Article

PURPOSE: To characterise the global functioning post-stroke in patients with
normal knee posture (NKP) and abnormal knee posture (AKP) during
loading-response. METHODS: 35 people, 6 months post-stroke. with NKP and AKP were
identified and assessed using clinical measures classified into the corresponding
International Classification of Functioning, Disability and Health (ICF) domains:
weight function (body mass index); muscle power (knee isometric strength); muscle
tone (Modified Ashworth Scale); voluntary motor control (Leg sub-score of
Fugl-Meyer scale); walking short distances (5-meter walk test; Timed-Up and Go
test); walking on different surfaces (Functional Ambulation Categories); moving
around (Falls Efficacy Scale); moving using equipment (walking aids) and global
assessment of function (WHODAS II). Age, gender, marital status, current
occupation and caregivers support characterised personal factors. RESULTS:
Patients with AKP had significantly lower knee flexor strength, higher knee
flexor and extensor spasticity, more difficulty in maintaining a standing
position, walking short and long distances, used walking aids more often and
needed more caregiver support. Restriction in activities and participation were
correlated with knee flexor strength for AKP and with knee spasticity for NKP
group. CONCLUSIONS: AKP restricts functioning and participation.

Langue : ANGLAIS