Gait Changes After Tendon Functional Surgery for Equinovarus Foot in Patients with Stroke

Carda, Stefano; Bertoni, Michele; Zerbinati, Paolo; Rossini, Mauro; Magoni, L.; Molteni, Franco

doi:10.1097/phm.0b013e318198b593

Cited by 33 publications

(12 citation statements)

References 29 publications

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“…Kinematic analysis plays a fundamental role in the decision making process in the clinical and surgical treatment of the lower limb (LL) [ 1 – 6 ]. Indeed, it is a fact that instrumental gait analysis has widely been used in clinics for almost twenty years for assessing, planning, and monitoring the results of therapies in the rehabilitation of neurological patients [ 7 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Normative Data for an Instrumental Assessment of the Upper-Limb Functionality

Caimmi

Guanziroli²,

Malosio

et al. 2015

BioMed Research International

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Upper-limb movement analysis is important to monitor objectively rehabilitation interventions, contributing to improving the overall treatments outcomes. Simple, fast, easy-to-use, and applicable methods are required to allow routinely functional evaluation of patients with different pathologies and clinical conditions. This paper describes the Reaching and Hand-to-Mouth Evaluation Method, a fast procedure to assess the upper-limb motor control and functional ability, providing a set of normative data from 42 healthy subjects of different ages, evaluated for both the dominant and the nondominant limb motor performance. Sixteen of them were reevaluated after two weeks to perform test-retest reliability analysis. Data were clustered into three subgroups of different ages to test the method sensitivity to motor control differences. Experimental data show notable test-retest reliability in all tasks. Data from older and younger subjects show significant differences in the measures related to the ability for coordination thus showing the high sensitivity of the method to motor control differences. The presented method, provided with control data from healthy subjects, appears to be a suitable and reliable tool for the upper-limb functional assessment in the clinical environment.

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Section: Introductionmentioning

confidence: 99%

Normative Data for an Instrumental Assessment of the Upper-Limb Functionality

Caimmi

Guanziroli²,

Malosio

et al. 2015

BioMed Research International

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“…A population of 153 chronic stroke patients, included in a previous study [26], was chosen to perform the gait pattern categorization. All these patients underwent orthopedic procedures to correct equinovarus foot deformity and performed either prior and postoperative gait evaluation.…”

Section: Methodsmentioning

confidence: 99%

“…All these patients underwent orthopedic procedures to correct equinovarus foot deformity and performed either prior and postoperative gait evaluation. Participants included in that study [26] satisfied the following inclusion criteria: (1) left or right hemiparesis because of ischemic or hemorrhagic stroke (diagnosis confirmed by computed tomographic scan/magnetic resonance imaging or clinical documentation or both); (2) age > 18 years; (3) time since stroke of at least 12 months; (4) mild spasticity level for all lower limb muscles (Modified Ashworth Scale ≤ 2).…”

Section: Methodsmentioning

confidence: 99%

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A biofeedback cycling training to improve locomotion: a case series study based on gait pattern classification of 153 chronic stroke patients

Ferrante

Ambrosini

Ravelli

et al. 2011

J NeuroEngineering Rehabil

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BackgroundThe restoration of walking ability is the main goal of post-stroke lower limb rehabilitation and different studies suggest that pedaling may have a positive effect on locomotion. The aim of this study was to explore the feasibility of a biofeedback pedaling treatment and its effects on cycling and walking ability in chronic stroke patients. A case series study was designed and participants were recruited based on a gait pattern classification of a population of 153 chronic stroke patients.MethodsIn order to optimize participants selection, a k-means cluster analysis was performed to subgroup homogenous gait patterns in terms of gait speed and symmetry.The training consisted of a 2-week treatment of 6 sessions. A visual biofeedback helped the subjects in maintaining a symmetrical contribution of the two legs during pedaling. Participants were assessed before, after training and at follow-up visits (one week after treatment). Outcome measures were the unbalance during a pedaling test, and the temporal, spatial, and symmetry parameters during gait analysis.Results and discussionThree clusters, mainly differing in terms of gait speed, were identified and participants, representative of each cluster, were selected.An intra-subject statistical analysis (ANOVA) showed that all patients significantly decreased the pedaling unbalance after treatment and maintained significant improvements with respect to baseline at follow-up. The 2-week treatment induced some modifications in the gait pattern of two patients: one, the most impaired, significantly improved mean velocity and increased gait symmetry; the other one reduced significantly the over-compensation of the healthy limb. No benefits were produced in the gait of the last subject who maintained her slow but almost symmetrical pattern. Thus, this study might suggest that the treatment can be beneficial for patients having a very asymmetrical and inefficient gait and for those that overuse the healthy leg.ConclusionThe results demonstrated that the treatment is feasible and it might be effective in translating progresses from pedaling to locomotion. If these results are confirmed on a larger and controlled scale, the intervention, thanks to its safety and low price, could have a significant impact as a home- rehabilitation treatment for chronic stroke patients.

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“…En effet, Carda et al [14] ont réalisé une étude rétro-spective visant à étudier les effets d'une chirurgie d'allongement d'Achille sur la marche des patients hémiplégiques. Ces auteurs ont montré chez 177 patients présentant une hémiplégie séquellaire d'un AVC que ce type de chirurgie permettait d'augmenter la vitesse de marche aux dépens de la cadence et de la longueur de pas.…”

Section: Toxine Botuliqueunclassified

Apport de l’analyse quantifiée de la marche (AQM) dans la compréhension des mécanismes responsables des troubles de la marche des patients hémiplégiques et dans l’évaluation des effets des différents traitements classiquement utilisés

Roche

Pradon

Zory

et al. 2011

Lett Med Phys Readapt

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Gait Changes After Tendon Functional Surgery for Equinovarus Foot in Patients with Stroke

Abstract: Surgical correction of equinovarus foot deformity in patients with stroke is a safe and effective procedure. Even if the power generation at the ankle decreased, overall gait function and parameters improved after surgery.

Cited by 33 publications

References 29 publications

Normative Data for an Instrumental Assessment of the Upper-Limb Functionality

Normative Data for an Instrumental Assessment of the Upper-Limb Functionality

A biofeedback cycling training to improve locomotion: a case series study based on gait pattern classification of 153 chronic stroke patients

Apport de l’analyse quantifiée de la marche (AQM) dans la compréhension des mécanismes responsables des troubles de la marche des patients hémiplégiques et dans l’évaluation des effets des différents traitements classiquement utilisés

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