Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/22776 |
Resumo: | Aims: To evaluate linear and angular kinematics of gait in patients with spastic hemiparesis secondary to stroke considering reference values and the unaffected limb.Methods: Cross-sectional study of adult patients with spastic hemiparesis secondary to stroke selected from the Physical Therapy Clinic of Universidade de Caxias do Sul (UCS). The kinematic gait analysis was performed at the Human Motion Biomechanical Analysis Laboratory at UCS according to Larouche’s protocol. Descriptive statistics, one-sample t test, and paired t test were used for the data analysis. Statistical significance was set as p<0.05.Results: Eight adult male and female individuals aged 43 to 59 years were assessed. All variables indicated a significant difference in the linear kinematics of the gait of the affected limb. By comparing the lower limbs, stride length and rate were significantly higher in the affected hemibody. Angular kinematics was significantly different from reference values, except for hip flexion. There was a lower angular variation (flexion/extension) in the knee of the affected limb in comparison to the healthy one.Conclusions: This study showed changes in the gait kinematics of the affected limb in hemiparetic patients after a stroke in comparison to normal patterns and to the contralateral limb, which indicates an unusual flexor pattern. These changes may be related to poor balance and motor control, muscle weakness, proprioceptive deficit, increased muscle tone, contractures, and deformities. |
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Kinematic analysis of gait in individuals with spastic hemiparesis secondary to strokeAnálise cinemática da marcha em indivíduos com hemiparesia espástica após acidente vascular cerebralstrokekinematicsbiomechanical phenomenagait.acidente vascular cerebralcinemáticafenômenos biomecânicosmarcha.Aims: To evaluate linear and angular kinematics of gait in patients with spastic hemiparesis secondary to stroke considering reference values and the unaffected limb.Methods: Cross-sectional study of adult patients with spastic hemiparesis secondary to stroke selected from the Physical Therapy Clinic of Universidade de Caxias do Sul (UCS). The kinematic gait analysis was performed at the Human Motion Biomechanical Analysis Laboratory at UCS according to Larouche’s protocol. Descriptive statistics, one-sample t test, and paired t test were used for the data analysis. Statistical significance was set as p<0.05.Results: Eight adult male and female individuals aged 43 to 59 years were assessed. All variables indicated a significant difference in the linear kinematics of the gait of the affected limb. By comparing the lower limbs, stride length and rate were significantly higher in the affected hemibody. Angular kinematics was significantly different from reference values, except for hip flexion. There was a lower angular variation (flexion/extension) in the knee of the affected limb in comparison to the healthy one.Conclusions: This study showed changes in the gait kinematics of the affected limb in hemiparetic patients after a stroke in comparison to normal patterns and to the contralateral limb, which indicates an unusual flexor pattern. These changes may be related to poor balance and motor control, muscle weakness, proprioceptive deficit, increased muscle tone, contractures, and deformities.Objetivos: Avaliar a cinemática linear e angular da marcha em pacientes hemiparéticos espásticos após acidente vascular cerebral, considerando os valores da normalidade e o membro não afetado.Métodos: Estudo transversal, no qual participaram indivíduos adultos com hemiparesia espástica após acidente vascular cerebral, selecionados na Clínica de Fisioterapia da Universidade de Caxias do Sul. A análise cinemática da marcha foi realizada no Laboratório de Análises Biomecânicas do Movimento Humano da mesma instituição, seguindo o protocolo de Laroche. Para análise de dados foi utilizada estatística descritiva, teste t para média de uma amostra e teste t pareado. O nível de significância adotado foi p<0,05.Resultados: Foram estudados oito indivíduos adultos, com idade entre 43 a 59 anos, de ambos os sexos. Foi identificada diferença significativa na cinemática linear da marcha do membro afetado para todas as variáveis estudadas. Considerando a comparação entre os membros inferiores, o comprimento do passo e o tempo do passo foram significativamente maiores no hemicorpo acometido. Com relação às variáveis angulares, os indivíduos demonstraram diferença significativa da normalidade em todas as variáveis, exceto flexão de quadril. Observou-se ainda, menor variação angular (flexão/extensão) no joelho do membro afetado quando comparado com o sadio.Conclusões: O estudo indicou alterações na cinemática da marcha do membro acometido de indivíduos hemiparéticos após acidente vascular cerebral, comparando com a normalidade e com o membro contralateral, caracterizando a presença de um padrão flexor incomum. Essas alterações podem estar relacionadas com diminuição do equilíbrio e do controle motor, fraqueza muscular, déficit proprioceptivo, aumento do tônus, contraturas e deformidades.Editora da PUCRS - ediPUCRS2016-05-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2277610.15448/1980-6108.2016.2.22776Scientia Medica; Vol. 26 No. 2 (2016); ID22776Scientia Medica; v. 26 n. 2 (2016); ID227761980-61081806-556210.15448/1980-6108.2016.2reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/22776/14393Copyright (c) 2016 Scientia Medicainfo:eu-repo/semantics/openAccessWestphal, Patrick JacobsenFerreira, JussaraSchmitt, Vinícius MazzochiCechetti, FernandaBonetti, LeandroSaccani, Raquel2016-07-27T00:43:14Zoai:ojs.revistaseletronicas.pucrs.br:article/22776Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2016-07-27T00:43:14Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke Análise cinemática da marcha em indivíduos com hemiparesia espástica após acidente vascular cerebral |
title |
Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke |
spellingShingle |
Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke Westphal, Patrick Jacobsen stroke kinematics biomechanical phenomena gait. acidente vascular cerebral cinemática fenômenos biomecânicos marcha. |
title_short |
Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke |
title_full |
Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke |
title_fullStr |
Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke |
title_full_unstemmed |
Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke |
title_sort |
Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke |
author |
Westphal, Patrick Jacobsen |
author_facet |
Westphal, Patrick Jacobsen Ferreira, Jussara Schmitt, Vinícius Mazzochi Cechetti, Fernanda Bonetti, Leandro Saccani, Raquel |
author_role |
author |
author2 |
Ferreira, Jussara Schmitt, Vinícius Mazzochi Cechetti, Fernanda Bonetti, Leandro Saccani, Raquel |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Westphal, Patrick Jacobsen Ferreira, Jussara Schmitt, Vinícius Mazzochi Cechetti, Fernanda Bonetti, Leandro Saccani, Raquel |
dc.subject.por.fl_str_mv |
stroke kinematics biomechanical phenomena gait. acidente vascular cerebral cinemática fenômenos biomecânicos marcha. |
topic |
stroke kinematics biomechanical phenomena gait. acidente vascular cerebral cinemática fenômenos biomecânicos marcha. |
description |
Aims: To evaluate linear and angular kinematics of gait in patients with spastic hemiparesis secondary to stroke considering reference values and the unaffected limb.Methods: Cross-sectional study of adult patients with spastic hemiparesis secondary to stroke selected from the Physical Therapy Clinic of Universidade de Caxias do Sul (UCS). The kinematic gait analysis was performed at the Human Motion Biomechanical Analysis Laboratory at UCS according to Larouche’s protocol. Descriptive statistics, one-sample t test, and paired t test were used for the data analysis. Statistical significance was set as p<0.05.Results: Eight adult male and female individuals aged 43 to 59 years were assessed. All variables indicated a significant difference in the linear kinematics of the gait of the affected limb. By comparing the lower limbs, stride length and rate were significantly higher in the affected hemibody. Angular kinematics was significantly different from reference values, except for hip flexion. There was a lower angular variation (flexion/extension) in the knee of the affected limb in comparison to the healthy one.Conclusions: This study showed changes in the gait kinematics of the affected limb in hemiparetic patients after a stroke in comparison to normal patterns and to the contralateral limb, which indicates an unusual flexor pattern. These changes may be related to poor balance and motor control, muscle weakness, proprioceptive deficit, increased muscle tone, contractures, and deformities. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-05-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/22776 10.15448/1980-6108.2016.2.22776 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/22776 |
identifier_str_mv |
10.15448/1980-6108.2016.2.22776 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/22776/14393 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Scientia Medica info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2016 Scientia Medica |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 26 No. 2 (2016); ID22776 Scientia Medica; v. 26 n. 2 (2016); ID22776 1980-6108 1806-5562 10.15448/1980-6108.2016.2 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
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1809101750784753664 |