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Gait disturbances in patients with stroke
1Gulhane Military Medical Academy, Department of Physical Medicine & Rehabilitation, Ankara, Turkey(∗).
PM & R : the Journal of Injury, Function, and Rehabilitation
|January 24, 2014
Summary
Understanding post-stroke hemiplegic gait requires analyzing unique patient patterns. Quantitative 3D gait analysis helps differentiate direct motor deficits from adaptive compensations in hemiparetic gait.
Area of Science:
- Neurorehabilitation
- Biomechanics
- Clinical Gait Analysis
Background:
- Poststroke hemiplegic gait presents complex deviations and compensatory movements.
- Individual gait patterns necessitate thorough examination and documentation for effective treatment.
Purpose of the Study:
- To review common temporospatial, kinematic, kinetic, and electromyographic gait deviations post-stroke.
- To identify the likely causes of these significant gait deviations.
- To distinguish between direct motor consequences and adaptive compensations in post-stroke gait.
Main Methods:
- Quantitative 3-dimensional gait analysis is employed.
- Review of temporospatial, kinematic, kinetic, and electromyographic parameters.
- Analysis focuses on differentiating primary motor deficits from compensatory strategies.
Main Results:
- Hemiplegic gait involves a mix of deviations and compensatory motions.
- Quantitative gait analysis provides insight into multifactorial gait dysfunction.
- Distinguishing direct motor issues from adaptive compensations is crucial for targeted interventions.
Conclusions:
- Each patient's unique hemiplegic gait pattern requires individualized assessment.
- 3D gait analysis is essential for understanding and addressing gait dysfunction after stroke.
- Differentiating primary deficits from compensations informs rehabilitation strategies for hemiparetic gait.
