Work

Relationship between gait profile score and clinical assessments of gait in post-stroke patients

Year: 2021

Type: article

Abstract: Information also a higher incidence of stroke and deaths compared with high-income countries (3).Among the priorities of rehabilitation programmes, dynamic balance and falls prevention are essential features for the clinical management of hemiparetic patients (4, 5), especially in maintaining walking ability.The assessment of gait and posture impairment in hemiparetic post-stroke patients is key to planning rehabilitative intervention.Gait and posture are among the most representative and complex human motor attributes, after speech and hand dexterity, due to their adaptation during the evolutionary process.The close physiological relationship between gait and posture has been well described, but there is little evidence regarding the adaptation of gait and posture to cerebral lesions (6).The gait pattern of hemiparetic post-stroke patients can be variably altered by impairments in motor function, such as weakness and stiffness.These modifications can affect gait control and balance in particular, with homolateral reduction in articular range of motion, stride length and cadence reduction, and occurrence of a classical asymmetrical gait pattern (7).Some disease-specific clinical scales include gait assessment items, but do not investigate the mechanism and reciprocal effect of balance and gait impairments.Among clinical outcome scales, the Berg Balance Scale (BBS) has been widely adopted for use in hemiparetic patients (8-9), although it is not specifically developed for patients with stroke; however, the scale has a good level of reliability and describes several relevant aspects of the patients' functional status.Trunk impair-

Source: Journal of Rehabilitation Medicine

DOI: 10.2340/16501977-2809