الفهرس | Only 14 pages are availabe for public view |
Abstract The purposes of this study were to determine the effect of intrinsic foot muscles facilitation on Spatiotemporal parameters of center of pressure trajectory during gait and gait asymmetry in ischemic stroke patients, in addition to study the relation between these measurements. Subjects and methods: Thirty male post-stroke hemiparetic patients with independent walking ability participated in this study with age ranged from 45 to 55. The patients were randomly allocated into two equal groups: Control group treated with a selected program while Study group treated with the same program plus facilitation of intrinsic foot muscles. treatment time was 60 min for each session for twelve sessions. All patients had pre- and post-treatment assessment for temporal gait parameters including stance phase % in each side, gait asymmetry and double limb support %, in addition to assessment for spatiotemporal parameters of center of pressure trajectory during self-selected and maximum walking speed including mediolateral center of pressure excursion (X-excursion), speed (Xspeed) and width (functional X); anteroposterior center of pressure excursion length (functional-Y) and speed (Y-speed); and reverse direction excursion (revers-Y). Results: there was a significant reduction in X-excursion and functional-X and a significant increase in X-speed within study group post treatment during self-selected speed. There was a significant increase posttreatment in functional-Y and Y-speed and a significant reduction in revers- Y within both groups in self-selected speed, within study group only in maximum speed, and in between groups post treatment in favor of study group during self-selected and maximum speed. There was a highly significant increase in more affected leg stance phase %; and highly significant reduction of less affected leg stance phase %, gait asymmetry and double limb support % within study and control groups post treatment. There were significant differences in between groups in less affected leg stance phase %, gait asymmetry and double limb support % in favor for study group. There were positive correlations between gait symmetry and functional-Y and functional-X during self-selected speed and maximum speed. (p>0.05). Conclusion: adding facilitation of intrinsic foot muscle to the rehabilitation program seemed to have a positive effect on gait in stroke patients. It can improve center of pressure trajectory characteristics and temporal gait parameters and symmetry |