Effect of Exercise on Gait Mechanics in a Patient with Severe Gait Disorder Due to Chronic Ischaemic Stroke: A Case Study

• 作者: Erasmia Giannakou Ioannis Kouroumichakis Nikolaos Aggeloussis Nikolaos Papanas Stella Fotiadou Thomas Besios Vassilis Gourgoulis
• 来源期刊: 神经系统科学与医药(英文)
• 学科: 工学
• 关键词: EXERCISE GAIT Analysis REHABILITATION STROKE
• 年，卷（期）: 2019,（4）
• 页码范围: 323-330
• 页数: 8页
• 分类号: TP2

摘要

We describe the effects of an exercise programme based on the American Heart Association and American Stroke Association guidelines for stroke patients on gait mechanics in a patient with severe gait disorder due to chronic ischaemic stroke. A 74-year-old female patient, with right hemiparesis as a result of a stroke attack before 18 months followed an 8-week exercise programme, consisting of three hourly sessions per week. Patient’s gait mechanics were evaluated before and after the intervention using a three-dimensional gait analysis system, with six infrared cameras, two force plates, and an electronic timing system. Exercise led to increase of spatial and decrease of temporal gait parameters, increase of joint range of motion and lower limb muscle powers during the entire gait cycle and increase of the moments in the support phase. In conclusion, exercise had a positive effect on this patient’s gait pattern and improved her functionality.