Rients B. Huitema, MSc, At L. Hof, PhD, Theo Mulder, PhD, Wiebo H

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Presentation transcript:

Functional recovery of gait and joint kinematics after right hemispheric stroke  Rients B. Huitema, MSc, At L. Hof, PhD, Theo Mulder, PhD, Wiebo H. Brouwer, PhD, Rienk Dekker, MD, Klaas Postema, MD, PhD  Archives of Physical Medicine and Rehabilitation  Volume 85, Issue 12, Pages 1982-1988 (December 2004) DOI: 10.1016/j.apmr.2004.04.036 Copyright © 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 Mean group score on the RMI and FAC for each measurement. Archives of Physical Medicine and Rehabilitation 2004 85, 1982-1988DOI: (10.1016/j.apmr.2004.04.036) Copyright © 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 Dknee, the difference between knee flexion during midswing and midstance, presented for each patient and each measurement. Legend: —, patients whose gait had functionally recovered at T5 according to the FAC (score ≥4) and RMI (score, ≥8); - - -, patients whose gait had not functionally recovered at T5 according to the FAC (score, <4) and RMI (score, ≥8); - · - · -, FAC score <4 and RMI score <8; · · · , mean, minimum, and maximum Dknee value of the control group. Archives of Physical Medicine and Rehabilitation 2004 85, 1982-1988DOI: (10.1016/j.apmr.2004.04.036) Copyright © 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Mean knee angle profiles for each patient at T1, or first possible measurement, and T5. Both hemiplegic side (HS) and nonhemiplegic side (NHS) are presented. (A, B) Profiles of patients whose Dknee had recovered at T5; (C, D) profiles of patients whose Dknee had not recovered at T5. Abbreviations: Ext, extension; Flex, flexion. Legend: see figure 2. Knee angle profiles at T5 of patients for whom Dknee had recovered closely resemble profiles of healthy controls. Archives of Physical Medicine and Rehabilitation 2004 85, 1982-1988DOI: (10.1016/j.apmr.2004.04.036) Copyright © 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Dpelvis, the difference between the sagittal pelvis angle at heel strike of the hemiplegic side and heel strike of the nonhemiplegic side, presented for each patient and each measurement. Legend: see figure 2; · · · , mean, minimum, and maximum Dpelvis value of the control group. Archives of Physical Medicine and Rehabilitation 2004 85, 1982-1988DOI: (10.1016/j.apmr.2004.04.036) Copyright © 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 5 Mean hip and pelvis angle profile in the sagittal plane for each patient at T1, or first possible measurement, and T5. Both hemiplegic side and nonhemiplegic sides of hip angles are presented. Positive values for pelvis angle denote rotation of the upper part of the pelvis forward (UF); negative values denote rotation of the lower part forward (DF). Pelvis rotation is normalized according to a cycle of the hemiplegic side (heel-strike hemiplegic side to heel-strike hemiplegic side). (A, B) Profiles of patients whose Dpelvis had recovered at T5; (C, D) profiles of patients whose Dpelvis had not recovered at T5. Legend: see figure 2. Hip and pelvis angle profiles at T5 of patients whose Dpelvis had recovered closely resembled profiles of controls. Archives of Physical Medicine and Rehabilitation 2004 85, 1982-1988DOI: (10.1016/j.apmr.2004.04.036) Copyright © 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions