TY  - JOUR
AU  - Kuan, T.S.
A2  - Kuan, T.S.
A2  - Tsou, J.Y.
A2  - Su, F.C.
DB  - BISp
DP  - BISp
KW  - Apoplexie
KW  - Bewegungsanalyse
KW  - Ganganalyse
KW  - Gehen
KW  - Gehhilfe
KW  - Hemiplegie
KW  - Kinematographie
KW  - Rehabilitation
KW  - Sportmedizin
LA  - eng
TI  - Hemiplegic gait of stroke patients: the effect of using a cane
TT  - Gang bei Halbseitenlaehmung nach Schlaganfall: Auswirkung der Benutzung eines Krueckstocks
PY  - 1999
N2  - Objective: To assess the effects of cane use on the hemiplegic gait of stroke patients, focusing on the temporal, spatial, and kinematic variables. Design: Case-control study comparing the effect of walking with and without a cane using a six-camera computerized motion analysis system. Setting: Stroke clinic of a tertiary care hospital. Participants: Fifteen ambulatory stroke patients were analyzed, including 10 men and 5 women (mean age, 56.9 years; mean time since stroke, 9.8 weeks). Nine age-matched healthy elderly subjects were recruited as a control group. Results: Stroke patients walking with a cane showed significantly increased stride period, stride length, and affected side step length, as well as decreased cadence and step width (p<.05) in comparison with those who walked without a cane. There were no significant differences in the gait phases and the five gait events of hemiplegic gait walking with or without a cane. Cane use thus may have more effect on spatial variables than on temporal variables. The affected-side kinematics of hemiplegic gait with a cane showed increased pelvic obliquity, hip abduction, and ankle eversion during terminal stance phase; increased hip extension, knee extension, and ankle plantarflexion during preswing phase; and increased hip adduction, knee flexion, and ankle dorsiflexion during swing phase as compared with hemiplegic gait without a cane. A cane thus improved the hemiplegic gait by assisting the affected limb to smoothly shift the center of body mass toward the sound limb and to enhance push off during preswing phase. It also improved circumduction gait during swing phase. Conclusion: Stroke patients walking with a cane demonstrated more normal spatial variables and joint motion than did those without a cane.   Verf.-Referat
SP  - S. 777-784
SN  - 0003-9993
JO  - Archives of physical medicine and rehabilitation
IS  - 7
VL  - 80
M3  - Gedruckte Ressource
ID  - PU199911402885
ER  -