Step Length Asymmetry Predicts Rehabilitation Length in Subacute Post Stroke Patients
Background: During the rehabilitation of individuals post stroke, evaluations are performed in order to discern the patient’s prognosis and optimize the treatment plan. However, these tests do not focus on gait symmetry, which might be a predictor for rehabilitation outcomes. We aimed to correlate g...
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| Format: | Article |
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MDPI AG
2022-09-01
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| Series: | Symmetry |
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| Online Access: | https://www.mdpi.com/2073-8994/14/10/1995 |
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| author | Isabella Schwartz Yonah Ofran Naama Karniel Martin Seyres Sigal Portnoy |
| author_facet | Isabella Schwartz Yonah Ofran Naama Karniel Martin Seyres Sigal Portnoy |
| author_sort | Isabella Schwartz |
| collection | DOAJ |
| description | Background: During the rehabilitation of individuals post stroke, evaluations are performed in order to discern the patient’s prognosis and optimize the treatment plan. However, these tests do not focus on gait symmetry, which might be a predictor for rehabilitation outcomes. We aimed to correlate gait symmetry measures of subacute post stroke patients with rehabilitation outcome and find the symmetry measure that best predicts the variability of the rehabilitation duration. A secondary aim was to compare these measures between patients with right and left brain lesions. Methods: We recruited 30 subacute post stroke patients (14 with right side lesion). We collected the following measures: National Institutes of Health Stroke Scale (NIHSS), Functional Independence Measure (FIM), the 10 m walk test (10MWT), Functional Ambulation Categories (FAC), spatial-temporal gait measures, and gait symmetry and variability. Results: We found moderate correlations between the step length symmetry and the length of rehabilitation, NIHSS, FIM, FAC and 10MWT. The symmetry index of the step length predicted the length of the rehabilitation period as it explained 32.1% of its variance (<i>p</i> = 0.001). Discussion: We conclude that a simple test of the step length symmetry might be informative in predicting rehabilitation length in subacute post stroke patients. |
| first_indexed | 2024-03-09T19:27:17Z |
| format | Article |
| id | doaj.art-e20ca25a1a8f433dab7a2b60c8f58df0 |
| institution | Directory Open Access Journal |
| issn | 2073-8994 |
| language | English |
| last_indexed | 2024-03-09T19:27:17Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Symmetry |
| spelling | doaj.art-e20ca25a1a8f433dab7a2b60c8f58df02023-11-24T02:50:22ZengMDPI AGSymmetry2073-89942022-09-011410199510.3390/sym14101995Step Length Asymmetry Predicts Rehabilitation Length in Subacute Post Stroke PatientsIsabella Schwartz0Yonah Ofran1Naama Karniel2Martin Seyres3Sigal Portnoy4Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9190501, IsraelFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9190501, IsraelDepartment of Physical Medicine & Rehabilitation, Hadassah Medical Center, Jerusalem 9765418, IsraelDepartment of Physical Medicine & Rehabilitation, Hadassah Medical Center, Jerusalem 9765418, IsraelDepartment of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelBackground: During the rehabilitation of individuals post stroke, evaluations are performed in order to discern the patient’s prognosis and optimize the treatment plan. However, these tests do not focus on gait symmetry, which might be a predictor for rehabilitation outcomes. We aimed to correlate gait symmetry measures of subacute post stroke patients with rehabilitation outcome and find the symmetry measure that best predicts the variability of the rehabilitation duration. A secondary aim was to compare these measures between patients with right and left brain lesions. Methods: We recruited 30 subacute post stroke patients (14 with right side lesion). We collected the following measures: National Institutes of Health Stroke Scale (NIHSS), Functional Independence Measure (FIM), the 10 m walk test (10MWT), Functional Ambulation Categories (FAC), spatial-temporal gait measures, and gait symmetry and variability. Results: We found moderate correlations between the step length symmetry and the length of rehabilitation, NIHSS, FIM, FAC and 10MWT. The symmetry index of the step length predicted the length of the rehabilitation period as it explained 32.1% of its variance (<i>p</i> = 0.001). Discussion: We conclude that a simple test of the step length symmetry might be informative in predicting rehabilitation length in subacute post stroke patients.https://www.mdpi.com/2073-8994/14/10/1995lesion sidecomputerized gait analysisstep length symmetry |
| spellingShingle | Isabella Schwartz Yonah Ofran Naama Karniel Martin Seyres Sigal Portnoy Step Length Asymmetry Predicts Rehabilitation Length in Subacute Post Stroke Patients Symmetry lesion side computerized gait analysis step length symmetry |
| title | Step Length Asymmetry Predicts Rehabilitation Length in Subacute Post Stroke Patients |
| title_full | Step Length Asymmetry Predicts Rehabilitation Length in Subacute Post Stroke Patients |
| title_fullStr | Step Length Asymmetry Predicts Rehabilitation Length in Subacute Post Stroke Patients |
| title_full_unstemmed | Step Length Asymmetry Predicts Rehabilitation Length in Subacute Post Stroke Patients |
| title_short | Step Length Asymmetry Predicts Rehabilitation Length in Subacute Post Stroke Patients |
| title_sort | step length asymmetry predicts rehabilitation length in subacute post stroke patients |
| topic | lesion side computerized gait analysis step length symmetry |
| url | https://www.mdpi.com/2073-8994/14/10/1995 |
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