Article

Symmetry is a gait characteristic that is increasingly measured and reported,
particularly in the stroke patient population. However, there is no accepted
standard for assessing symmetry making it difficult to compare across studies and
establish criteria to guide clinical decision making.
This study compares the
most common expressions of spatiotemporal gait symmetry to describe post-stroke
gait and makes recommendations regarding the most suitable measure for
standardization. The following symmetry equations were compared: symmetry ratio,
symmetry index, gait asymmetry and symmetry angle using step length, swing time,
stance time, double support time and an intra-limb ratio of swing: stance time.
Comparisons were made within a group of 161 community-dwelling, ambulatory
individuals with stroke and 81 healthy adults as a reference group. Our analysis
supports the recommendations of the symmetry ratio as the equation for
standardization and step length, swing time and stance time as the gait
parameters to be used in the equation. Future work should focus on establishing
the intra-individual variability of these measures and linking them to mechanisms
of gait dysfunction.
CI - Copyright 2009 Elsevier B.V. All rights reserved.

Langue : ANGLAIS