders at the workstation. First is a model of a physiological assessment protocol that incorporated SEMG monitoring while working at the computer. Next is a study that showed that participants lack awareness of their muscle tension as compared to the actual SEMG levels. The final study illustrated how an intervention program can reduce RSI symptoms, decrease respiration rate, and lower SEMG activity. Recommendations include suggestions that successful safety and prevention programs need multiple components and that participants should to be trained to control physiological responses with respiration and SEMG biofeedback. All participants should master these physiological skills just as they learn how to use the computer.     

Cross training effects of non-paralytic dorsiflexion muscle strengthening exercise on paralytic dorsiflexor muscle activity,gait ability,and balancing ability in patients with chronic stroke: A randomized,controlled, pilot trial

Objective:To investigate the effects of non-paralytic dorsiflexion muscle strengthening exercise on functional abilities in chronic hemiplegic patients after stroke.Methods:A total of 21 patients with chronic stroke underwent dorsiflexion muscle strengthening exercise (MST) 5 times a week for 6 weeks (the experimental group, MST to non-paralytic dorsiflexion muscles, n=11; the control group, MST to paralytic dorsiflexion muscles; n=10). Paralytic dorsiflexor muscle activities (DFA) and 10 m walking tests (10MWT) and timed up and go tests (TUG) were measured before and after intervention.Results:A significant increase in DFA was observed after intervention in the experimental and control groups (p<0.05) (experimental 886.6% for reference voluntary contraction (RVC), control 931.6% for RVC). TUG and 10MWT results showed significant reductions post-intervention in the experimental and control groups (experimental group -5.6 sec, control -4.8 sec; experimental group -3.1 sec, control, -3.9 sec; respectively). No significant intergroup difference was observed between changes in DFA or between changes in TUG and 10MWT results after intervention (p>.05).Conclusion:Strengthening exercise performed on non-paralytic dorsiflexion muscles had positive cross-training effects on paralytic dorsiflexor muscle activities, balance abilities, and walking abilities in patients with chronic stroke.