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Motor function and joint position sense in relation to gait performance in chronic stroke patients
LIN SI
ARCH PHYS MED REHABIL , 2005, vol. 86, n° 2, p. 197-203 Doc n°: 118129 Localisation : Documentation IRR Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, DF23 - PATHOLOGIE - MARCHE
Article consultable sur : http://www.archives-pmr.org
Objectives: To determine the association between joint position sense (JPS) and motor function of the lower extremity and gait performance of patients with chronic stroke. Design: Single-group cross-sectional design. Setting: University gait laboratory. Participants: Twenty-one patients with stroke onset of more than 6 months. Interventions: Not applicable. Main Outcome Measures: The isometric strength, Fugl-Meyer Assessment (FMA) motor status, and JPS of the lower extremity were tested. Spatiotemporal gait characteristics were measured using a 6-camera motion analysis system, with patients walking at their comfortable speeds while using their usual devices. Results: Lower-extremity muscle strength and FMA motor score correlated significantly with the spatiotemporal characteristics of gait and contributed significantly to the variance in gait velocity, stride length, and double-stance time. The JPS was not related to gait performance, except that the ankle JPS contributed significantly to the variance in gait velocity and stride length. Conclusions: For patients with chronic stroke, motor function was significantly related to gait performance. Although the JPS was not, that of the ankle joint made a significant contribution. When enhancing gait performance is desired, improving the motor function is recommended, and the role of JPS should also be taken into consideration. Langue : ANGLAIS |
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