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.


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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.