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GAIT CHANGES IN ADULT ONSET HEMIPLEGIA

GAIT CHANGES IN ADULT ONSET HEMIPLEGIA 0002-9491/87/6605-0228$02.00/0 AMERICAN JOURNAL OF PHYSICAL MEDICINE Vol. 66, No. 5 Copyright 0 1987 by The Williams & Wilkins Co. Printed in U.S.A. MICHAEL S. PINZUR, M.D.2*3, RICHARD SHERMAN, M.D.2, PHYLLIS DIMONTE-LEVINE, R.P.T.2, AND JOHN TRIMBLE, PH.D.~ INTRODUCTION Surgical correction of gait abnormalities in adult acquired hemiplegic pa- tients has been performed with increasing frequency over the past decade (3, 5, 7, 9, 10). The primary goal of treatment is the decrease of spasticity and improvement in the quality of the gait pattern (1). Keenan, et al. (1) have determined balance as the best predictor of eventual independent walking following stroke. Close (2), Perry (6), and Waters (ll), have demonstrated abnormal non-patterned phasic muscle activity in adult hemiplegic patients. Gait abnormalities in the hemiplegic population may be part of a complex neuromuscular condition as opposed to isolated unrelated deformities. Just as objective measures of normal gait precede evaluation of abnormal gait, objec- tive measurement of hemiplegic gait pattern precedes clinical evaluation, prognosis and treatment. The objectives of this study were: 1) to develop a more thorough understand- ing of the dynamic gait abnormalities; and 2) to establish baseline objective data. METHODS Sixty normal adults, used as controls and fifty adults http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Physical Medicine Wolters Kluwer Health

GAIT CHANGES IN ADULT ONSET HEMIPLEGIA

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0002-9491

Abstract

0002-9491/87/6605-0228$02.00/0 AMERICAN JOURNAL OF PHYSICAL MEDICINE Vol. 66, No. 5 Copyright 0 1987 by The Williams & Wilkins Co. Printed in U.S.A. MICHAEL S. PINZUR, M.D.2*3, RICHARD SHERMAN, M.D.2, PHYLLIS DIMONTE-LEVINE, R.P.T.2, AND JOHN TRIMBLE, PH.D.~ INTRODUCTION Surgical correction of gait abnormalities in adult acquired hemiplegic pa- tients has been performed with increasing frequency over the past decade (3, 5, 7, 9, 10). The primary goal of treatment is the decrease of spasticity and improvement in the quality of the gait pattern (1). Keenan, et al. (1) have determined balance as the best predictor of eventual independent walking following stroke. Close (2), Perry (6), and Waters (ll), have demonstrated abnormal non-patterned phasic muscle activity in adult hemiplegic patients. Gait abnormalities in the hemiplegic population may be part of a complex neuromuscular condition as opposed to isolated unrelated deformities. Just as objective measures of normal gait precede evaluation of abnormal gait, objec- tive measurement of hemiplegic gait pattern precedes clinical evaluation, prognosis and treatment. The objectives of this study were: 1) to develop a more thorough understand- ing of the dynamic gait abnormalities; and 2) to establish baseline objective data. METHODS Sixty normal adults, used as controls and fifty adults

Journal

American Journal of Physical Medicine – Wolters Kluwer Health

Published: Jan 1, 2007

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