PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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The Effects of Fatigue in the Non-Paretic Plantarflexor Muscle on Spatial and Temporal Gait Parameters during Walking in Patients with Chronic Stroke

만성 편마비 환자의 비마비측 발바닥굽힘근 근피로가 시·공간적 보행변수에 미치는 영향

  • Lee, Jae-Woong (Department of Physical Therapy, Keunsol Hospital) ;
  • Koo, Hyun-Mo (Department of Physical Therapy, College of Science, Kyungsung University)
  • Received : 2018.07.16
  • Accepted : 2018.07.31
  • Published : 2018.12.31
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Abstract

Purpose: The purpose of this study was to obtain detailed and quantified data concerning the effects of plantarflexor muscle fatigue induced in the non-paretic side on the spatial and temporal gait parameters of the bilateral lower extremities during walking in stroke patients. Methods: This study was conducted on 20 patients with chronic stroke. The load contraction fatigue test was applied to induce muscle fatigue in the non-paretic plantarflexor muscle. Step length, stride length, double support, gait velocity and cadence, and functional ambulatory profile (FAP) score in the bilateral lower extremities were measured using a gait analysis system in order to investigate changes in temporal and spatial gait parameters caused by muscle fatigue on the non-paretic side. The statistical significance of the results was evaluated using a paired t-test. Results: A review of the results for gait parameters revealed a significant increase in double support (p<0.05) and a significant decrease in step length, stride length, gait velocity and cadence, and FAP score (p<0.05). Conclusion: These results indicate that the muscle fatigue in the non-paretic side of the stroke patients also affected the paretic side, which led to a decrease in gait functions. This implies a necessity to perform exercise or training programs in a range of clinical aspects not causing muscle fatigue.

Keywords

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Fig. 1. Method of fatigue induction.

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Fig. 2. Gait analysis system (GAITRite, CIR Systems Inc., USA).

Table 1. The comparison of step length at pre-test and post-test (unit: cm)

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Table 2. The comparison of stride length at pre-test and post-test (unit: cm)

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Table 3. The comparison of double support at pre-test and post-test (unit: %GC)

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Table 4. The comparison of gait velocity at pre-test and post-test(unit: cm/sec)

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Table 5. The comparison of cadence at pre-test and post-test (unit: steps/min)

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Table 6. The comparison of FAP at pre-test and post-test

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