Measurement only, NO mention of what protocol would increase hip abductor strength to get to gait independence. I expect your physical therapist to know exactly what exercises can do that.
Hip Abductor Muscle Strength Associations with Gait Speed and Gait Independence Level of Hemiparetic Stroke Patients
Rigakuryoho Kagaku , Volume 31(5) , Pgs. 723-727.NARIC Accession Number: I243365. What's this?
Author(s): YOSUKE SHIMIZU.
Publication Year: 2016.
Abstract: The purpose of this study was to determine the relationships of hip abductor muscle strength with 10-meter maximum walking speed (10MWS) and level of gait independence, and to calculate the cutoff value for gait independence in stroke patients with hemiparesis. Participants were 31 hemiparetic stroke patients. Their 10MWS and gait independence level were determined, and hip abductor muscle strength was measured using a hand-held dynamometer. A significant correlation (r=0.74) was found between 10MWS and the paretic-side hip abductor strength. In the search for factors affecting gait independence level, only hip abductor strength of the paretic side was identified [odds ratio (OR) 11.92, OR 95% confidence level 2.1965.15], and the cutoff value for gait independence was 0.23 kgf/kg. The results suggest there is a high possibility that the paretic side hip abductor muscle strength is an important factor of gait speed and gait independence.
Descriptor Terms: Gait, Hip, Muscles, Paraparesis, Stroke.
Language: Japanese
Geographic Location(s): Japan, East & Southeast Asia.
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Get this Document: https://www.jstage.jst.go.jp/article/rika/31/5/31_723/_pdf.
Citation: YOSUKE SHIMIZU. (2016). Hip Abductor Muscle Strength Associations with Gait Speed and Gait Independence Level of Hemiparetic Stroke Patients. 脳卒中片麻痺患者の股関節外転筋力と 歩行速度および歩行自立度との関連性. Rigakuryoho Kagaku , 31(5), Pgs. 723-727. Retrieved 8/10/2017, from REHABDATA database.
I never lost the ability to abduct my hip (i.e. swing my leg out to the side) so I call myself "A-B-ductor girl." I can walk very quickly which confirms this study's finding.
ReplyDeleteI can do that also, just would like specific exercise to strengthen it. I do remember using the machine at the Y for that purpose but that was seated. Better doing it standing?
DeleteNot sure. One thought is that the transfer of new skill works best when the practice closely resembles the desired outcome.
DeleteWell, we certainly all learned it in school but some PTs apparently don't like to share useful info. Remember when I wrote this?
ReplyDeletehttps://mycerebellarstrokerecovery.com/2014/10/28/trendelenburg-gait/
You are the best. I can't keep track of my own blog information much less others. And life is just too busy.
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