Japanese Journal of Health Promotion and Physical Therapy
Online ISSN : 2187-3305
Print ISSN : 2186-3741
ISSN-L : 2186-3741
ORIGINAL ARTICLES
Factors affecting unassisted gait in stroke patients
-Evaluation of patients including those with cognitive impairment-
HIROSHI OTAOMIZUKI HACHIYASHIN MURATAAKIHIRO MIZOKAMITAKEYA ONONAMIKO UMEIAKIRA OTSUKATERUHIKO KAWAKAMI
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2012 Volume 1 Issue 2 Pages 93-99

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Abstract

[Purpose]We evaluated factors affecting the regaining of gait ability and their cut-off values in stroke patients. [Subjects]The subjects consisted of 35 hemiparetic stroke patients(22 males and 13 females) including those with cognitive impairment. [Method] As candidate factors,the age,Brunnstrom stage, standing balance, upper limb muscle strength, abdominal muscle strength,lower limb muscle strength, plantar sensation, and cognitive impairment, and their associations with gait ability were evaluated. The factors affecting gait ability were analyzed by logistic regression,and their cut-off values for regaining the ability to gait unassisted were evaluated based on the ROC curve. [Results] The factors affecting the regaining of gait ability were identified as the muscle strength of the paretic lower limb and HDS-R score, and their cut-off values were a muscle strength/ body weight ratio of 24% and a score of 25, respectively. [Conclusion]Our study suggested that hemiparetic stroke patients who can regain the ability to gait unassisted can be discriminated based on the muscle strength of the paretic lower limb and HDS-R score.

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© 2012 Japan Society of Health Promotion and Physical Therapy
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