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Change in Center of Pressure Progression in the Foot Provides Clues for Functional Improvement of the More Affected Lower Limb During Post-stroke Gait Rehabilitation
- Source :
- American journal of physical medicinerehabilitation. 100(3)
- Publication Year :
- 2020
-
Abstract
- OBJECTIVE The aim of this study was to determine the clinical significance of the anterior-posterior displacement of the center of pressure in the foot (apCoP) in post-stroke gait rehabilitation. DESIGN This observational study was conducted in a tertiary hospital. Forty-two subacute post-stroke patients were included. The apCoP was measured twice with a wearable insole foot pressure measurement system, time interval more than 7 days. The results were compared between the first and second tests. The relationship between apCoP changes and spatiotemporal parameter changes were investigated. RESULTS The apCoP increased significantly between tests. The change in walking speed was significantly predicted by the change in the apCoP on the less affected side. The change in asymmetry of the single support phase was significantly correlated with the change in the apCoP on the more affected side. CONCLUSION The change in apCoP provides information about the restoration of body support, body forward progression control, and propulsion in the more affected lower limb during early post-stroke rehabilitation. The apCoP can be a useful parameter for the monitoring of functional changes in the more affected lower limb during post-stroke gait rehabilitation.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Physical Therapy, Sports Therapy and Rehabilitation
Lower limb
Weight-Bearing
Physical medicine and rehabilitation
Center of pressure (terrestrial locomotion)
medicine
Humans
Clinical significance
Foot pressure
skin and connective tissue diseases
Gait Disorders, Neurologic
Aged
Rehabilitation
business.industry
Foot
Stroke Rehabilitation
Middle Aged
Biomechanical Phenomena
Preferred walking speed
Post stroke
Observational study
Female
sense organs
business
Subjects
Details
- ISSN :
- 15377385
- Volume :
- 100
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- American journal of physical medicinerehabilitation
- Accession number :
- edsair.doi.dedup.....956b9a32a9e53912edcdf54d2dfee520