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Accuracy of clinical observations of push-off during gait after stroke

MGGINLEY JL; MORRIS ME; GREENWOOD KM; GOLDIE P; OLNEY SJ
ARCH PHYS MED REHABIL , 2006, vol. 87, n° 6, p. 779-785
Doc n°: 125726
Localisation : Documentation IRR
Descripteurs : DF22 - EXPLORATION EXAMENS BILANS - MARCHE, AF21 - ACCIDENTS VASCULAIRES CEREBRAUX
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To determine the accuracy (criterion-related validity) of real-time clinical observations of push-off in gait after stroke. DESIGN: Criterion-related validity study of gait observations. SETTING: Rehabilitation hospital in Australia. PARTICIPANTS: Eleven participants with stroke and 8 treating physical therapists. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Pearson product-moment correlation between physical therapists' observations of push-off during gait and criterion measures of peak ankle power generation from a 3-dimensional motion analysis system. RESULTS: A high correlation was obtained between the observational ratings and the measurements of peak ankle power generation (Pearson r =.98). The standard error of estimation of ankle power generation was .32W/kg. CONCLUSIONS: Physical therapists can make accurate real-time clinical observations of push-off during gait following stroke.

Langue : ANGLAIS

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