الفهرس 
Effect Of Intrinsic Foot Muscles Facilitation on Gait In Stroke Patients
AbstractOnly 14 pages are availabe for public view
 |  | from | 160 |  |  |
| | | from | 160 | | |
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