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.

Thursday, October 30, 2025

A Longitudinal Study of Physical Function Factors Related to Lower Limb Circumduction During Gait in Acute Stroke Patients with Hemiparesis

But survivors want to know EXACTLY HOW TO RECOVER! Not tell them they have a circumduction gait. Where is the protocol that recovers your correct gait.?

 A Longitudinal Study of Physical Function Factors Related to Lower Limb Circumduction During Gait in Acute Stroke Patients with Hemiparesis


Abstract
Circumduction gait in stroke patients, a compensatory movement involving pelvic hike and femoral abduction, increases energy cost. However, longitudinal studies on its mechanism during the acute phase are lacking. This study longitudinally investigated changes in the paretic femoral abduction angle during gait in acute stroke patients and identified related factors. Twenty-two acute stroke patients were assessed twice: at gait initiation and 10-14 days later. Gait kinematics during a 3m walk were measured using a depth sensor, and physical functions (SIAS) were evaluated. Changes were analyzed using paired t-tests and correlation analyses. Spatiotemporal parameters improved significantly. Kinematically, paretic femoral abduction (p = 0.049) and paretic pelvic hike (p = 0.025) significantly decreased, while maximum paretic knee flexion during swing (p = 0.026) increased. The decrease in femoral abduction correlated positively with the de-crease in pelvic hike (r=0.55) and negatively with the improvement in paretic ankle motor function (SIAS) (ρ=-0.49). The decrease in pelvic hike correlated negatively with the improvement in paretic knee motor function (SIAS) (ρ=-0.43). These results suggest that in acute stroke patients, the recovery of paretic ankle and knee motor functions leads to a re-duction in compensatory femoral abduction and pelvic hike, respectively. This study pro-vides insights for re-evaluating compensatory movements as an adaptive phenomenon during recovery, not merely as abnormal movements.
Keywords: 
circumduction
;  
acute stroke
;  
abnormal gait pattern
;  
longitudinal change
Subject: 
Public Health and Healthcare  -  Physical Therapy, Sports Therapy and Rehabilitation
Copyright: This open access article is published under a Creative Commo
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