Effects of the Immobilization of the Upper Extremities on Spatiotemporal Gait Parameters during Walking in Stroke Patients: A Preliminary Study
| Autor: | So-Young Jung, So-Hyeon Lee, Youngkeun Woo, Seung-Hyeon Hong, Hyeon-Kyung Oh |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Restraint Physical 030506 rehabilitation medicine.medical_specialty Stroke patient Article Subject medicine.medical_treatment Walking General Biochemistry Genetics and Molecular Biology Upper Extremity 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Gait Rehabilitation General Immunology and Microbiology business.industry General Medicine Middle Aged Paresis Stroke Preferred walking speed Hemiparesis Gait analysis Berg Balance Scale Medicine Female medicine.symptom 0305 other medical science Training program business human activities 030217 neurology & neurosurgery Research Article |
| Zdroj: | BioMed Research International BioMed Research International, Vol 2020 (2020) |
| ISSN: | 2314-6133 |
| DOI: | 10.1155/2020/6157231 |
| Popis: | Background. The purpose of this study was to investigate the effects of upper extremity immobilization and consequent walking speed on spatiotemporal gait parameters in stroke patients with hemiparesis. Methods. The following variables were assessed or measured in 29 stroke patients: age, height, weight, disease duration, Korean version of the Mini-Mental State Examination (MMSE-K), Berg balance scale (BBS-K), functional gait assessment (FGA-K), cause of the disease (type of lesion), and hemiparetic side. The measurement of gait was performed using two pressure plates of 1.5 m to create a 3 m walking distance and leaving 1.5 m of extension at both start and end, to ultimately create a 6 m walking distance that the patient could walk through. The following gait patterns were randomly selected based on card draws: self-selected walk speed (SW), self-selected walk speed with immobilized upper extremities (SWI), fast walking (FW), and fast walking with immobilized upper extremities (FWI). Each patient was assessed for four different gait patterns, with three measurements per pattern (12 gait measurements in total). Results. While there were significant differences in the stride length, step width, velocity, and step length of the paretic side between self-selected walk speed (SW) and SWI, FWI did not show significant changes in any of the tested parameters. Conclusions. Immobilization of the upper extremities may affect walking at self-selected walk speeds. A comprehensive training program including upper extremity movement should be established for gait rehabilitation. Clinical Trial Registration. This trial is registered at http://cris.nih.go.kr/cris. |
| Databáze: | OpenAIRE |
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