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[Laser analyzer as an objective method for evaluating walking parameters in patients with post-stroke disorders].

S V Prokopenko1, V S Ondar1, M V Abroskina1

  • 1Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|August 29, 2022
PubMed
Summary

The LA-1 Laser Analyzer effectively assesses gait in ataxia and post-stroke hemiparesis patients. This method shows high sensitivity and specificity for diagnosing gait abnormalities.

Keywords:
cerebellar ataxiadiagnosishemiparesislaser analyzerparameters of walkingstrokevestibular ataxia

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Area of Science:

  • Neurology
  • Biomechanics
  • Rehabilitation Medicine

Background:

  • Gait dysfunction is a significant challenge in patients with ataxia and post-stroke hemiparesis.
  • Accurate assessment of gait parameters is crucial for diagnosis and rehabilitation planning.

Purpose of the Study:

  • To evaluate the informativity, sensitivity, and specificity of the LA-1 «Laser Analyzer of Kinematic Gait Parameters» for assessing gait in patients with ataxia and post-stroke hemiparesis.
  • To establish normative gait parameters in healthy individuals and identify deviations in patient groups.

Main Methods:

  • Gait parameters (tempo-rhythm, spatial) were measured in healthy adults (n=60) and patients with ataxia (n=30) or post-stroke hemiparesis (n=30) using the LA-1 analyzer.
  • Key parameters analyzed included step length, step duration, their standard deviations, and coefficients of variability.

Main Results:

  • The LA-1 method demonstrated high sensitivity and specificity in distinguishing between healthy individuals and patients.
  • Patients exhibited increased step length, duration, standard deviations, and variability, alongside decreased walking speed.
  • Normative gait values for healthy individuals were established.

Conclusions:

  • The LA-1 Laser Analyzer is a sensitive and specific tool for evaluating gait in ataxia and post-stroke hemiparesis.
  • The identified gait changes in patients align with previous research findings.
  • The LA-1 method is recommended for clinical application in assessing gait disorders.