Kinematic analysis of gait in individuals with spastic hemiparesis secondary to stroke

Detalhes bibliográficos
Autor(a) principal: Westphal, Patrick Jacobsen
Data de Publicação: 2016
Outros Autores: Ferreira, Jussara, Schmitt, Vinícius Mazzochi, Cechetti, Fernanda, Bonetti, Leandro, Saccani, Raquel
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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spelling 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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