Abstract
Knee kinematics of uninjured knee in hemiplegic stroke patients during treadmill walking
  
DOI:
EN KeyWords: stroke  motion analysis  uninjured side  knee joint  hemiplegic gait
Fund Project:2015年上海市残联神经康复专科建设资助课题, 2015年上海市临床重点专科(ZK2015A29)
作者单位
乔蕾 上海市徐汇区中心医院康复科上海 200031 
蒙元孟 上海市徐汇区中心医院康复科上海 200031 
倪卫东 上海市徐汇区中心医院康复科上海 200031 
皇甫良 上海市逸动医学科技有限公司上海 201612 
王少白 宁波卫生职业技术学院浙江 宁波 315100 
王晨 宁波卫生职业技术学院浙江 宁波 315100 
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EN Abstract:
  Objective: To investigate the kinematics of the knee on the uninjured side in the hemiplegic stroke patients during abnormal gait and provide basis for rehabilitation evaluation and clinical treatment. Methods: Gait analysis was performed on 60 cases of stroke hemiplegica, and 60 cases of healthy people who matched their basic conditions by a portable Opti_Knee motion analysis system. The 6 degree of freedom kinematics of the knee on the healthy side (flexion and extension, internal and external rotation, varus and valgus rotation, front and rear displacement, upper and lower displacement, medial and lateral displacement), maximum extension angle in the stance phase and maximum flexion angle in the swing phase were evaluated. Results: As compared with the control group, the range of motion of the knee (flexion-extension, internal-external rotation and varus-valgus rotation) on the healthy side in the observation group was significantly reduced (P<0.01, 0.05). As compared with the control group, maximum extension angle and maximum flexion angle of of the knee on the uninjured side in the observation group were significantly reduced (P<0.05, 0.01). Conclusion: The analysis of the knee motion angle on the healthy side of hemiplegic patients by the opti knee motor function parameter detector can help determine the basic characteristics of hemiplegic gait and provide clinical basis for the next step of rehabilitation training.
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