Towards ecologically valid functional gait assessments: integrating motor complexity in Parkinson’s disease and stroke rehabilitation

 

Assessments DO NOTHING unless you map EXACT RECOVERY PROTOCOLS TO THEM! This was absolutely useless, NOTHING ON PROTOCOLS THAT WILL DELIVER RECOVERY!  

Towards ecologically valid functional gait assessments: integrating motor complexity in Parkinson’s disease and stroke rehabilitation

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A.S. Orejel Bustos * a

, 

P. Manzari a

, 

A. Rossi b

, 

A. Manzo a

, 

M.G. Buzzi a

, 

G. Vannozzi a b

, 

V. Belluscio a b

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https://doi.org/10.1016/j.gaitpost.2025.08.053

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Introduction

Combining clinical assessment and instrumented analysis allows for objective, quantitative evaluation of motor changes following rehabilitation, offering deeper insights into the functional limitations in neurological disorders [1]. However, standard motor assessments are often conducted in simplified settings that fail to replicate the complex demands of everyday functional mobility, potentially leading to an underestimation of functional deficits. This applies also when evaluating the efficacy of rehabilitation treatments. Therefore, it is critical to incorporate evaluation protocols that more accurately reflect real-world challenges faced by neurological patients [2]. Thus, this study aims at verifying the effectiveness of more complex assessment methods in patients with Parkinson’s disease (PwPD) and stroke (PwST) undergoing different therapeutic protocols.

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