Effect of Exercise on Gait Kinematics and Kinetics in Patients with Chronic Ischaemic Stroke

• 作者: Erasmia Giannakou Ioannis Kouroumichakis Nikolaos Aggeloussis Nikolaos Papanas Styliani Fotiadou Thomas Besios Vassilios Gourgoulis
• 来源期刊: 康复医学(英文)
• 学科: 医学
• 关键词: STROKE EXERCISE REHABILITATION GAIT Analysis
• 年，卷（期）: 2019,（4）
• 页码范围: 140-150
• 页数: 11页
• 分类号: R74

摘要

Introduction :?In 2014, American Heart Association and American Stroke Association (AHA/ASA) issued exercise guidelines for stroke patients. Aim of the Study: To study the effects of an exercise programme based on AHA/ ASA guidelines, on gait kinematics and kinetics in patients with chronic ischemic stroke. Materials and Methods: Twelve stroke patients, 67.33 ± 9.14 years old, followed an 8-week exercise programme, with 3 hourly sessions per week, consisting of strength, endurance and flexibility training, as well as neuromuscular activities. Patients’ gait kinematics and kinetics were evaluated before and after the intervention using a 3-dimensional gait analysis system. Results: In most cases, patients in the intervention group showed significant increase or no change in gait kinematics, significant increase in joint moments at the anterior-posterior plane during support phase, and non-signi- ficant change in the frontal and transverse planes kinetics. Conclusions: Exercise prevented further deterioration and/or led to improved walking pattern.