But are these other shoes better? WHOM do we go to to get that simple question answered? With NO leadership and NO strategy, NOTHING EVER GETS SOLVED IN STROKE!
unstable shoes (6 posts to May 2012)
shoes (20 posts to May 2013)
Laser shoes (1 post to December 2017)
jump shoes (1 post to August 2014)
instrumented shoes (2 posts to May 2016)
Immediate effect of shoe raise on unaffected side in gait of poststroke hemiparesis
PURPOSE:
The purpose of the study was to observe the immediate
changes on gait speed and qualitative gait parameters with and without
the use of additional shoe raise on unaffected lower limb in poststroke
hemiparetic patients.
MATERIALS AND METHODS:
Thirty-one participants with chronic
stroke from SBB College of Physiotherapy, of either gender (40–70
years), able to walk 20 m with or without external aids were included in
the study by purposive sampling. Patients with severe spasticity, fixed
contractures, and audio, visual, or perceptual impairments were
excluded from the study.(So cherry picking your better patients. There is this goal of 'leave no survivor behind'. You failed that goal!)An observational study was conducted where
patients were tested under two conditions – pre- and postinserting a 1.5
cm shoe raise on the unaffected limb. Patients explained the nature of
the study, and a 10-m walk test was performed along with video recording
from anterior, posterior, and lateral views, which were later analyzed
using Wisconsin Gait Scale (WGS).
RESULTS:
The mean age was 52.903 ± 8.423 and poststroke duration
was 28.806 ± 1.836. Out of 31 patients, 20 were male and 11 female; 17
patients had right-sided hemiparesis, in 14 left-sided hemiparesis, out
of which 26 were chronic and 5 were acute poststroke patients. Values
for pre- and postscores of WGS were Z = −4.88, P = 0.000, and scores for speed were Z = −4.89, P = 0.000.
CONCLUSION: From this study, it has been concluded that shoe
raising, given on unaffected lower limb to hemiparetic patients, has
shown a significant difference in pre- and postgait qualitative
parameters and speed in both males and females of age group 40–70 years.
Neeti Jariwala, Shraddha Diwan, Nehal Shah Correspondence Address: Source of Support: None, Conflict of Interest: None DOI: 10.4103/pjiap.pjiap_44_22 |
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