Repeatability of plantar pressure assessment during barefoot walking in people with stroke
Autor: | Mary Cramp, Alison Rogers, Jon Marsden, Joanne Paton, Stewart C. Morrison, Terry Gorst, Jenny Freeman |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
Plantar Plate medicine.medical_specialty lcsh:Diseases of the musculoskeletal system medicine.medical_treatment Walking Q1 Disability Evaluation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Foot loading RA0421 Accelerometry Pressure medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Pedobarography Stroke Aged Balance (ability) Protocol (science) CVA Data collection Rehabilitation Foot business.industry Research Foot and ankle Reproducibility of Results R735 Repeatability Middle Aged medicine.disease R1 Biomechanical Phenomena Feasibility Studies Female lcsh:RC925-935 business RA 030217 neurology & neurosurgery Foot (unit) |
Zdroj: | Journal of Foot and Ankle Research, Vol 13, Iss 1, Pp 1-7 (2020) Journal of Foot and Ankle Research |
ISSN: | 1757-1146 |
Popis: | Purpose Stroke-related changes in foot structure and function affect balance and mobility and quantifying foot function following stroke could offer clinically useful information to inform rehabilitation. The aim of this work was to explore the feasibility of undertaking plantar pressure assessment during barefoot walking in people with stroke, and evaluate the repeatability of the assessment protocol and regional footprint analysis as a measure of dynamic foot characteristics. Materials & methods Plantar pressure analysis was undertaken using a pressure platform (Tekscan HR Mat) on two test sessions, approximately two weeks apart (mean = 15.64 ± 11.64 days). Peak plantar pressure (kPa) and contact area (cm2) for foot regions were extracted and repeatability analysis undertaken. Descriptive evaluation of field notes and experiences of the participants was undertaken to inform the feasibility of the data collection protocol. Results Twenty-one participants (61.8 ± 9.2 years; 11 male, 10 female; 8 right-sided, 13 left-sided stroke) were recruited and 18 returned for retesting. Full data capture was achieved from 14 participants. Peak pressure and contact area demonstrated moderate to good repeatability for at the toes (ICC 0.76 and 0.58 respectively) and good to excellent repeatability for the other foot regions (ICC ≥ 0.82). Conclusion The protocol adopted in this study was feasible and yielded good to excellent repeatability for the foot regions, except the toes. The challenges with data collection in our study cohort could help inform future studies adopting similar protocols. This work also has relevance for use of pressure technology in clinical practice for assessing and monitoring foot function following stroke. |
Databáze: | OpenAIRE |
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