The relationship between anterior pelvic tilt and gait, balance in patient with chronic stroke

Abstract

[Purpose] The aim of this study is to find out the association between anterior pelvic tilt and gait and balance in chronic stroke. [Subjects and Methods] Fourteen chronic stroke patients were included in this study. A palpation meter was employed to measure the anterior inclination of the pelvis. A GAITRite system automates measuring temporal and spatial gait parameters. A 10-Meter Walk test was used to measure gait speed. The Timed Up and Go test was used to measure the dynamic balance ability and gait ability of the participants. A BioRescue was used to assess balance by measuring the moving distance and area of the center of pressure. [Results] There were significant negative correlations between pelvic anterior tilt and velocity, step length, and stride. There were significant positive correlations between velocity and cadence, step length, and stride length. There were significant negative correlations between velocity and cycle time, H-H base, TUG, and 10MWT. There was significant negative correlation between cadence and cycle time and H-H base. [Conclusion] This study showed a negative correlation between pelvic anterior tilt and gait function including gait speed and step length.

Effect of Posterior Pelvic Tilt Taping on Pelvic Inclination, Muscle Strength, and Gait Ability in Stroke Patients: A Randomized Controlled Study

“…Previous studies reported that stroke patients exhibit low temporal synchronization between the pelvis and lower extremities when walking or performing functional postures and showed anterior pelvic tilt with impaired motor function [5,6]. Moreover, Kim et al confirmed that the anterior pelvic tilt in stroke patients had significant negative correlations with gait velocity, cadence, and step length [22]. In addition, in stroke patients, weakening of the hip extensor, which is most involved in the terminal stance of the gait, affects the movement control of the hip and knee flexion during the ipsilateral swing phase, resulting in a decrease in walking speed [33,34].…”

“…Since the trunk is bilaterally innervated and connected by the linea alba with fascia, damage to one side of the brain affects all of the abdominal muscles, which in turn affects the position of the anterior superior iliac spines [9]. The normal anterior pelvic tilt angle was reported as 11 ± 4 • [22][23][24]. In this study, a stroke patient with a pelvic anterior tilt angle of 15 • or more was targeted.…”

“…Participants were recruited from the H rehabilitation centers in Gyeonggi-do. The inclusion criteria were as follows: (1) first episode of unilateral stroke with hemiparalysis caused by hemicerebrum damage; (2) an anterior pelvic inclination greater than 15 • (normal range, 11 ± 4 • ) [22][23][24]; (3) the ability to understand and follow verbal commands; (4) the ability to independently walk for at least 15 m without assistance; and (5) Brunnstrom stage 3 or higher motor recovery of the lower extremity. The exclusion criteria included the following: (1) hemianopia, dizziness, or other symptoms indicating vestibular impairment;…”

Development and Validation of Ambulosono: A Wearable Sensor for Bio-Feedback Rehabilitation Training

“…The use of stationary systems to measure gait function, such as the GAITRite system or 3D camera-based systems, have been shown to be quite effective, and previous work using these approaches have also reported efficacy in quantifying gait in many research and rehabilitation settings [1,10,11,12,13,14,15,16]. These approaches have also been used to evaluate gait in healthy controls, with similar values in gait measurements observed to that in the present study [1,10].…”

The immediate influence of various whole-body vibration frequency on balance and walking ability in children with cerebral palsy: a pilot study

“…Each subject completes the sequence 3 times, and the amount of time required for each sequence is measured and the average of the three is recorded. Bio-rescue showed good inter-rater and intra-rater reliability in measurements during footprint area (Kim et al, 2018).…”