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The Effect of Changes in Walking Aids on Weight Bearing on the Cane and Foot in Stroke  

Jung, Kyoung-Sim (Department of Physical Therapy, The Graduate School, Sahmyook University)
Chung, Yi-Jung (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
Publication Information
The Journal of Korean Physical Therapy / v.24, no.2, 2012 , pp. 113-117 More about this Journal
Abstract
Purpose: The purpose of this study was to analyze the weight bearing of the cane and foot for the different walking aids during walking. Methods: A total of 12 subjects (6 males, 6 female) with stroke were enrolled in the study. Foot sensor and an instrumented cane were integrated to analyze the vertical peak force on the foot and cane. Results: The vertical peak force applied on the quad cane gait resulted in a significantly higher rate, which was $10.60{\pm}6.48%$ of the body weight, when compared to that of mono cane gait which was $7.91{\pm}4.11%$. The results indicated significantly lower vertical peak force on the affected foot, without the help of a walking aid, as compared to that of walking with a cane (respectively, p<0.05). However, results showed that the differences in vertical peak force on the affected foot, between mono cane and quad cane, were not significant. Conclusion: In conclusion, the vertical peak forces were significantly greater, during a comparison between walking with a quad cane and walking with a mono cane. On the contrary, no significant difference in the vertical peak force on the affected foot between walking with quad cane and walking with a mono cane. Muscle activation pattern and walking pattern should be measured in future studies, to study the differences between walking with various walking aids in the lower and higher functioning hemiparetic subjects, as its use may mask underlying gait impairment.
Keywords
Canes; Stroke; Vertical peak force;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Jung MS, Park JW. The relationship between balance test and fear of falling in community dwelling elderly. J Kor Soc Phys Ther. 2012;24(1):23-8.   DOI   ScienceOn
2 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
3 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
4 Aminzadeh F, Edwards N. Exploring seniors' views on the use of assistive devices in fall prevention. Public Health Nurs. 1998;15(4):297-304.   DOI   ScienceOn
5 Tinetti ME, Powell L. Fear of falling and low self-efficacy: a case of dependence in elderly persons. J Gerontol. 1993;48:35-8.   DOI
6 Dean E, Ross J. Relationships among cane fitting, function, and falls. Phys Ther. 1993;73(8):494-500.
7 Joyce BM, Kirby RL. Canes, crutches and walkers. Am Fam Physician. 1991;43(2):535-42.
8 Laufer Y. Effects of one-point and four-point canes on balance and weight distribution in patients with hemiparesis. Clin Rehabil. 2002;16(2):141-8.   DOI   ScienceOn
9 Dickstein R, Abulaffio N, Pillar T. Vertical force loaded on walking canes in hemiparetic patients. Gait Posture. 1993;1(2):113-8.   DOI   ScienceOn
10 Lee J, Lee KN. Effects of single-leg stance training of the involved leg on standing balance and mobility in patients with subacute hemiplegia. J Kor Soc Phys Ther. 2011;23(4):1-6.
11 Davies PM. Steps to follow: the comprehensive treatment of patients with hemiplegia. 2nd ed. Berlin, Springer, 2000:274-5.
12 Sackley C, Lincoln NB. Physiotherapy treatment for stroke patients: a survey of current practice. Physiother Theory Pract. 1996;12(2):87-96.   DOI   ScienceOn
13 Laufer Y. The effect of walking aids on balance and weight-bearing patterns of patients with hemiparesis in various stance positions. Phys Ther. 2003;83(2):112-22.
14 Buurke JH, Hermens HJ, Erren-Wolters CV et al. The effect of walking aids on muscle activation patterns during walking in stroke patients. Gait Posture. 2005;22(2):164-70.   DOI   ScienceOn
15 Tyson SF. Trunk kinematics in hemiplegic gait and the effect of walking aids. Clin Rehabil. 1999;13(4):295-300.   DOI   ScienceOn
16 Boonsinsukh R, Panichareon L, Phansuwan-Pujito P. Light touch cue through a cane improves pelvic stability during walking in stroke. Arch Phys Med Rehabil 2009;90(6):919-26.   DOI   ScienceOn
17 Tyson SF. The support taken through walking aids during hemiplegic gait. Clin Rehabil. 1998;12(5):395-401.   DOI   ScienceOn
18 Murray MP, Seireg AH, Scholz RC. A survey of the time, magnitude and orientation of forces applied to walking sticks by disabled men. Am J Phys Med. 1969;48(1):1-13.
19 Polese JC, Teixeira-Salmela LF, Nascimento LR et al. The effects of walking sticks on gait kinematics and kinetics with chronic stroke survivors. Clin Biomech (Bristol, Avon). 2012;27(2):131-7.   DOI   ScienceOn
20 Chen CL, Chen HC, Wong MK et al. Temporal stride and force analysis of cane-assisted gait in people with hemiplegic stroke. Arch Phys Med Rehabil 2001;82(1):43-8.   DOI   ScienceOn
21 Youdas JW, Kotajarvi BJ, Padgett DJ et al. Partial weight-bearing gait using conventional assistive devices. Arch Phys Med Rehabil. 2005;86(3):394-8.   DOI   ScienceOn
22 Alexander NB. Postural control in older adults. J Am Geriatr Soc. 1994;42(1):93-108.
23 Bateni H, Maki BE. Assistive devices for balance and mobility: benefits, demands, and adverse consequences. Arch Phys Med Rehabil. 2005;86(1):134-45.   DOI   ScienceOn
24 Ely DD, Smid GL. Effect of cane on variables of gait for patients with hip disorders. Phys Ther. 1977;57(5):507-12.