A trial regarding the baropodometric indexes for patients who had a cerebrovascular accident

Abstract

The cerebrovascular accident is associated to the alteration of the static and dynamic balance in orthostatism, during the walk and in the sitting position. There are 65,000 people who have a cerebrovascular accident every year, namely 178 cases a day. For patients who had a cerebrovascular accident, it is essential to divide the recovery period into stages. A third of these patients have various disability degrees. It may sometimes be noticed that the patients who had a cerebrovascular accident have a temporary synchronization of the legs and of the abdomen or only of the legs. The deficit to fix the position of the body segments among them or with the environment may influence the postural stability. The current trial evaluates the possibilities to regain the postural control and the walk for the patients who have a motor deficit after they had a cerebrovascular accident by an individual program of recovery sessions. The exteroceptive sensations at the level of the foot sole are import in order to maintain the stability and the balance as well as in order to reeducate the postural control. The postural stability is determined by the maintenance of the balance by the intervention of the myo-arthric kinetic system and it imposes the maintenance of the projection of the weight centre inside the support base. The maintenance of the stability is a dynamic process that involves the attempt to stabilize and to destabilize the action forces. In order to keep a steady position, it is possible to move the weight centre or to increase the surface of the support base. The baropodometry is a non invasive technique that enables the obtainment of information related to the biomechanics of the human body, by setting up the flaws of the plantar support and by measuring the plantar pressure in static conditions. The use of this device during the walk has effects upon the efficiency of the movements, on the stability of the joints, on the maintenance of a correct posture and on the muscular coordination.