Gait patterns in ischemic and hemorrhagic post-stroke patients with delayed access to physiotherapy

Autor: Bianca Callegari, Daniela Rosa Garcez, Alex Tadeu Viana da Cruz Júnior, Aline do Socorro Soares Cardoso Almeida, Skarleth Raissa Andrade Candeira, Nathalya Ingrid Cardoso do Nascimento, Ketlin Jaquelline Santana de Castro, Ramon Costa de Lima, Tatiana Generoso Campos Pinho Barroso, Givago da Silva Souza, Anselmo de Athayde Costa e Silva
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Hong Kong Physiotherapy Journal, Vol 41, Iss 2, Pp 77-87 (2021)
Druh dokumentu: article
ISSN: 1013-7025
1876-441X
10137025
DOI: 10.1142/S1013702521500074
Popis: Objectives: (1) To assess the effects of a conventional, delayed physiotherapy protocol used by Ischemic Stroke (IS) and Hemorrhagic Stroke (HS) post-stroke patients, in their electromyographic activation patterns during hemiparetic gait; and (2) to study whether this protocol may improve the functional abilities in this population. Methods: This is an observational, descriptive, and analytical quasi-experimental trial. Forty patients with unilateral IS (n=25) and HS (n=15) stroke were recruited; the stroke involved the motor cortex or sub-cortical areas, and the patients were able to walk independently. Interventions with standard protocols of physiotherapy were carried out. Evaluations (clinical and gait assessment) were performed at the time of admission and at the end of the protocol. Outcome measures include Stroke Impact Scale, Timed Up and Go Test, and gait electromyographic evaluation. Results: Only IS patients (with an average of 124.4±45.4 months delayed access to physiotherapy rehabilitation) had improvements in Timed Up and Go Test (change in speed=−8.0seg p
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