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Updated: Mar 27, 2026
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Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
Published on: March 11, 2021
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Sit-to-walk Task in Hemiplegic Stroke Patients: Relationship between Movement Fluidity and the Motor Strategy in
Yuji Osada1, Sumiko Yamamoto2, Masako Fuchi1
1Seiai Rehabilitation Hospital.
Summary
Stroke patients struggle with sit-to-walk (STW) due to poor balance and delayed movement initiation. Improving trunk control and balance may enhance STW fluidity for better mobility.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Biomechanics
Background:
- Stroke survivors often exhibit difficulties with sit-to-walk (STW) despite preserved basic ambulation.
- Movement fluidity in STW is crucial for functional independence.
Purpose of the Study:
- To investigate the relationship between movement fluidity and motor strategies during the initial phase of the STW task in stroke patients.
- To identify kinematic and kinetic factors influencing STW performance.
Main Methods:
- Motion analysis system used to measure STW performance in 30 stroke patients and 10 healthy controls.
- Statistical analysis included Mann-Whitney U test and Spearman's rank correlation coefficient.
- Assessed fluidity index (FI), kinetic/kinematic data, Functional Independence Measure (FIM), and Fugl-Meyer Assessment (FMA).
Main Results:
- Stroke patients demonstrated significantly lower FI, shorter step length, and prolonged onset-to-first-stance duration compared to controls.
- FI correlated with trunk flexure, step length, vertical floor reaction force, and FIM/FMA scores.
- Poor balance was identified as a potential contributor to reduced STW fluidity.
Conclusions:
- Impaired balance may hinder fluent initiation of the STW task in stroke patients.
- Initiating the walk before full trunk extension completion is key for fluid STW.
- FI and its correlations with functional measures suggest therapeutic targets for improving STW in stroke rehabilitation.
