The link between weight shift asymmetry and gait disturbances in chronic hemiparetic stroke patients.
Identifieur interne : 000454 ( Main/Curation ); précédent : 000453; suivant : 000455The link between weight shift asymmetry and gait disturbances in chronic hemiparetic stroke patients.
Auteurs : Andrzej Szopa ; Małgorzata Domagalska-Szopa ; Anetta Lasek-Bal [Pologne] ; Amadeusz Ak [Pologne]Source :
- Clinical interventions in aging [ 1178-1998 ] ; 2017.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (complications), Accident vasculaire cérébral (physiopathologie), Adulte d'âge moyen (MeSH), Démarche (MeSH), Femelle (MeSH), Humains (MeSH), Maladie chronique (MeSH), Membre inférieur (MeSH), Mise en charge (physiologie), Mâle (MeSH), Phénomènes biomécaniques (MeSH), Poids (MeSH), Posture (MeSH), Réadaptation après un accident vasculaire cérébral (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Troubles neurologiques de la marche (physiopathologie), Troubles neurologiques de la marche (étiologie), Équilibre postural (physiologie).
- MESH :
- physiologie : Mise en charge, Équilibre postural.
- physiopathologie : Accident vasculaire cérébral, Troubles neurologiques de la marche.
- étiologie : Troubles neurologiques de la marche.
- complications : Accident vasculaire cérébral, Adulte d'âge moyen, Démarche, Femelle, Humains, Maladie chronique, Membre inférieur, Mâle, Phénomènes biomécaniques, Poids, Posture, Réadaptation après un accident vasculaire cérébral, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Biomechanical Phenomena (MeSH), Body Weight (MeSH), Chronic Disease (MeSH), Female (MeSH), Gait (MeSH), Gait Disorders, Neurologic (etiology), Gait Disorders, Neurologic (physiopathology), Humans (MeSH), Lower Extremity (MeSH), Male (MeSH), Middle Aged (MeSH), Postural Balance (physiology), Posture (MeSH), Stroke (complications), Stroke (physiopathology), Stroke Rehabilitation (MeSH), Weight-Bearing (physiology).
- MESH :
- complications : Stroke.
- etiology : Gait Disorders, Neurologic.
- physiology : Postural Balance, Weight-Bearing.
- physiopathology : Gait Disorders, Neurologic, Stroke.
- Aged, Aged, 80 and over, Biomechanical Phenomena, Body Weight, Chronic Disease, Female, Gait, Humans, Lower Extremity, Male, Middle Aged, Posture, Stroke Rehabilitation.
Abstract
Introduction
While the asymmetry of body posture and the asymmetrical nature of hemiparetic gait in poststroke (PS) patients are well documented, the role of weight shift asymmetry in gait disorders after stroke remains unclear.
Objective
We examined the association of weight-bearing asymmetry (WBA) between paretic and nonparetic lower limbs during quiet standing with the degree of deviation of hemiplegic gait from normal gait evaluated by the Gillette Gait Index (GGI) incorporating 16 distinct clinically important kinematic and temporal parameters in chronic PS patients.
Participants and methods
Twenty-two ambulatory patients with chronic stroke aged between 50 and 75 years were included in this study. Fourteen patients had hemiparesis on the nondominant side and 8 on the dominant side. The mean time PS was 2 years and 6 months. The reference group consisted of 22 students from the University of the Third Age presenting no neurological disorders. The examination consisted of posturographic weight-bearing (WB) distribution and 3-dimensional gait analyses.
Results
A significant positive relationship between WBA and GGI was revealed. Moreover, we observed a significant negative association between WBA and paretic step length and walking speed. With regard to kinematic data, the range of motion of knee flexion and peak dorsiflexion in the swing phase of the paretic leg were significantly negatively associated with WBA.
Conclusion
Although further research is needed to determine a causal link between postural control asymmetry and gait disturbance in hemiplegics, our findings support the inclusion of WB measurements between paretic and nonparetic body sides in early assessment after stroke.
DOI: 10.2147/CIA.S144795
PubMed: 29238181
PubMed Central: PMC5716326
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Andrzej Szopa<affiliation><nlm:affiliation>Department of Physiotherapy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Physiotherapy.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Medical Rehabilitation, School of Health Sciences in Katowice.</nlm:affiliation><wicri:noCountry code="subField">School of Health Sciences in Katowice</wicri:noCountry></affiliation>Le document en format XML
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first="Anetta" last="Lasek-Bal">Anetta Lasek-Bal</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice</wicri:regionArea></affiliation></author><author><name sortKey=" Ak, Amadeusz" sort=" Ak, Amadeusz" uniqKey=" Ak A" first="Amadeusz" last=" Ak">Amadeusz Ak</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, 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comma">Department of Physiotherapy.</wicri:noCountry></affiliation></author><author><name sortKey="Domagalska Szopa, Malgorzata" sort="Domagalska Szopa, Malgorzata" uniqKey="Domagalska Szopa M" first="Małgorzata" last="Domagalska-Szopa">Małgorzata Domagalska-Szopa</name><affiliation><nlm:affiliation>Department of Medical Rehabilitation, School of Health Sciences in Katowice.</nlm:affiliation><wicri:noCountry code="subField">School of Health Sciences in Katowice</wicri:noCountry></affiliation></author><author><name sortKey="Lasek Bal, Anetta" sort="Lasek Bal, Anetta" uniqKey="Lasek Bal A" first="Anetta" last="Lasek-Bal">Anetta Lasek-Bal</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice</wicri:regionArea></affiliation></author><author><name sortKey=" Ak, Amadeusz" sort=" Ak, Amadeusz" uniqKey=" Ak A" first="Amadeusz" last=" Ak">Amadeusz Ak</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical interventions in aging</title><idno type="eISSN">1178-1998</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Biomechanical Phenomena (MeSH)</term><term>Body Weight (MeSH)</term><term>Chronic Disease (MeSH)</term><term>Female (MeSH)</term><term>Gait (MeSH)</term><term>Gait Disorders, Neurologic (etiology)</term><term>Gait Disorders, Neurologic (physiopathology)</term><term>Humans (MeSH)</term><term>Lower Extremity (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Postural Balance (physiology)</term><term>Posture (MeSH)</term><term>Stroke (complications)</term><term>Stroke (physiopathology)</term><term>Stroke Rehabilitation (MeSH)</term><term>Weight-Bearing (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral (complications)</term><term>Accident vasculaire cérébral (physiopathologie)</term><term>Adulte d'âge moyen (MeSH)</term><term>Démarche (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladie chronique (MeSH)</term><term>Membre inférieur (MeSH)</term><term>Mise en charge (physiologie)</term><term>Mâle (MeSH)</term><term>Phénomènes biomécaniques (MeSH)</term><term>Poids (MeSH)</term><term>Posture (MeSH)</term><term>Réadaptation après un accident vasculaire cérébral (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Troubles neurologiques de la marche (physiopathologie)</term><term>Troubles neurologiques de la marche (étiologie)</term><term>Équilibre postural (physiologie)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mise en charge</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term><term>Weight-Bearing</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Troubles neurologiques de la marche</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Gait Disorders, Neurologic</term><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Troubles neurologiques de la marche</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Biomechanical Phenomena</term><term>Body Weight</term><term>Chronic Disease</term><term>Female</term><term>Gait</term><term>Humans</term><term>Lower Extremity</term><term>Male</term><term>Middle Aged</term><term>Posture</term><term>Stroke Rehabilitation</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Adulte d'âge moyen</term><term>Démarche</term><term>Femelle</term><term>Humains</term><term>Maladie chronique</term><term>Membre inférieur</term><term>Mâle</term><term>Phénomènes biomécaniques</term><term>Poids</term><term>Posture</term><term>Réadaptation après un accident vasculaire cérébral</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Introduction</b></p><p>While the asymmetry of body posture and the asymmetrical nature of hemiparetic gait in poststroke (PS) patients are well documented, the role of weight shift asymmetry in gait disorders after stroke remains unclear.</p></div><div type="abstract" xml:lang="en"><p><b>Objective</b></p><p>We examined the association of weight-bearing asymmetry (WBA) between paretic and nonparetic lower limbs during quiet standing with the degree of deviation of hemiplegic gait from normal gait evaluated by the Gillette Gait Index (GGI) incorporating 16 distinct clinically important kinematic and temporal parameters in chronic PS patients.</p></div><div type="abstract" xml:lang="en"><p><b>Participants and methods</b></p><p>Twenty-two ambulatory patients with chronic stroke aged between 50 and 75 years were included in this study. Fourteen patients had hemiparesis on the nondominant side and 8 on the dominant side. The mean time PS was 2 years and 6 months. The reference group consisted of 22 students from the University of the Third Age presenting no neurological disorders. The examination consisted of posturographic weight-bearing (WB) distribution and 3-dimensional gait analyses.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>A significant positive relationship between WBA and GGI was revealed. Moreover, we observed a significant negative association between WBA and paretic step length and walking speed. With regard to kinematic data, the range of motion of knee flexion and peak dorsiflexion in the swing phase of the paretic leg were significantly negatively associated with WBA.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>Although further research is needed to determine a causal link between postural control asymmetry and gait disturbance in hemiplegics, our findings support the inclusion of WB measurements between paretic and nonparetic body sides in early assessment after stroke.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29238181</PMID><DateCompleted><Year>2018</Year><Month>06</Month><Day>11</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1178-1998</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>Clinical interventions in aging</Title><ISOAbbreviation>Clin Interv Aging</ISOAbbreviation></Journal><ArticleTitle>The link between weight shift asymmetry and gait disturbances in chronic hemiparetic stroke patients.</ArticleTitle><Pagination><MedlinePgn>2055-2062</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2147/CIA.S144795</ELocationID><Abstract><AbstractText Label="Introduction" NlmCategory="UNASSIGNED">While the asymmetry of body posture and the asymmetrical nature of hemiparetic gait in poststroke (PS) patients are well documented, the role of weight shift asymmetry in gait disorders after stroke remains unclear.</AbstractText><AbstractText Label="Objective" NlmCategory="UNASSIGNED">We examined the association of weight-bearing asymmetry (WBA) between paretic and nonparetic lower limbs during quiet standing with the degree of deviation of hemiplegic gait from normal gait evaluated by the Gillette Gait Index (GGI) incorporating 16 distinct clinically important kinematic and temporal parameters in chronic PS patients.</AbstractText><AbstractText Label="Participants and methods" NlmCategory="UNASSIGNED">Twenty-two ambulatory patients with chronic stroke aged between 50 and 75 years were included in this study. Fourteen patients had hemiparesis on the nondominant side and 8 on the dominant side. The mean time PS was 2 years and 6 months. The reference group consisted of 22 students from the University of the Third Age presenting no neurological disorders. The examination consisted of posturographic weight-bearing (WB) distribution and 3-dimensional gait analyses.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">A significant positive relationship between WBA and GGI was revealed. Moreover, we observed a significant negative association between WBA and paretic step length and walking speed. With regard to kinematic data, the range of motion of knee flexion and peak dorsiflexion in the swing phase of the paretic leg were significantly negatively associated with WBA.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">Although further research is needed to determine a causal link between postural control asymmetry and gait disturbance in hemiplegics, our findings support the inclusion of WB measurements between paretic and nonparetic body sides in early assessment after stroke.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Szopa</LastName><ForeName>Andrzej</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Physiotherapy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Domagalska-Szopa</LastName><ForeName>Małgorzata</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Medical Rehabilitation, School of Health Sciences in Katowice.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lasek-Bal</LastName><ForeName>Anetta</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Żak</LastName><ForeName>Amadeusz</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology, Professor Leszek Giec, Upper Silesian Medical Centre, Medical University of Silesia, Katowice, Poland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>12</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Clin Interv Aging</MedlineTA><NlmUniqueID>101273480</NlmUniqueID><ISSNLinking>1176-9092</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001696" MajorTopicYN="N">Biomechanical Phenomena</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001835" MajorTopicYN="N">Body Weight</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005684" MajorTopicYN="N">Gait</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020233" MajorTopicYN="N">Gait Disorders, Neurologic</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000071939" MajorTopicYN="N">Stroke Rehabilitation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016474" MajorTopicYN="N">Weight-Bearing</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">3DGA</Keyword><Keyword MajorTopicYN="N">Gillette Gait Index</Keyword><Keyword MajorTopicYN="N">gait disturbances</Keyword><Keyword MajorTopicYN="N">stroke</Keyword><Keyword MajorTopicYN="N">weight-bearing</Keyword></KeywordList><CoiStatement>Disclosure The authors report no conflicts of interest in this work.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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|texte= The link between weight shift asymmetry and gait disturbances in chronic hemiparetic stroke patients.
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