Article

Results of recent studies have suggested that restraint of
non-paretic lower limb movement could improve locomotion in hemiplegic patients.
The aim of this study was therefore to determine if a mass applied to the
non-paretic lower limb during a single gait training session (GTS) would specifically improve spatio-temporal, kinematic and kinetic gait parameters (GP)
of the paretic lower limb. METHODS: Sixty chronic hemiplegic subjects were
included in this randomized study. Each participated in one of four GTS
conditions: overground or on a treadmill while wearing or not wearing an ankle
mass. All subjects were assessed before, immediately after and 20 min after the
end of the GTS using 3D gait analysis. RESULTS: The results showed that
restraining the non-paretic lower limb during a GTS had no specific effect on GP
of the paretic limb, whereas it increased braking force of the non-paretic limb.
CONCLUSION: Restraining the non-paretic lower limb of hemiparetic patients with a
mass applied to the ankle does not seem to be an effective approach to improve
paretic lower limb parameters during a single GTS.
CI - Copyright (c) 2012 Elsevier B.V. All rights reserved.
- Paralysie

Langue : ANGLAIS