Gait Characteristics and Functional Ambulation Profile in Patients with Chronic Unilateral Stroke

Titianova, Еkaterina; Pitkänen, Kauko; Pääkkönen, Ari; Sivenius, Juhani; Tarkka, Ina M.

doi:10.1097/01.phm.0000087490.74582.e0

Cited by 89 publications

(61 citation statements)

References 15 publications

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“…This can occur due to equinism and spasticity, which commonly occur in hemiparetic patients, as well as due to coordination disturbance, sensory alteration, and insufficient transfer of weight on the paretic side 11 . The analysis of distribution in peak plantar pressure of 25 hemiparetic patients and of 31 healthy patients showed reduction of peak pressure on the sides affected, mainly in the medial metatarsal area of hemiparetic patients 13 . Other studies have also observed that the distribution of plantar pressures of hemiparetic patients showed low-pressure peak around the foot of the affected side 12 .…”

Section: Discussionmentioning

confidence: 99%

Um modelo diferente de brace para a reeducação da marcha hemiparética com genu recurvatum: efeitos sobre a distribuição das pressões plantares

et al. 2016

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RESUMEN | En una rodillera de neoprene se desarrolló un tipo de rodillera ortopédica, que lleva un manguito inflable, puesto en la región poplítea de la rodilla, y que les proporciona estímulos a las estructuras articulares, así como mejora la alienación biomecánica durante la fase de apoyo de la marcha. El propósito del estudio es cuantificar las alteraciones y adaptaciones producidas por el entrenamiento con este dispositivo ortótico en pacientes hemiparéticos. Se trata de un estudio casi experimental de tipo antes y después, del cual participaron doce adultos hemiparéticos debido al accidente cerebrovascular. Se utilizaron como marcadores los picos de presión plantar para comparar tres momentos del estudio: el inicio del estudio; el momento en que utilizaban la rodillera y tras entrenar la marcha. Después de las sesiones de rehabilitación de la marcha con ayuda de la rodillera, en la redistribución de las presiones plantares ocurrió un aumento en la simetría durante la fase de apoyo, principalmente disminución de la presión sobre el antepié parético (p=0,024) y aumento en el retropié en el lado parético (p=0,010). Además, estas alteraciones se las asociaron a la disminución de la presión sobre todas las regiones del pie no alterado, especialmente en el retropié en el momento posterior al tratamiento. Los resultados del estudio muestran un cambio en el patrón de marcha de los participantes después de utilizar este tipo de rodillera. Hubo una mayor simetría de los valores de los picos de presión plantar cuando se comparó el lado alterado con el no alterado. El entrenamiento con este tipo de rodillera ayudó en el proceso de rehabilitación, puesto que presentó valores baropodométricos cerca del patrón prestablecido de distribución plantar.

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Section: Discussionmentioning

confidence: 99%

Um modelo diferente de brace para a reeducação da marcha hemiparética com genu recurvatum: efeitos sobre a distribuição das pressões plantares

et al. 2016

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“…Swing time or single stance time asymmetries: As previously mentioned, the majority of individuals post stroke present an increased paretic swing time compared to the non-paretic side [14,29,[42][43][44][45][46][47]. The resulting asymmetry could be caused by a reduction of the non-paretic swing time (e.g.…”

Section: Biomechanical Impairments Underlying Temporal Asymmetrymentioning

confidence: 99%

“…With regards to swing phase asymmetry, it is usually observed that values on the paretic side are higher than the non-paretic side [14,29,[42][43][44][45][46][47]. When compared to healthy control individuals, the swing time asymmetry in individuals with stroke is the result of different combinations of asymmetry: augmentation of the paretic swing time, reduction of the non-paretic swing time or both an increased paretic swing time and a decreased non-paretic swing time [25,29,48].…”

Section: Spatiotemporal Asymmetries and Their Relationshipsmentioning

confidence: 99%

Understanding Spatial and Temporal Gait Asymmetries in Individuals Post Stroke

Lauzière¹,

Betschart²,

Aïssaoui³

et al. 2014

Int J Phys Med Rehabil

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Gait asymmetry in spatial and temporal parameters and its impacts on functional activities have always raised many interesting questions in research and rehabilitation. The aim of this topical review is threefold: 1) to examine different equations of asymmetry of gait parameters and make recommendations for standardization, 2) to deepen the understanding of the relationships between sensorimotor deficits, spatiotemporal (step length, swing time and double support time) and biomechanical (kinematic, kinetic, muscular activity) parameter asymmetries during gait and, 3) to summarize the impacts of gait asymmetry on walking speed, falls, and energy cost in individuals post stroke. In light of current literature, we recommend quantifying spatiotemporal asymmetries by calculating symmetry ratios. However, for other gait parameters (such as kinetic or kinematic data), the choice will depend on the variability of the data and the objective of the study. Regardless of the selected asymmetry equation, we recommend presenting the asymmetry values in combination with the mean value of each side to facilitate comparisons between studies. This review also revealed that sensorimotor deficits clinically measured are not sufficient to explain the large variability of spatiotemporal asymmetries (particularly for step length and double support time) in individuals post stroke. Biomechanical analysis has been identified as a relevant approach to understanding gait deviations. Studies that linked biomechanical impairments to spatiotemporal asymmetries suggest that a balance issue and an impaired paretic forward propulsion could be among the important factors underlying spatiotemporal asymmetries. In our opinion, this paper provides meaningful information to aid in better understanding gait deviations in persons after stroke and establishes the need for future studies regrouping individuals post stroke according to their spatiotemporal asymmetries. Furthermore, further studies targeting efficacy of locomotor rehabilitation and the impacts of gait asymmetry on risk of falls and energy expenditure are needed.

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“…Regarding the functions in the lower limbs, in a study, it was shown that approximately 51% of subjects were without walking function at the time of admission to the rehabilitation unit and 12% of the subjects needed assistance during ambulation [58]. One of these patients was subjected to rehabilitation protocol, and the number of subjects with no walking function was reduced to 18% [58].…”

Section: Impaired Motor Functionmentioning

confidence: 99%

Intracerebral Hemorrhage: Issues in Rehabilitation

Dadlani¹,

Agrawal²

2017

Hemorrhagic Stroke - An Update

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While the advancements in the management of the spontaneous intracerebral hemorrhage (SICH) have resulted an increase in survival, this has also resulted in the number of survivors with signiicant functional morbidity that require long-term care and rehabilitation services. SICH can lead to various impairments, and the deicits related to SICH may include impairment in motor and sensory functions, emotional labiality, language dysfunctions, perception deicits and cognitive dysfunctions. In the present chapter, we present an overview of the issues in rehabilitation which are faced by medical personnel's while managing the patients with SICH.

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Gait Characteristics and Functional Ambulation Profile in Patients with Chronic Unilateral Stroke

Cited by 89 publications

References 15 publications

Um modelo diferente de brace para a reeducação da marcha hemiparética com genu recurvatum: efeitos sobre a distribuição das pressões plantares

Um modelo diferente de brace para a reeducação da marcha hemiparética com genu recurvatum: efeitos sobre a distribuição das pressões plantares

Understanding Spatial and Temporal Gait Asymmetries in Individuals Post Stroke

Intracerebral Hemorrhage: Issues in Rehabilitation

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