Hip joint movement during a step′s swing phase is cases of hemiplegia with foot drop
10.3760/cma.j.issn.0254-1424.2024.07.011
- VernacularTitle:脑卒中偏瘫足下垂患者摆动相髋关节运动特征分析
- Author:
Luping CHEN
1
;
Qing XIA
;
Lingling DU
;
Hongyu ZHANG
;
Lu WEI
;
Zewen TANG
Author Information
1. 安徽医科大学附属合肥医院（合肥市第二人民医院），康复医学科，合肥 230011
- Keywords:
Stroke;
Foot drop;
Hip joints;
Gait
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(7):635-640
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze hip joint movement during the swing phase of the strides of stroke survivors with hemiplegia and foot drop.Methods:Thirty stroke survivors with hemiplegia and foot drop formed the observation group, while thirty matched healthy counterparts were the control group. A three-dimensional gait analysis system was used to compare the hip and ankle joint kinematics on the hemiplegic side of the observation group members with those on the corresponding side of a matched control. Pearson correlation related the maximum plantar flexion angle of the ankle and hip joints in the observation group.Results:Compared with the control group, there was a significant increase in the maximum abduction and external rotation of the hip joint during the swing phase, but a significant decrease in the maximum extension, flexion, adduction, internal rotation. The range of motion of the hip joint in the sagittal, frontal and horizontal planes was significantly smaller, as was the maximum dorsiflexion and sagittal range of motion of the ankle joint. The maximum plantar flexion angle of the ankle was positively correlated with the hip joint′s maximum flexion, maximum external rotation and sagittal joint motion, but negatively correlated with the hip′s horizontal motion.Conclusion:In stroke survivors with hemiplegia and ptosis, significant changes are observed in the three-dimensional motion during the swing phase of a stride. The mode of hip joint compensation changes depending on the severity of the foot drop.
