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http://dx.doi.org/10.13066/kspm.2012.7.1.095

The Effect of Arm Swing on Gait in Post-Stroke Hemiparesis  

Kim, Jin-Seop (Department of Physical Therapy, Andong science college)
Kwon, Oh-Hyoun (Department of Physical Therapy, Andong science college)
Publication Information
Journal of the Korean Society of Physical Medicine / v.7, no.1, 2012 , pp. 95-101 More about this Journal
Abstract
Purpose : The purpose of this study was to investigate the variations in gait parameters according to arm swing use in post stroke hemiparesis. Methods : Sixteen patients participated in this study and walked at self-selected speeds on a Rs-scan systems. The were randomly assigned conditions: self-selected arm swing, constraint arm swing, emphasis arm swing. Results : In the comparison of parameters in each trial, both affected step length, non affected step length, affected stride length, non affected stride length, affected single support time, and non affected single support time were significantly increased and double support time was significantly decrease in emphasis arm swing when compared with both self-selected arm swing and constraint arm swing(p<.05). However, Asymmetrical ratio was significantly increased in both emphasis arm swing and self-selected arm swing when compared constraint arm swing(p<.05). Conclusion : Therefore, In this study, gait rehabilitation of patients with hemiplegia depending on what you need to apply the arm swing is considered.
Keywords
Arm swing; Gait; Hemiparesis;
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1 김종만, 이충휘. 신경계물리치료학. 서울, 정담미디어, 2001.
2 신준호, 오덕원, 김진섭. 노르딕 보행 훈련이 뇌졸 중 환자의 보행 능력에 미치는 효과. 특수교육재활과학연구. 2010;49(2):181-94.
3 Blanc Y, Balmer C, Landis T et al. Temporal parameters and patterns of the foot roll over during walking: normative data for healthy adults. Gait Posture. 1999;10(2):97-108.   DOI   ScienceOn
4 Bohannon RW, Horton MG, Wikholm JB. Importance of four variables of walking to patients with stroke. Int J Rehabil Res. 1991;14(3):246-50.   DOI
5 Brooke MM, de Lateur BJ, Diana-Rigby GC et al. Shoulder subluxation in hemiplegia: effects of three different supports. Arch Phys Med Rehabil. 1991;72(8):582-6.
6 Eke-Okoro ST, Gregoric M, Larsson LE. Alterations in gait resulting from deliberate changes of armswing amplitude and phase. Clin Biomech (Bristol, Avon). 1997;12(7-8):516-21.   DOI   ScienceOn
7 Elftman H. The function of the arms in walking. Human Biology 1939;11(1):529-35.
8 Ford MP, Wagenaar RC, Newell KM. Arm constraint and walking in healthy adults. Gait Posture. 2007; 26(1):135-41.   DOI   ScienceOn
9 Hesse S. Rehabilitation of Gait After Stroke: Evaluation, Principles of Therapy, Novel Treatment Approaches, and Assistive Devices. Topics in Geriatric Rehabilitation. 2003;19(2):109-26.   DOI
10 Hsu AL, Tang PF, Jan MH. Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke. Arch Phys Med Rehabil. 2003;84(8):1185-93.   DOI   ScienceOn
11 Kubo M, Wagenaar RC, Saltzman E et al. Biomechanical mechanism for transitions in phase and frequency of arm and leg swing during walking. Biol Cybern. 2004;91(2):91-8.
12 LaFiandra M, Wagenaar RC, Holt KG et al. How do load carriage and walking speed influence trunk coordination and stride parameters? J Biomech. 2003;36(1):87-95.   DOI   ScienceOn
13 Olney SJ, Griffin MP, McBride ID. Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: a regression approach. Phys Ther. 1994;74(9):872-85.   DOI
14 Lulic TJ, Susic A, Kodvanj J. Effects of arm swing on mechanical parameters of human gait. Coll Antropol. 2008;32(3):869-73.
15 Mauritz KH. Gait training in hemiplegia. Eur J Neurol. 2002;9(1):53-61.   DOI   ScienceOn
16 Meyns P, Van Gestel L, Massaad F et al. Arm swing during walking at different speeds in children with Cerebral Palsy and typically developing children. Res Dev Disabil. 2011;32(5):1957-64.   DOI   ScienceOn
17 Ozdemir F, Birtane M, Tabatabaei R et al. Cognitive evaluation and functional outcome after stroke. Am J Phys Med Rehabil. 2001;80(6):410-5.   DOI   ScienceOn
18 Rogers MW, Hedman LDPai YC. Kinetic analysis of dynamic transitions in stance support accompanying voluntary leg flexion movements in hemiparetic adults. Arch Phys Med Rehabil. 1993;74(1):19-25.
19 Stephenson JL, De Serres SJLamontagne A. The effect of arm movements on the lower limb during gait after a stroke. Gait Posture. 2010;31(1): 109-15.   DOI   ScienceOn
20 Wagenaar RC, van Emmerik RE. Resonant frequencies of arms and legs identify different walking patterns. J Biomech. 2000;33(7):853-61.   DOI   ScienceOn
21 Whitall J. Stroke rehabilitation research: time to answer more specific questions? Neurorehabil Neural Repair. 2004;18(1):3-8.   DOI