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Gait patterns of chronic ambulatory hemiplegic elderly compared with normal Age-Matched elderly

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Abstract

This study compares the gait of chronic ambulatory hemiplegic elderly (HE) with those of non-hemiplegic elderly (NHE) using Vicon® 512 motion analysis system to track movement trajectories. Subjects walked with self-selected gait speeds while temporal, spatial, and kinematic variables were analyzed. HE showed significantly decreased walking speed, cadence, stride length, and step length, and increased stride time, step time, and double limb support periods in comparison with NHE. Double limb support of stance phase was significantly increased in HE. In HE, affected pelvis showed marked upward elevation from terminal stance to mid swing phase, and greater external rotation than the NHE (p<0.05). Affected hip showed increased external rotation than the NHE. Affected knee showed loss of first and second flexion waves in sagittal plane. Affected ankle also showed reduced first rocker, and outward foot progression angle compared to NHE. Our results suggest that the major coping mechanism of HE to maintain balance and to continue walking is to increase the stance time of affected limb inevitably sacrificing walking speed. This study points to the importance and necessity of building a rehabilitation program that decrease the double limb support of affected limb while maintaining gait speed in the HE.

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Abbreviations

HE:

chronic ambulatory hemiplegic elderly

NHE:

non-hemiplegic elderly

IDLS:

Initial double limb support

ALSS:

Affected limb single support

TDLS:

Terminal double limb support

SLSS:

Sound limb single support

AFO:

Ankle Foot Orthosis

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, Hanyang University College of Medicine, 222, Wangsimni-ro, Seongdong-gu, Seoul, 133-791, South Korea

    Junho Kim, Se-In Oh, Hyungpil Cho, Taikon Kim & Mi Jung Kim

  2. Department of Rehabilitation Medicine, Kyung Hee University College of Medicine, 3-10, Kyungheedae-ro 6-gil, Dangdaemun-gu, Seoul, 130-872, South Korea

    Hee Sang Kim & Jinmann Chon

  3. Department of Rehabilitation Medicine, Seoul Veterans Hospital, 61, Jinhwangdo-ro, Gangdong-gu, Seoul, 134-791, South Korea

    Won Jae Lee

  4. Department of Rehabilitation Medicine, National Rehabilitation Center, 58, Samgaksan-ro, Gangbuk-gu, Seoul, 142-884, South Korea

    Joon Ho Shin

  5. Department of Orthopaedic Surgery, Cheil General Hospital & Women’s Healthcare Center, 17, Seoae-ro 1-gil, Jung-gu, Seoul, 100-380, South Korea

    Jae Yong Ahn

  6. Department of Mechanical System Engineering, Hansung University, 116, Samseongyo-ro 16-gil, Seongbuk-gu, Seoul, 136-792, South Korea

    Jung-Soo Han

  7. Department of Robot Engineering, Hanyang University, 55, Hanyangdaehak-ro, Sangnok-gu, Ansan-si, Gyeonggi-do, 426-791, South Korea

    Hye-Youn Jang & Chang-Soo Han

Authors
  1. Junho Kim
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  2. Se-In Oh
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  3. Hyungpil Cho
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  4. Hee Sang Kim
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  5. Jinmann Chon
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  6. Won Jae Lee
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  7. Joon Ho Shin
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  8. Jae Yong Ahn
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  9. Taikon Kim
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  10. Jung-Soo Han
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  11. Hye-Youn Jang
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  12. Chang-Soo Han
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  13. Mi Jung Kim
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Corresponding author

Correspondence to Mi Jung Kim.

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Kim, J., Oh, SI., Cho, H. et al. Gait patterns of chronic ambulatory hemiplegic elderly compared with normal Age-Matched elderly. Int. J. Precis. Eng. Manuf. 16, 385–392 (2015). https://doi.org/10.1007/s12541-015-0051-z

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  • DOI: https://doi.org/10.1007/s12541-015-0051-z

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