Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
Department of Rehabilitation Medicine, Daegu Fatima Hospital, Daegu, Republic of Korea.
BMC Neurol. 2021 Jan 27;21(1):38. doi: 10.1186/s12883-021-02072-4.
Ambulatory and balance functions are important for maintaining general health in humans. Gait analysis allows clinicians and researchers to identify the parameters to be focused on when assessing balance and ambulatory functions. In this study, we performed gait analysis with pressure sensors to identify the gait-analysis parameters related to balance and ambulatory functions in hemiplegic stroke patients.
We retrospectively reviewed the medical records of 102 patients with hemiplegic stroke who underwent gait analysis. Correlations between various temporospatial parameters in the gait analysis and the motor and balance functions assessed using functional ambulation category, modified Barthel index, and Berg balance scale were analyzed.
Gait speed/height and the lower-limb stance-phase time/height were the only temporal and spatial parameters, respectively, that showed a statistical correlation with motor and balance functions.
Measurements of walking speed and stance-phase time of the unaffected lower limb can allow clinicians to easily assess the ambulatory and balance functions of hemiplegic stroke patients. Rehabilitative treatment focusing on increasing gait speed and shortening the stance-phase time of the unaffected side may improve the ambulatory and balance functions in these patients.
人体的日常活动和平衡功能对维持整体健康非常重要。步态分析使临床医生和研究人员能够确定在评估平衡和日常活动功能时需要关注的参数。在这项研究中，我们使用压力传感器进行步态分析，以确定与偏瘫脑卒中患者平衡和日常活动功能相关的步态分析参数。
我们回顾性分析了 102 例偏瘫脑卒中患者的步态分析病历。分析了步态分析中的各种时-空参数与使用功能性步行分类、改良巴氏指数和伯格平衡量表评估的运动和平衡功能之间的相关性。
步行速度/高度和下肢支撑相时间/高度分别是唯一与运动和平衡功能具有统计学相关性的时-空参数。
测量健侧下肢的步行速度和支撑相时间，临床医生可以方便地评估偏瘫脑卒中患者的日常活动和平衡功能。针对提高步行速度和缩短健侧支撑相时间的康复治疗可能会改善这些患者的日常活动和平衡功能。
