Deans' stroke musings: Asymmetry and variability should be included in the assessment of gait function in poststroke hemiplegia with independent ambulation during early rehabilitation

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, May 18, 2021

Asymmetry and variability should be included in the assessment of gait function in poststroke hemiplegia with independent ambulation during early rehabilitation

You are referring to objective damage diagnosis, use the correct terminology. With no objective diagnosis you can never match stroke protocols to results.

Asymmetry and variability should be included in the assessment of gait function in poststroke hemiplegia with independent ambulation during early rehabilitation

Archives of Physical Medicine and Rehabilitation , Volume 102(4) , Pgs. 611-618.

NARIC Accession Number: J86137. What's this?
ISSN: 0003-9993.
Author(s): Kim, Woo-Sub ; Choi, Hanboram ; Jung, Jung-Woo ; Yoon, Joon S. ; Jeoung, Ju H..
Publication Year: 2021.
Number of Pages: 8.

Abstract:

Study investigated whether independent features of poststroke spatiotemporal data are dependent on measurement protocol or study sample. Data were obtained from the medical records of patients admitted to the rehabilitation department of the Korea University Guro Hospital, who were in the subacute recovery stage post stroke. Of 98 patients who underwent gait assessment, 69 patients who could walk more than 10 meters without personal assist or assistive devices were included in the data analysis. Spatiotemporal parameters during level walking and their asymmetry and variability were obtained by insole foot pressure measurement system. Of the independent components extracted by principal component analysis, 3 independent components explained 81.9 percent of the total variance of spatiotemporal post stroke gait data. The first component has associations with walking speed and proportion of double support phase and explained 46.6 percent of total variance. The second component has association with temporal asymmetry and explained 21.1 percent of total variance. The third component has association with temporal variability and explained 14.2 percent of total variance. Principal component scores did not show significant differences between stroke types and among stroke lesions. The findings suggest that temporal asymmetry and variability should be included in the assessment of post stroke gait during early rehabilitation. They are independent of each other and provide characteristics of post stroke gait that are independent to the walking speed. They are helpful for rehabilitation planning and developing treatment strategy in post stroke gait rehabilitation.
Descriptor Terms: AMBULATION, EVALUATION, HEMIPLEGIA, INTERNATIONAL REHABILITATION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Kim, Woo-Sub , Choi, Hanboram , Jung, Jung-Woo , Yoon, Joon S. , Jeoung, Ju H.. (2021). Asymmetry and variability should be included in the assessment of gait function in poststroke hemiplegia with independent ambulation during early rehabilitation. Archives of Physical Medicine and Rehabilitation , 102(4), Pgs. 611-618. Retrieved 5/18/2021, from REHABDATA database.