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Hemiparetic Gait.

Lynne R Sheffler1, John Chae2

  • 1Department of Physical Medicine and Rehabilitation, Case Western Reserve University, 2109 Adelbert Road, Cleveland, OH 44106, USA; MetroHealth Rehabilitation Institute of Ohio, MetroHealth System, 4229 Pearl Road, Cleveland, OH 44109, USA; Cleveland Functional Electrical Stimulation Center, 10701 East Boulevard, Cleveland, OH 44106, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 3, 2015
PubMed
Summary
This summary is machine-generated.

Post-stroke hemiparetic gait, a common walking impairment, involves asymmetry and specific muscle activation patterns. Accurate assessment requires understanding normal gait and factors like spasticity and sensory loss.

Keywords:
GaitHemiparesisStroke rehabilitation

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Area of Science:

  • Neurology
  • Biomechanics
  • Rehabilitation Science

Background:

  • Hemiparetic gait is the most frequent walking disability after stroke.
  • It is characterized by asymmetry and specific extensor synergy patterns affecting the hip, knee, and ankle.

Purpose of the Study:

  • To detail the characteristic changes in hemiparetic gait.
  • To highlight the importance of motion studies laboratories for accurate assessment.
  • To emphasize the need for understanding normal gait to analyze post-stroke impairments.

Main Methods:

  • Analysis of spatiotemporal, kinematic, and kinetic gait parameters.
  • Evaluation of dynamic electromyography patterns.
  • Comparison with normal human gait parameters.

Main Results:

  • Hemiparetic gait exhibits distinct asymmetry and extensor synergy patterns.
  • Significant alterations are observed in spatiotemporal, kinematic, and kinetic parameters.
  • Dynamic electromyography reveals characteristic muscle activation changes.

Conclusions:

  • Hemiparetic gait is a complex impairment resulting from motor, sensory, and proprioceptive deficits, spasticity, or ataxia.
  • Motion analysis laboratories provide the most accurate assessment of these gait abnormalities.
  • A thorough understanding of normal gait mechanics is crucial for evaluating and managing hemiparetic gait post-stroke.