Knee posture during gait and global functioning post-stroke: a theoretical ICF framework using current measures in stroke rehabilitation

Abstract

AKP restricts functioning and participation.

Pendulum test in chronic hemiplegic stroke population: additional ambulatory information beyond spasticity

“…The objectives of this study were to examine the correlations between the pendular parameters and mobility function, as well as to identify the role of knee spasticity in ambulant chronic stroke survivors. Supporting some of previous studies, knee spasticity significantly correlated with gait and balance function 4 , 11 , 12 . Our result shows the MAS of paretic knee extensor negatively correlated with the gait score of TT, while the FSE positively correlated with the balance section of TT.…”

“…To maintain standing balance, individuals with lower-limb spasticity may be difficult in moving the affected limbs 3 . Some stroke patients manifested hyperactive rectus femoris and biceps femoris during standing 67 , and the higher co-contraction level were associated with impaired balance and mobility 11 , 67 . Our data supports previous studies that spasticity has negative impact on standing balance, where positive correlation was remarked between the FSE and the balance score of TT.…”

“…Knee spasticity had been linked to balance and gait performance in stroke survivors. Abnormal knee posture was reported correlated with increased spasticity (both knee flexor and extensor), weak knee flexor, and poor standing balance 11 . Overactivity of knee extensor disabled knee flexion during the swing phase of gait, resulting in gait abnormality, which was not predictable by static spasticity 12 .…”

The World Health Organization Disability Assessment Schedule 2 (WHODAS 2.0): remarks on the need to revise the WHODAS

“…Several papers with clinical approach can also be found. Reports of researches on evaluating mental functions in individuals with Huntington disease 39 ; on assessing disability in men referred for treatment with work-related primary mental health care problems 40 ; on researching the effect of a community-based rehabilitation intervention for people with schizophrenia 41 ; on investigating disability in patients undergoing neurosurgical procedures 42 ; on the knee posture during gait and global functioning post-stroke 43 ; could be examples.…”

Evaluation of motor skills recovery in post-stroke patients in the process of complex rehabilitation with the use of robotic kinesiotherapy

“…Оценка возможностей пациента с пози-ции МКФ позволяет более точно выявить ведущие огра-ничения жизнедеятельности, определить цели реабилита-ционных мероприятий, а также повышает согласован-ность работы междисциплинарных бригад [13]. Исследо-вания, посвященные изучению эффективности примене-ния роботизированных устройств с учетом принципов МКФ [14], отмечают необходимость использования кате-горий данной классификации для более точной клиниче-ской оценки состояния пациента. В систематическом об-зоре исследований эффективности реабилитации с ис-пользованием роботизированных устройств [15] отмече-но, что бо`льшая часть измеряемых параметров представ-ляла категорию «активность и участие», при этом авторы обращают внимание на необходимость использования МКФ при выборе параметров оценки эффективности.…”