Hemiplegic gait of stroke patients: The effect of using a cane

Kuan, Ta Shen; Tsou, Jui Yi; Su, Fong Chin

doi:10.1016/s0003-9993(99)90227-7

Cited by 154 publications

(96 citation statements)

References 10 publications

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“…Additionally, use of a walking aid was included as a second between-subjects factor, because the use of a walking aid may influence gait parameters among ambulatory stroke patients. 29,30 Bonferroni post hoc comparisons were made when required. All tests were 2-sided, and the confidence level was set at 95% with PZ.05.…”

Section: Discussionmentioning

confidence: 99%

Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients

Baetens

Kegel

Palmans

et al. 2013

Archives of Physical Medicine and Rehabilitation

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This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. Abstract Objectives: To evaluate fall risk in stroke patients based on single-and dual-task gait analyses, and to investigate the difference between 2 cognitive tasks in the dual-task paradigm. Design: Prospective cohort study. Setting: Rehabilitation hospitals. Participants: Subacute stroke patients (NZ32), able to walk without physical/manual help with or without walking aids, while performing a verbal task. Interventions: Not applicable. Main Outcome Measures: Functional gait measures were Functional Ambulation Categories (FAC) and use of a walking aid. Gait measures were evaluated by an electronic walkway system under single-and dual-task (DT) conditions. For the single-task, subjects were instructed to walk at their usual speed. One of the DTs was a verbal fluency dual task, whereby subjects had to walk while simultaneously enumerating as many different animals as possible. For the other DT (counting dual task), participants had to walk while performing serial subtractions. After inclusion, participants kept a 6-month falls diary. Results: Eighteen (56.3%) of the 32 included patients fell. Ten (31.3%) were single fallers (SFs), and 8 (25%) were multiple fallers (MFs). Fallers (Fs) more frequently used a walking aid and more frequently needed an observatory person for walking safely (FAC score of 3) than nonfallers (NFs). Two gait decrement parameters in counting dual task could distinguish potential Fs from NFs: decrement in stride length percentage (PZ.043) and nonparetic step length percentage (PZ.047). Regarding the division in 3 groups (NFs, SFs, and MFs), only MFs had a significantly higher percentage of decrement for paretic step length (PZ.023) than SFs. Conclusions: Examining the decrement of spatial gait characteristics (stride length and paretic and nonparetic step length) during a DT addressing working memory can identify fall-prone subacute stroke patients.

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Section: Discussionmentioning

confidence: 99%

Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients

Baetens

Kegel

Palmans

et al. 2013

Archives of Physical Medicine and Rehabilitation

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“…A previous study 20) , which analyzed foot contact pattern of hemiplegic patients, reported the anterior displacement of the foot area of the affected side was shorter than that of the unaffected side, and interventions were needed to increase center of pressure trajectory. In addition, Kuan et al 7) indicated that weight support for the paralyzed foot was effective at improving the walking pattern. Thus, our results that cane lengths greater than GT height were beneficial for paralyzed heel contact find support in these previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…It also improves balance and mobility, including circumduction gait during the swing phase 7,8) . Many different types of device for aiding walking have been developed.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Plantar Pressure Distributions at Different Cane Lengths

et al. 2012

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Abstract.[Purpose] The purpose of this study was to compare plantar pressure distributions of the affected side of stroke patients during walking with canes of three different cane lengths.[Subjects] Thirty-four stroke patients participated in this study. [Method] The three different lengths of cane were: to the top of the greater trochanter, 5 cm above the greater trochanter, and 10 cm above the greater trochanter. The measured parameters were foot contact area, length, width, pressure, and the center of pressure trajectory during the stance phase, from heel-strike to toe-off.[Results] Our data revealed significant increments in the contact width and pressure of the hind foot at the cane length of 10 cm above the greater trochanter. Anterior/posterior center of pressure trajectory also significantly increased at cane lengths of 5 and 10 cm of above the greater trochanter.[Conclusion] The plantar pressure distribution for cane lengths above the greater trochanter were clinically beneficial and more effective at increasing weight shifting to the affected hind foot and harmonizing paralyzed heel strike with better displacement of pressure.

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“…This phenomenon may have had an impact on the current findings. Kuan et al 8) reported that a cane provides support for propulsion of the sound limb and weight-bearing on HF of the affected side for braking.…”

Section: Discussionmentioning

confidence: 99%

“…It is documented that 57% of patients with stroke are unable to walk without human assistance 6,7) . A cane improves hemiplegic gait by assisting the affected limb to smoothly shift the center of body mass toward the sound limb and to enhance inadequate shock absorption at heel strike and push off to maintain forward propulsion during the pre-swing phase 8,9) .…”

Section: Introductionmentioning

confidence: 99%

Cane Length Influence on the Plantar Pressure Distribution of Adult Hemiplegia Patients

Kim

Cha

2011

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to investigate changes in plantar pressure distribution on the affected side related to arm length ratio to height of adult hemiplegia patients during gait.[Subjects] Twenty-four individuals with stroke were included in this study.[Methods] Subjects were divided into two groups according to the ratio of arm length to total height of each individual: group 1 had a ratio of less than 50% and group 2 had a ratio equal to or greater than 50%. The F-scan system was used to investigate the foot pressures of both feet with data captured during three strides.[Results] Group 1 showed greater increase in contact width, contact pressure, and peak contact pressure of the hind foot of the affected side. [Conclusion] With the use of a cane height standardized to the greater trochanter, group 1 was more effective than group 2 at increasing foot pressures of the hind foot on the affected side of stroke patients. The adjustment of cane length according to the individual's ratio of arm length to height, because of unique physical characteristics of individuals should be considered for patients with stroke who use a cane daily.

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Hemiplegic gait of stroke patients: The effect of using a cane

Cited by 154 publications

References 10 publications

Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients

Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients

Comparison of the Plantar Pressure Distributions at Different Cane Lengths

Cane Length Influence on the Plantar Pressure Distribution of Adult Hemiplegia Patients

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