Changes in Kinetic Parameters of Gait in Patients with Supratentorial Unilateral Stroke in Chronic Period

Authors

  • Danche Vasileva Faculty of Medical Sciences, University “Goce Delchev”, St. Krste Misirkov 10-A, 2000 Shtip
  • Nikolai Izov Department ”Water Sports”, Faculty of Kinesitherapy, Tourism and Sports Animation, National Sports Academy “Vasil Levski”, Sofia
  • Ivan Maznev Department ”Sports Medicine”, Faculty of Kinesitherapy, Tourism and Sports Animation, National Sports Academy ”Vasil Levski”, Sofia
  • Daniela Lubenova Department „Kinesitherapy and Rehabilitation“, Faculty of Kinesitherapy, Tourism and Sports Animation, National Sports Academy “Vasil Levski”, Sofia
  • Marija Mihova Faculty of Computer Science and Engineering, Ss. Cyril and Methodius University of Skopje, Skopje
  • Velo Markovski University Clinic of Infection Diseases, Ss. Cyril and Methodius University of Skopje, Skopje
  • Carmen Nistor Cseppento Faculty of Medicine and Pharmacy, University of Oradea, Oradea

DOI:

https://doi.org/10.3889/oamjms.2017.053

Keywords:

Kinetic parameters, Gait, Chronic period, Supratentorial unilateral stroke

Abstract

AIM: The aim of the study is to evaluate the changes of the kinetic parameters of gait in patients with supratentorial unilateral stroke in the chronic period (SUSChP).

MATERIAL AND METHODS: The study was conducted with 67 patients with SUSChP (56 patients included in the experimental group - 32 men and 24 women, with duration of disease 7.8 ± 2.0 months, and 11 patients in the control group - 9 men and 2 women, with duration of disease 7.3 ± 1.5 months). To evaluate the changes in the gait were followed cadence of 6m and 10m and the speed of movement which are the most informative kinetic parameters. Patients in the experimental group were treated with a specialised 10-day KT, which later continued to be performed as an adapted exercise program at home for one month.

RESULTS: After applying specialised kinesitherapeutic methodology (SKTM), the highest trend towards improvement in the kinetic parameters of gait was established after the 1st month with a level of significance during treatment p < 0.001.

CONCLUSION: The enclosed SKTM in the experimental group continued later as an adapted exercise program at home, significantly improving the kinetic parameters of gait in patients with SUSChP, compared with the usual kinesi-therapeutic methodology applied in the control group.

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References

Duysens J, Verheyden G, Massaad F, Meyns P, Smits-Engelsman B, Jonkers U. Rehabilitation of gait and balance after CNS injury. In: Dietz V, Ward N. Oxford Textbook of Neurorehabilitation, Oxford University Press, 2015:211-227.

Brandstater M, de Bruin H, Gowland C, Clark B. Hemiplegic gait: analysis of temporal variables. Arch Phys Med Rehabil. 1983;64:583-587. PMid:6661021

Kerrigan D, Deming L, Holden M. Knee recurvatum in gait: a study of associated knee biomechanics. Arch Phys Med Rehabil. 1996;77:645-650. https://doi.org/10.1016/S0003-9993(96)90002-7

Kerrigan D, Schaufele M, Wen M. Gait analysis. In: Delisa J, Gans B, eds. Rehabilitation medicine principles and practice, 3rd ed. Philadelphia, Lippincott-Raven, 1998:167-187.

Pis V, Bouer B Kadian V, The gait in humans. In: Physical Medicine and Rehabilitation - Principles and Practice. Under the editing Delisa J. Tabernakul, Skopje. 2012;1:155-168.

Titianova E. Indicators for bilateral altered motor control of gait in chronic hemiparesis after supratentorial stroke. Dissertation for awarding the degree of "Doctor of Science". Specialized Scientific Council of Neurology and Psychiatry at BAK, Sofia, 2007.

Kramers de Quervain I, Sheldon S, Leurgans S, Pease W, Mcallister D, Columbus Ohio. Gait Pattern in the Early Recovery Period after Stroke. The Journal of Bone and Joint Surgery, Incorporated. 1996;78-A(10):1506-1514.

Lubenova D, Titianova E, Neurorehabilitation. In: Textbook on nervous diseases - General Neurology. Under the editing Titianova E. University Publishing House "St. Kliment Ohridski", Sofia, 2015:249-259.

Titianova E, Tarkka I. Assymetry in walking performance and postural sway in patients with chronic unilateral infarction. Journal of Rehabilitation Research and Development. 1995;32:236-244. PMid:8592295

Titianova E, Pitknen K, Pääkkönen A, Sivenius J, Tarkka I. Gait characteristics and functional ambulation profile in patients with chronic unilateral stroke. American Journal of Physical Medicine & Rehabilitation. 2003;82:778-823. https://doi.org/10.1097/01.PHM.0000087490.74582.E0 PMid:14508410

Titianova E, Mateev P, Peurala S, Sivenius J, Tarkka I. Footprint peak time analysis and Functional Ambulation Profile reflect the potential for hemiparetic gait recovery. Brain Injury. 2005;19:623-631. https://doi.org/10.1080/02699050400013634 PMid:16175816

Titianova E, Peurala S, Pitkanen K, Tarkka I. Gait reveals bilateral adaptation in motor control in patients with chronic unilateral stroke. Aging Clinical and Experimental Research. 2008;20:131-138. https://doi.org/10.1007/BF03324759 PMid:18431080

Mateev P, Tarkka I, Titianova E. Gait measurements and motor recovery after stroke. Pliska Studia Matematica Bulgarica. 2004;16:121-128.

Titianova E. Reorganization of motor control after unilateral stroke. Neurosonology and cerebral hemodynamics. 2007;3(1):42-47.

Titianova E, Tarka I. Effect of neurorehabilitation on gait in patients with chronic post-stroke hemiparesis. Bulgarian Neurology. 2008;8(2):57-64.

Peurala S, Titianova E, Mateev P, Pitkänen K, Sivenius J, Tarkka I. Gait characteristics after gait-oriented rehabilitation in chronic stroke. Restorative Neurology and Neuroscience. 2005;23:57-65. PMid:15990412

Titianova E, Lubenova D. Hemiparetic gait after stroke. Modern research methods and neurorehabilitation. KOTI EOOD, Sofia, 2016.

Carod-Artal F, Gonzalez-Gutie J, Herrero J, Horan T, De Seijas E. Functional recovery and instrumental activities of daily living: follow-up 1-year after treatment in a stroke unit. Brain Inj. 2002;16(3):207–216. https://doi.org/10.1080/02699050110103337 PMid:11874614

Robinson C, Shumway-Cook A, Matsuda P, Ciol M. Understanding physical factors associated with participation in community ambulation following stroke. Disabl Rehabil. 2011;33(12):1033–1042. https://doi.org/10.3109/09638288.2010.520803 PMid:20923316

Cowland C, Stratford P, Ward M. Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment. Stroke. 1993;24(1):58-63. https://doi.org/10.1161/01.STR.24.1.58

Wade D. Measurement in neurological rehabilitation. University Press, Oxford, 1992.

Bronstein A, Brand T. Wollacott M. Clinical disorders of balance, posture and gait. Amold, London, 1996:79-84.

Vasileva D, Lubenova D. Adapted program for independent home rehabilitation in patients with stroke in the chronic period. Sport and Science. 2014;58(3):61-72.

Krakauer J. Motor learning: its relevance to stroke recovery and neurorehabilitation. Curr Opin Neurol. 2006;19(1):84-90. https://doi.org/10.1097/01.wco.0000200544.29915.cc PMid:16415682

Wang R, Chen H, Chen C, Yang Y. Efficacy of Bobath versus orthopaedic approach on impairment and function at different motor recovery stages after stroke: a randomized controlled study. Clin Rehabil. 2005;19:155–164. https://doi.org/10.1191/0269215505cr850oa PMid:15759530

Gelber D, Josefczy P, Herrman D, Good D, Verhulst S. Comparison of two therapy approaches in the rehabilitation of the pure motor hemiparetic stroke patient. J Neurol Rehabil. 1995;9:191–196. https://doi.org/10.1177/154596839500900401

Kollen B, Lennon S, Lyons B. The Effectiveness of the Bobath Concept in Stroke Rehabilitation: What is the Evidence? Stroke. 2009;40(4):89-97. https://doi.org/10.1161/STROKEAHA.108.533828 PMid:19182079

Vasileva D, Lubenova D, Mihova M, Dimitrova A, Grigorova Pertova K. Influence of kinesitherapy on gait in patients with ischemic stroke in the chronic period. Open Access Maced J Med Sci. 2015;3(4):619-623. https://doi.org/10.3889/oamjms.2015.107 PMid:27275297 PMCid:PMC4877897

Lubenova D, Titianova E. Principles of modern neurorehabilitation. Neurosonology and cerebral hemodynamics. 2012;8(1):45-55.

Lubenova D. In: Titianova E, Lubenova D. Hemiparetic gait after stroke. Modern research methods and neurorehabilitation. KOTI EOOD, Sofia, 2016:89-135.

Published

2017-04-08

How to Cite

1.
Vasileva D, Izov N, Maznev I, Lubenova D, Mihova M, Markovski V, Nistor Cseppento C. Changes in Kinetic Parameters of Gait in Patients with Supratentorial Unilateral Stroke in Chronic Period. Open Access Maced J Med Sci [Internet]. 2017 Apr. 8 [cited 2024 Apr. 19];5(2):201-6. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2017.053

Issue

Section

B - Clinical Sciences