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Gait parameters following stroke: a practical assessment

H P von Schroeder1, R D Coutts, P D Lyden

  • 1Department of Orthopaedics and Rehabilitation, University of California, San Diego 92103-1190, USA.

Journal of Rehabilitation Research and Development
|February 1, 1995
PubMed
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Gait analysis using mechanical methods reveals significant differences in walking patterns for stroke survivors compared to controls. While general gait improves over time, asymmetry in limb support and movement persists, highlighting the need for targeted therapies.

Area of Science:

  • Neurology
  • Biomechanics
  • Rehabilitation Medicine

Background:

  • Clinical observation of gait is less sensitive to subtle changes than instrumental methods.
  • Stroke often results in significant gait abnormalities affecting mobility and independence.
  • Understanding gait parameters is crucial for effective rehabilitation strategies.

Purpose of the Study:

  • To quantitatively assess gait parameters and patterns in ambulatory stroke patients.
  • To evaluate the temporal changes in gait parameters over time post-stroke.
  • To compare gait characteristics between stroke patients and healthy controls.

Main Methods:

  • Utilized a foot-switch gait analyzer for objective gait quantification.
  • Recruited 49 ambulatory patients with stroke and 24 healthy controls for the study.

Related Experiment Videos

  • Collected and analyzed temporal parameters including gait cycle, cadence, and limb support phases.

    • Main Results:

    • Stroke patients exhibited slower walking speed, reduced cadence, longer gait cycles, and increased double limb support time compared to controls.
    • Significant differences were observed in hemiplegic and unaffected limb stance, swing, and single limb support phases.
    • A flatfoot pattern was characteristic of the affected side in stroke patients.
    • While general gait parameters improved within the first 12 months, gait asymmetry measures remained unchanged over time.

    Conclusions:

    • Instrumental gait analysis provides sensitive, objective data on post-stroke gait impairments.
    • Abnormal gait in stroke is linked to challenges in limb advancement and stability.
    • Gait analysis is valuable for documenting stroke-related gait deviations and assessing therapeutic intervention efficacy.