Browse > Article

The Change of Lateral Shift of Center of Pressure according to the Gait Improvement in Post-Stroke Hemiplegic Patients  

Lee, Il-Suk (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Won-Kwang University)
Park, Kee-Eon (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Won-Kwang University)
Hong, Hae-Jin (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Won-Kwang University)
Sung, Kang-Keyng (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Won-Kwang University)
Lee, Sang-Kwan (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Won-Kwang University)
Publication Information
The Journal of Internal Korean Medicine / v.35, no.4, 2014 , pp. 448-454 More about this Journal
Abstract
Objectives: The aim of this study was to analyze the change of lateral shift of Center of Pressure (CoP) according to the gait improvement in post-stroke hemiplegic patients and to investigate relationship between the change of motor grade and lateral shift of CoP. Methods: We measured the lateral shift of CoP and motor grade of eight post-stroke hemiplegic patients at the beginning of dependent gait and independent gait. Results: We found that CoP tended to be shifted to the non-affected side when patients started to walk independently. Furthermore, there was no relationship between the change of motor grade and lateral shift of CoP. Conclusions: This result may suggest it is more important to control the non-affected side than the affected side, at least until the beginning independent gait.
Keywords
stroke; center of pressure; dependent gait; independent gait;
Citations & Related Records
연도 인용수 순위
  • Reference
1 King RB. Quality of life after stroke. Stroke 1996;27(9):1467-72.   DOI   ScienceOn
2 Mackenzie A, Chang A. Predictors of quality of life following stroke. Disabil Rehabil 2002;24(5):259-65.   DOI   ScienceOn
3 Chiou IL, Burnett CN. Values of activities of daily living a survey of stroke patients and their home therapists. Phys Ther 1985;65(6):901-6.
4 Bohannon RW, Andrews AW, Smith MB. Rehabilitation goals of patients with hemiplegia. Int J Rehabil Res 1988;11(2):181-4.   DOI
5 최산호, 이일석, 홍해진, 오재건, 성강경, 이상관. 뇌졸중 환자의 운동기능과 보행 양상의 상관 관계. 대한중풍학회지 2013;14(1):8-14.
6 Hesse S, Reiter F, Jahnke M, Dawson M, Sarkodie-Gyan T, Mauritz KH. Asymmetry of gait initiation in hemiparetic stroke subjects. Am J Phys Med Rehabil 1997;78(7):719-24.   DOI   ScienceOn
7 Tyson SF. Trunk kinematics in hemiplegic gait and the effect of walking aids. Clin Rehabil 1999;13(4):295-300.   DOI   ScienceOn
8 Olney SJ, Colborne GR, Martin CS. Joint angle feedback and biomechanical gait analysis in stroke patients: a case report. Phys Ther 1989;69(10):863-70.
9 Davis BL, Ortolano MC, Richards K, Redhed J, Kuznicki J, Sahgal V. Realtime visual feedback diminishes energy consumption of amputee subjects during treadmill locomotion. J Prosthe Orthot 2004;16(2):49-54.   DOI   ScienceOn
10 Draper ER. A treadmill-based system for measuring symmetry of gait. Med Eng Phys 2000;22(3):215-22.   DOI   ScienceOn
11 De Haart M, Geurts AC, Huidekoper SC, Fasotti L, Van Limbeek J. Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Am J Phys Med Rehabil 2004;85(6):886-95.   DOI   ScienceOn
12 Garland SJ, Willems DA, Ivanova TD, Miller KJ. Recovery of standing balance and functional mobility after stroke. Am J Phys Med Rehabil 2003;84(12):1753-9.   DOI   ScienceOn
13 Schepers HM, van Asseldonk EH, Buurke JH, Veltink PH. Ambulatory estimation of center of mass displacement during walking. Biomed Eng 2009;56(4):1189-95.
14 Hass CJ, Gregor RJ, Waddell DE, Oliver A, Smith DW, Fleming RP, et al. The influence of Tai Chi training on the center of pressure trajectory during gait initiation in older adults. Am J Phys Med Rehabil 2004;85(10):1593-8.   DOI
15 Donker SF, Roerdink M, Greven AJ, Beek PJ. Regularity of center-of-pressure trajectories depends on the amount of attention invested in postural control. Exp Brain Res 2007;181(1):1-11.   DOI
16 이일석, 임형문, 최산호, 오재건, 성강경, 이상관. 편마비 환자의 운동수행능력과 질량중심 변화의 상관 관계. 대한중풍학회지 2013;14(1):15-22.
17 Kendall HO, Kendall FP. Muscles. Testing And Function. Am J Phys Med Rehabil 1949;28(2):171-80.
18 Goldie P, Matyas T, Evans O, Galea M, Bach T. Maximum voluntary weight-bearing by the affected and unaffected legs in standing following stroke. Clin Biomech 1996;11(6):333-42.   DOI   ScienceOn
19 Arcan M, Brull M, Najenson T, Solzi P. FGP assessment of postural disorders during the process of rehabilitation. Scand J Rehabil Med 1976;9(4):165-8.
20 Dettmann MA, Linder MT, Sepic SB. Relationships among walking performance, postural stability, and functional assessments of the hemiplegic patient. Am J Phys Med Rehabil 1987;66(2):77-90.
21 Pai YC, Rogers MW, Hedman LD, Hanke TA. Alterations in weight-transfer capabilities in adults with hemiparesis. Phys Ther 1994;74(7):647-57.
22 Cheng PT, Liaw MY, Wong MK, Tang FT, Lee MY, Lin PS. The sit-to-stand movement in stroke patients and its correlation with falling. Am J Phys Med Rehabil 1998;79(9):1043-6.   DOI   ScienceOn
23 Bastian AJ. Understanding sensorimotor adaptation and learning for rehabilitation. Curr Opin Neurol 2008;21(6):628.   DOI
24 Martin T, Keating J, Goodkin H, Bastian A, Thach W. Throwing while looking through prisms II. Specificity and storage of multiple gaze throw calibrations. Brain 1996;119(4):1199-211.   DOI
25 Kopp B, Wolff M. Brain mechanisms of selective learning: Event-related potentials provide evidence for error-driven learning in humans. Biol Psychol 2000;51(2):223-46.   DOI
26 Buurke JH, Nene AV, Kwakkel G, Erren-Wolters V, IJzerman MJ, Hermens HJ. Recovery of gait after stroke: what changes? Neurorehab Neural Re 2008;22(6):676-83.   DOI
27 Kollen B, Van de Port I, Lindeman E, Twisk J, Kwakkel G. Predicting improvement in gait after stroke a longitudinal prospective study. Stroke 2005;36(12):2676-80.   DOI   ScienceOn
28 Kim M, Choi T, Lee M, Lee H, Han C. Contralateral acupuncture versus ipsilateral acupuncture in the rehabilitation of post-stroke hemiplegic patients: a systematic review. BMC Complement Altern Med 2010;10(1):41.   DOI
29 Hong J, Sheng P, Yuan Y, Yi S, Yue Z. Observation on therapeutic effect of opposing needling for treatment of poststroke shoulder-hand syndrome. Chin Acupunct Moxibusion 2009;29(3):205-8.
30 Ni K, Luo Y, Wang Y, Ge F, Chen S, Chu J, et al. Clinical observation of recuperative effect of opposing needling accompanying continual static stretch in treating high muscular tension of apoplectic hemiplegia. J Zhejang Univ Tradit Chin Med 2009;33(4):576-7.
31 Chen X, Wu F. A comparative study of the effect on cerebral blood flow of scalp acupuncture on the affected vs unaffected side in stroke patients. Shang Hai Zhen Jiu Za Zhi 2011;30(9):586-8.
32 Emperor Y. Yellow Emperor's Inner Classic of Internal Medicine Spiritual Pivot(Ling Shu). Seoul: Euisungdang publishing; 2002, p. 214.
33 Iida H, Yamamuro T. Kinetic analysis of the center of gravity of the human body in normal and pathological gaits. J Biomech 1987;20(10):987-95.   DOI