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Pelvic exercise and gait in hemiplegia
P R Trueblood1, J M Walker, J Perry
1Department of Physical Therapy, University of Southern California, Downey.
Physical Therapy
|January 1, 1989
Summary
Resisted pelvic motion exercises improved gait in cerebrovascular accident (CVA) patients immediately after treatment. However, these gait improvements were not sustained long-term, indicating a need for further research.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Biomechanics
Background:
- Hemiplegia following cerebrovascular accident (CVA) significantly impacts gait and mobility.
- Restoring functional gait is a primary goal in post-CVA rehabilitation.
- Understanding the effects of specific interventions on gait parameters is crucial.
Purpose of the Study:
- To evaluate the immediate and short-term effects of resisted pelvic motion exercises on gait in CVA patients.
- To compare gait parameters before and after the intervention.
Main Methods:
- Twenty patients with hemiplegia post-CVA participated.
- Gait analysis was conducted using an insole footswitch system, knee electrogoniometer, and force walking aid.
- Intervention involved manually resisted pelvic anterior-elevation and posterior-depression movements on the involved side.
Main Results:
- Significant overall gait improvement was observed immediately after treatment (p < .005).
- Improvements were noted in stance stability and limb advancement of the affected limb.
- The positive effects on gait were not maintained 30 minutes post-treatment.
Conclusions:
- Resisted pelvic motion exercises can provide immediate, short-term gait benefits for CVA patients.
- Further research is necessary to develop treatment protocols that ensure sustained gait improvements.
- Optimizing treatment duration and frequency may enhance long-term functional recovery.