Browse > Article
http://dx.doi.org/10.13066/kspm.2014.9.1.35

Correlation of Hip Joint Range of Motion and Femur Head Anterior Glide Mobility with Gait Ability in Stroke Patients  

Kim, Young-Hoon (Department of Physical Therapy, Graduate School, Daejeon University)
Kim, Suhn-Yeop (Department of Physical Therapy, College of Natural Science, Daejeon University)
Jang, Hyun-Jung (Department of Physical Therapy, Graduate School, Daejeon University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.9, no.1, 2014 , pp. 35-44 More about this Journal
Abstract
PURPOSE: The aim of the study was to investigate the relationships among the hip joint passive range of motion (ROM) and femur head anterior glide (FHAG) mobility on the gait ability in patients with post-stroke hemiparesis. METHODS: The participants were 37 patients (30 male, 7 female) living in Daejeon. The ROM of the hip joint was measured by using goniometry and the FHAG mobility was measured by using the Prone Figure-4 test. The walking ability was assessed by using the 10m walk test (10MWT), and the 6-min walk test (6MWT). RESULTS: The FHAG was negatively correlated with hip extension (r=-.554, p<.05) and flexion (r=-.337) on the affected side as well as with hip extension (r=-.480), abduction (r=-.361), and adduction (r=-.426) on the non-affected side (p<.05). The gait ability was correlated with the hip joint external rotation on the non-affected side (p<.05), but showed no significant correlation with the hip ROM on the affected side (p>.05). CONCLUSION: This study provides evidence that in patients with post-stroke hemiparesis, the FHAG mobility might be correlated with hip extension. Based on these results, the FHAG mobility may be used to determine the hip extension in patients with post-stroke hemiparesis.
Keywords
Hip joint range of motion; Femur head anterior glide mobility; Stroke; Gait;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Croft PR, Nahit ES, Macfarlane GJ, et al. Interobserver reliability in measuring flexion, internal rotation, and external rotation of the hip using a plurimeter. Ann Rheum Dis. 1996;55(5):320-3.   DOI
2 Dean CM, Richards CL, Malouin F. Walking speed over 10meters overestimates locomotor capacity after stroke. Clin Rehabil. 2001;15(4):415-21.   DOI   ScienceOn
3 Escalante A, Lichtenstein MJ, Dhanda R, et al. Determinants of hip and knee flexion range: results from the San Antonio Longitudinal Study of Aging, Arthritis Care Res. 1999;12(1):8-18.   DOI
4 Fonseca ST, Ocarino JM, Silva PLP, et al. Integration of Stress and Their Relationship to the Kinetic Chain. St Louis: Saunders Elsevier. 2007;476-86.
5 Franceschini M, Carda S, Agosti M, et al, Gruppo Italiano Studio Allevio Carico Ictus. Walking after stroke:What does treadmill training with body weight support add to overground gait training in patients early after stroke: A single-blind randomized controlled trial. Stroke. 2009;40(9):3079-85.   DOI   ScienceOn
6 Gardner MJ, Ong BC, Liporace F, et al. Orthopedic issues after cerebrovascular accident. Am J Orthop. 2002;31:559-68.
7 Botte MJ, Bruffey JD, Copp SN, et al. Surgical reconstruction of acquired spastic foot and ankle deformity. Foot Ankle Clin. 2000;5(2):381-416.
8 Jorgensen L, Crabtree NJ, Reeve J, et al. Ambulatory level and asymmetrical weight bearing alter stroke affects bone loss in the upper and lower part of the femoral neck differently: Bone adaptation after decreased mechanical loading. Bone. 2000;27(5):701-7.   DOI   ScienceOn
9 Kluding PM, Santos M. Effects of ankle joint mobilizations in adults poststroke: A pilot study. Arch Phys Med Rehabil. 2008;89(3):449-56.   DOI   ScienceOn
10 Kong SA, Han SW. Effects of the elastic band training on the daily living and the range of motion in chronic hemiplegia. Journal of Adapted Physical Activity. 2008;16(1):117-34.
11 Kuan TS, Tsou JY, Su FC. Hemiplegic gait of stroke patients:The effect of using a cane. Arch Phys Med Rehabil. 1999;80(7):777-84.   DOI   ScienceOn
12 Kwon YC, Park JH. Standardization of Korean version of the Mini-Mental State Examination(MMSE-K) for use in the elderly. Part II. Diagnostic validity. J Korean Neuropsychiatr Assoc. 1989;28(1):125-35.
13 Chen CL, Chen HC, Tang SF, Wu CY, Cheng PT, Hong WH. Gait performance with compensatory adaptations in stroke patients with different degrees of motor recovery. Am J Phys Med Rehabil. 2003;82(12):925-35.   DOI   ScienceOn
14 Liu J, Drutz C, Kumar R, et al. Use of the six-minute walk test post stroke: Is there a practice effect? Arch Phys Med Rehabil. 2008;89(9):1686-92.   DOI   ScienceOn
15 Cahalin LP, Mathier MA, Semigran MJ, et al. The 6-minute walk test predict peak oxygen uptake and survival in patients with advanced heart failure. Chest. 1996;110(2):325-32.   DOI   ScienceOn
16 Carr J, Shephered R. Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill (1st ed), Philadelphia: Elsevier. 2003.
17 Chen G, Patten C. Joint moment work during the stance-to-swing transition in hemiparetic subjects. J Biomech. 2008;41(4):877–83.   DOI   ScienceOn
18 Park SJ. The effect of trunk and pelvic stabilization exercixe using a sling on functional impronement in chronic patient. Graduate School of Sports Science Dankook University. Master's thesis. 2010.
19 Peurala SH, Kononen P, Pitkanen K, et al. Postural instability in patients with chronic stroke. Restor Neurol Neurosci. 2007;25(2):101-8.
20 Sahrmann SA. Diagnosis and Treatment of Movement Impairment Syndromes. 2005;165-81.
21 Sheila SI, Davalyn D, Sarah G, et al. Lower extremity passive range of motion in community- ambulating stroke survivors. J Neurol Phys Ther. 2008;32(1):21-31.   DOI   ScienceOn
22 Grasies JM. Pathophysiology of spastic paresis. I: Paresis and soft tissue changes. Muscle Nerve. 2005;31(5):535-51.   DOI   ScienceOn
23 Steffen TM, Hacker TA, Mollinger L. Age and gender related test performance in community-dwelling elderly people: Six-minute walk test, Berg balance scale, timed up & go test, and gait speeds. Phys Ther. 2002;82(2):128-37.   DOI
24 Timo JA, Olavi A, Tuomas M, et al. Effect of Passive Stretch on Reproducibility of Hip Range of Motion Measurements. Arch Phys Med Rehabil. 2005;86(3):549-57.   DOI   ScienceOn
25 Godges JJ, MacRae PG, Engelke KA. Effects of exercise on hip range of motion, trunk muscle performance, and gait economy. Phys Ther. 1993;73(7):468-77.   DOI
26 Grelsamer RP, McConnell J. The Patella A Team Approach, Texas: Pro-ed, Incorporated. 1998.
27 Hall SJ. The Biomechanics of the Human Lower Extremity. In: Hall SJ, ed. Human Biomechanics, 4th ed. New York: McGraw-Hill. 2003;228-74.
28 Jin HW. Influence of lumbosacral orthosis on the balance and gait characteristics in stroke patients. Graduate School of Rehabilitation Health Science YonIn University. Master's thesis. 2012.
29 Vandervoort AA, Chesworth BM, Cunningham DA, et al. An outcome measure to quantify passive stiffness of the ankle. Can J Public Healt. 1992;83:19-23.
30 Vattanasilp WL, Ada L, Crosbie J. Contribution of thixotropy, spasticity, and contracture to ankle stiffness after stroke. J Neurol Neurosurg Psychiatry. 2000;69(1):34-9.   DOI   ScienceOn
31 Melamed H, Hutchinson M. Soft tissue problems of the hip athletes. Sports Medicine & Arthroscopy. 2002;2(2):168-75.
32 Neumann DA. Kinesiology of the Musculoskeletal System, (2nd ed), Philadelphia: Elsevier. 2011;480-534.
33 Olney SJ, Richards C. Hemiparetic gait following stroke. Part I: Characteristics. Gait Posture. 1996;4:136-48.   DOI   ScienceOn
34 Park CS, An SH. The effects of electromechanical gait trainer on gait, mobility and dynamic balance ability in patients with stroke. Journal of Special Education & Rehabilitation Science. 2012;51(4):111-31.
35 Park JM, Choi KH, Jeon MH. Changes of Gait Patterns by the Ankle Foot Orthoses with a Variable Ankle Joint Stop. Annals of Rehabilitation Medicine. 1998;22(5):1129-35.
36 Neumann DA. Kinesiology of the Musculoskeletal System:Foundation for Physical Rehabilitation. Philadelphia:PA, Mosby, 2002.