Functional implication of gait after left or right-sided stroke.

J C F Corrêa, C Chiusoli de Miranda Rocco, D Ventura de Andrade, C S Oliveira, F Ishida Corrêa
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Abstract

Objective: To quantify and compare parameters of muscle electrical activity and ground reaction force of lower limb during gait in post-stroke patients with left or right side functional involvement.

Method: Fifteen post-stroke volunteers with left side functional involvement were age, gender and weight matched and compared to fifteen post-stroke volunteers with right side functional involvement. Comparison was executed by means of electromyography with four pairs of surface electrodes positioned on the affected side (spastic side), on the muscles rectus femoris, tibialis anterior, soleus, and medial portion of the hamstrings, and with a ground reaction force plate.

Results: There was no statistically significant difference on electromyographic activity of analyzed muscles (p = 0.6), nor on the analysis of ground reaction vertical forces, stride duration, weight bearing index, gait velocity, cadence and stride length (p = 0.53).

Conclusion: According to the electromyographic parameters and to the ground reaction force during gait among the post-stroke volunteers with right or left side involvement; we could suggest that functional rehabilitation presented no differences for these individuals.

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左侧或右侧中风后步态的功能含义。
目的:量化和比较脑卒中后左、右侧功能受累患者步态中下肢肌电活动和对地反力参数。方法:15例脑卒中后左侧功能受累志愿者与15例脑卒中后右侧功能受累志愿者进行年龄、性别、体重匹配比较。通过肌电图进行比较,在患侧(痉挛侧)、股直肌、胫骨前肌、比目鱼肌和腘绳肌内侧放置四对表面电极,并使用地面反力板。结果:分析肌肉的肌电活动差异无统计学意义(p = 0.6),对地反垂直力、步幅、负重指数、步态速度、步速、步幅的分析差异无统计学意义(p = 0.53)。结论:根据脑卒中后左、右受累志愿者的肌电图参数和步态中的地面反作用力;我们可以认为这些个体的功能康复没有差异。
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