[Kinematic parameters of gait in patients with supra- or subtentorial focus location during the early rehabilitation period after ischemic stroke].

Autor:	Belayeva IA; Pirogov Russian National Research Medical University, Moscow, Russia.; National Research Medical Center for Rehabilitation and Balneology, Moscow, Russia., Martynov MY; Pirogov Russian National Research Medical University, Moscow, Russia., Pehova YG; Pirogov Russian National Research Medical University, Moscow, Russia.; National Research Medical Center for Rehabilitation and Balneology, Moscow, Russia., Vershinin AA; Pirogov Russian National Research Medical University, Moscow, Russia.; National Research Medical Center for Rehabilitation and Balneology, Moscow, Russia., Rachin AP; National Research Medical Center for Rehabilitation and Balneology, Moscow, Russia., Eremushkin MA; National Research Medical Center for Rehabilitation and Balneology, Moscow, Russia., Fusyun AD; National Research Medical Center for Rehabilitation and Balneology, Moscow, Russia., Gusev EI; Pirogov Russian National Research Medical University, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [Zh Nevrol Psikhiatr Im S S Korsakova] 2020; Vol. 120 (12. Vyp. 2), pp. 67-74.
DOI:	10.17116/jnevro202012012267
Abstrakt:	Objective: To study kinematic gait parameters during early rehabilitation period in patients with supra- or subtentorial ischemic stroke (IS). Material and Methods: We examined 24 patients (11 women, 13 men, age 61.3±8.2) 4-6 weeks after stroke onset. 15 patients had supratentorial IS (middle cerebral artery location), 9 patients had subtentorial IS (brainstem and cerebellum). NIHSS score was 6.4±0.6/6.1±0.8, modified Ashwort scale score - 0.5±0.6/0.4±0.7, hand paresis - 3.4±0.9/3.7±0.7, leg paresis - 4.1±0.7/4.0±0.8 points. Kinematic gait parameters were recorded on video analysis system Physiomed Smart (Physiomed, Germany, Davis protocol). Results: Gait kinematic parameters in paretic and in unaffected leg were changed in both groups. Patients with supratentorial lesion had on paretic side exaggerated pelvic obliquity, an excessive internal rotation and amplitude of movements in the paretic hip joint, and an insufficient plantar extension on both sides. Patients with subtentorial stroke had exaggerated pelvic tilt forward, excessive flexion and insufficient extension of the hip joint, insufficient extension of the knee joint, excessive plantar flexion, and insufficient plantar extension on both sides. Conclusion: Patients with supra- or subtentorial IS with muscle weakness less than 3-4 points and slightly changed or normal muscle tone differed in kinematic parameters in pelvic motions and in joints of paretic and unaffected lower extremity. These results highlight the importance of differentiating rehabilitation techniques according to supra- or subtentorial focus location and cerebellar involvement.
Databáze:	MEDLINE
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