Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Comparison of Spatio-temporal Gait Parameters between Paretic and Non-paretic Limb while Stepping over the Different Obstacle's Heights in Subjects with Stroke

편마비 환자의 장애물 높이에 따른 마비측과 비마비측 하지의 시공간적 보행변수 비교

  • Han, Jin-Tae (Department of Physical Therapy, Kyungsung University)
  • 한진태 (경성대학교 물리치료학과)
  • Received : 2013.12.23
  • Accepted : 2014.01.28
  • Published : 2014.02.28
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Abstract

PURPOSE: The aim of this study is to compare the spatio-temporal gait parameters between paretic and non-paretic limb while stepping over the different obstacle's heights in subjects with stroke. METHODS: Nine subjects with stroke were participated in this study. Subjects were asked to step over obstacles with a different height. 8 camera motion analysis system(Motion Analysis Corporation, Santa Rosa, USA) was used to measure spatio-temporal parameters. The two way repeated measurement ANOVA was used to compare spati-temporal gait parameters between paretic and non-paretic limbs while stepping over a different obstacle's height(0cm, 10cm, 20cm). RESULTS: Step width, velocity, single supoort time, and double support time were not different among obstacle's height(p>0.05) but stride length, step length, and cadence were significantly different(p>0.05). In stride length, cadence, and double support time, the interactions between obstacle's heights and limbs were not different(p>0.05) but it was significantly different in velocity, step length, and single support time(p<0.05). Velocity, stride length, cadence, and double support times were not different between paretic limb and non-paretic limb(p>0.05) but step length and single support times were significantly different between paretic limb and non-paretic limb(p<0.05). CONCLUSION: These results show that there are differences with spatio-temporal gait parameters among obstacle's heights and between paretic and non-paretic limb during obstacle crossing in subjects with stroke.

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References

  1. Corriveau H, Hebert R, Raiche M, et al. Evaluation of postural stability in the elderly with stroke. Arch Phys Med Rehabil. 2004;85(7):1095-101. https://doi.org/10.1016/j.apmr.2003.09.023
  2. Chen HL, Lu TW. Comparisons of the joint moments between leading and trailing limb in young adults when stepping over obstacles. Gait Posture. 2006;23(1)69-77. https://doi.org/10.1016/j.gaitpost.2004.12.001
  3. Den Otter AR, Geurts AC, de Haart M, et al. Step characteristics during obstacle avoidance in hemiplegic stroke. Exp Brain Res. 2005;161(2):180-92. https://doi.org/10.1007/s00221-004-2057-0
  4. De Quervain IA, Simon SR, Leurgans S, et al. Gait pattern in the early recovery period after stroke. J Bone Joint Surg Am. 1996;78(10):1506-14. https://doi.org/10.2106/00004623-199610000-00008
  5. Dettmann MA, Liner MT, Sepic SB. Relationships among gait performance, postural stability, and functional assessments of the hemiplegic patient. Am J Phys Med. 1987;66(2):77-90.
  6. Hill KD, Goldie PA, Baker PA, et al. Retest reliability of the temporal and distance characteristics of hemiplegic gait using a footswich system. Arch Phys Med Rehabil. 1994;75(5):577-83.
  7. Hsu AL, Tang PF, Jan MH. Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke. Arch Phys Med Rehabil. 2003;84(8):1185-93. https://doi.org/10.1016/S0003-9993(03)00030-3
  8. Jorgensen L, Cratree NJ, Reeve J, et al. Ambulatory level and asymmetrical weight bearing after stroke affects bone loss in the upper and lower part of the femoral neck differently: bone adaptation after decreased mechanical loading. Bone. 2000;27(5):701-7. https://doi.org/10.1016/S8756-3282(00)00374-4
  9. Jorgensen HS, Nakayama H, Raaschou HO, et al. Outcome and time course of recovery in stroke. Part I, Outcome. The Copenhagen strok study. Arch Phys Med Rehabil. 1995;76(5):399-405. https://doi.org/10.1016/S0003-9993(95)80567-2
  10. Lu TW, Yen HC, Chen HL, et al. Symmetrical kinematic changes in highly functioning older patients post-stroke during obstacle-crossing. Gait Posture. 2010;31(4):511-6. https://doi.org/10.1016/j.gaitpost.2010.02.012
  11. Olney SJ, Griffin MP, McBride ID. Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: A regression approach. Phys Ther. 1994;74(9):872-85. https://doi.org/10.1093/ptj/74.9.872
  12. Olney SJ, Rechard C. Hemiparetic gait following stroke. Part I: characteristics. Gait Posture. 1996;4(2):136-48. https://doi.org/10.1016/0966-6362(96)01063-6
  13. Palta AE, Rietdyk S, Martin C, et al. Locomotor patterns of the leading and the trailing limbs as solid and fragile obstacles are stepped over: some insights into the role of vision during locomotion. J Mot Behav. 1996;28(1):35-47. https://doi.org/10.1080/00222895.1996.9941731
  14. Patteerson KK, Parafianowicz I, Danells CJ, et al. Gait asymmetry in community-ambulating stroke survivors. Arch Phys Med Rehabil. 2008;89(2):304-10. https://doi.org/10.1016/j.apmr.2007.08.142
  15. Said CM, Goldie PA, Palta AE, et al. Obstacle crossing in subjects with stroke. Arch Phys Med Rehabil. 1999;80(9):1054-9. https://doi.org/10.1016/S0003-9993(99)90060-6
  16. Said CM, Goldie PA, Culham E, et al. Control of lead and trail limb clearance during obstacle crossing following stroke. Phys Ther. 2005;85(5):413-27.
  17. Said CM, Goldie PA, Patla AE, et al. Balance during obstacle crossing following stroke. Gait Posture. 2008;27(1):23-30. https://doi.org/10.1016/j.gaitpost.2006.12.009
  18. Said CM, Galea M, Lythgo N. Obstacle crossing performance does not differ between the first and subsequent attempts in people with stroke. Gait Posture. 2009;30(4):455-8. https://doi.org/10.1016/j.gaitpost.2009.07.004

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