Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
권호 표지
DOI QR코드

DOI QR Code

Correlation Analysis of Pelvic Tilt and Gait according to the Paralytic Side of Stroke Patients

뇌졸중 환자의 마비쪽에 따른 골반의 기울임과 보행의 상관관계 분석

  • Yong Seon, Lee (Department of Physical Therapy, Mokpo Science University) ;
  • Jong-Hyuk, Yun (Department of Physical Therapy, College of Health, Sehan University)
  • Received : 2022.10.25
  • Accepted : 2022.12.05
  • Published : 2022.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study investigated the effect of pelvic tiltng according to the paralytic side on gait in stroke patients during a 10 m functional movement timed up and go (TUG) test. Method: In this study, gait parameters were measured using a gait analyzer for 20 stroke patients and their gait was analyzed during a 10 m TUG test. For statistical analysis, an independent sample t-test were performed for age, height, and weight among general characteristics of subjects and homogeneity was tested by performing a chi-square test for gender, paralysis side, period of onset, and K-MMSE score. In order to understand the relationship between each variable, Pearson correlation analysis was performed on the variables. Results: First, the right-hand paralyzed group showed correlations in cadence and gait velocity in the up and down tilt of the pelvis, and the left-hand paralyzed group showed correlations in cadence and step length in the anterior and posterior tilt of the pelvis. Second, the tilt of the pelvis was correlated with the Sit to stand, walk forward, walk backwards, turn around at the end point, sit on a chair and the total TUG time in the right hemiplegic group compared to the left hemiplegic group. Conclusion: In this study, a significant correlation was confirmed as a result of gait analysis of right-handed stroke patients divided into a right paraplegic group and a left paraplegic group. In the future, it is suggested that treatment for improving gait of stroke patients should be treated differently for the right and left paralyzed side.

Keywords

Acknowledgement

This study was written by Sehan University research fund support in 2022.

References

  1. Briere, A., Lauziere, S., Gravel, D. & Nadeau, S. (2010). Perception of weight-bearing distribution during sit-to-stand tasks in hemiparetic and healthy individuals. Stroke, 41(8), 1704-1708. https://doi.org/10.1161/strokeaha.110.589473
  2. Bobath, B. (1990). Adult hemiplegia: evaluation and treatment: Elsevier Health Sciences.
  3. Canning, B. & Sanchez, G. (2004). Considering powered mobility for individuals with stroke. Topics in Stroke Rehabilitation, 11(2), 84-88. https://doi.org/10.1310/M3BV-NH8J-TX61-BXU0
  4. Carr, J. H. & Shepherd, R. B. (2010). neurological Rehabilitation 2 edition.
  5. De Ridder, R., Lebleu, J., Willems, T, et al. (2019). Concurrent validity of a commercial wireless trunk triaxial accelerometer system for gait analysis. Journal of Sport Rehabilitation, 28(6), 1-13. https://doi.org/10.1123/jsr.2017-0079
  6. De Haart, M., Geurts, A. C., Huidekoper, S. C., Fasotti, L. & van Limbeek, J. (2004). Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Archives of Physical Medicine and Rehabilitation, 85, 886-895. https://doi.org/10.1016/j.apmr.2003.05.012
  7. Dickstein, R., Shefi, S., Marcovitz, E. & Villa, Y. (2004). Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects. Clinical Neurophysiology, 115(4), 790-796. https://doi.org/10.1016/j.clinph.2003.11.018
  8. Eng, J. J. & Chu, K. S. (2002). Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Archives of Physical Medline and Rehabilitation, 83(8), 1138-1144. https://doi.org/10.1053/apmr.2002.33644
  9. Geiger, R. A., Allen, J. B., O'Keefe, J. & Hicks, R. R. (2001). Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Physical Therapy, 81(4), 995-1005. https://doi.org/10.1093/ptj/81.4.995
  10. Hamza, A. M., Al-Sadat, N., Loh, S. Y. & Jahan, N. K. (2014). Predictors of poststroke health-related quality of life in Nigerian stroke survivors: a 1-year follow-up study. BioMed Research International, 350281.
  11. Hwang, W. K. (2020). The Effects of Emphasized Weight-Shifting Rhythmic Auditory Stimulation Training on Gait Ability in Chronic Stroke Patients. Graduate school of eulji university, department of physical therapy. Master's thesis.
  12. Jonsdottir, J., Recalcati, M., Rabuffetti, M., Casiraghi, A., Boccardi, S. & Ferrarin, M. (2009). Functional resources to increase gait speed in people with stroke: strategies adopted compared to healthy controls. Gait & Posture, 29, 355-359. https://doi.org/10.1016/j.gaitpost.2009.01.008
  13. Kim, K. M. (2019). Comparison of Leg Muscle Activation Between Healthy Subject and Stroke Patient During Pedaling Exercise. Graduate School of Sahmyook University, Department of Physical therapy. Master's thesis.
  14. Kim, C. M. & Eng, J. J. (2004). Magnitude and pattern of 3D kinematic and kinetic gait profiles in persons with stroke: relationship to walking speed. Gait & Posture, 20, 140-146. https://doi.org/10.1016/j.gaitpost.2003.07.002
  15. Kim, S. J. & Lee, H. J. (2021). The Effects of Dual Task Training According to Variability of Walking Environment on Balance, Gait and Function of Stroke Patients. Journal of Korean Society of Integrative Medicine, 9(2), 23-33. https://doi.org/10.15268/KSIM.2021.9.2.023
  16. Knecht, S., Drager, B., Deppe, M., Bobe, L., Lohmann, H., Floel, A., et al. (2000). Handedness and hemispheric language dominance in healthy humans. Brain, 123, 2512-2518. https://doi.org/10.1093/brain/123.12.2512
  17. Korean Statistical Information Service (KOSIS), 2021. https://kosis.kr/index/index.do
  18. Langhorne, P., Bernhardt, J. & Kwakkel, G. (2011). Stroke rehabilitation. Lancet, 377, 1693-1702. https://doi.org/10.1016/S0140-6736(11)60325-5
  19. Lee, G. Y. (2020). The effects of weight-loaded treadmill trainingapplied to the non-paretic ankle on the balance and walking of chronic stroke patients. Daegu university. Graduate school of rehabilitation science. Department of Physical Therapy. Master's thesis.
  20. Lee, J. H., Min, D. K., Cho, H. S., Lee, J. H. & Shin, S. H. (2018). The effects of upper and lower limb position on symmetry of vertical ground reaction force during sit-to-stand in chronic stroke subjects. Journal of Physical Therapy Science, 30(2), 242-247. https://doi.org/10.1589/jpts.30.242
  21. Lee, I. S., Park, K. E., Hong, H. J., Sung, K. K. & Lee, S. K. (2014). The Change of Lateral Shift of Center of Pressure according to the Gait Improvement in Post-Stroke Hemiplegic Patients. Korean Journal of Internal Korean Medicine, 35(4), 448-454.
  22. Lim, H. S. (2021). The relationship between muscle strength and gait coordination, balance, kinematic parameters in chronic stroke patients. Graduate school of korea national sport university. Department of physical education. Ph.D dissertation.
  23. Lomaglio, M. J. & Eng, J. J. (2005). Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait Posture, 22(2), 126-131. https://doi.org/10.1016/j.gaitpost.2004.08.002
  24. Mahon, C. E., Farris, D. J., Sawicki, G. S. & Lewek, M. D. (2015). Individual limb mechanical analysis of gait following stroke. Journal of Biomechanics, 48, 984-989. https://doi.org/10.1016/j.jbiomech.2015.02.006
  25. Mauritz, K. H. (2002). Gait training in hemiplegia. European Journal of Neurology, 9, 23-29. https://doi.org/10.1046/j.1468-1331.2002.0090s1023.x
  26. Sahrmann, S. (2001). Diagnosis and treatment of movement impairment syndromes. Elsevier Health Sciences.
  27. Shinsuke, Y., Akinori, N., Ryutaro, H. & Senshi, F. (2007). Computation of the kinematics and the minimum peak joint moments of sit-to-stand movements. Biomedical Engineering, 6, 26.
  28. Shin, M. J. & Shin, Y. I. (2012). Generalization of Treatment Effect on Motor Learning after Stroke. Neuro Rehabilitation, 5(1), 19-23.
  29. Thielman, G., Kaminski, T. & Gentile, A. M. (2008). Rehabilitation of reaching after stroke: Comparing 2 training protocols utilizing trunk restraint.
  30. Van Criekinge, T., Saeys, W., Hallemans, A., Velghe, S., Viskens, P. J., Vereeck, L., et al. (2017). Trunk biomechanics during hemiplegic gait after stroke: a systematic review. Gait & Posture, 54, 133-143. https://doi.org/10.1016/j.gaitpost.2017.03.004
  31. Weintraub, S. & Mesulam, M. M. (1987). Right cerebral dominance in spatial attention: Further evidence based on ipsilateral neglect. Archives of Neurology, 44, 621-625. https://doi.org/10.1001/archneur.1987.00520180043014