Kinetic and kinematic gait analysis in a spastic hemiplegic patient after selective tibial neurotomy: a case report
- Author:
Ippei Kitade
;
Hidetaka Arishima
;
Ken-ichiro Kikuta
- Publication Type:Case Reports
- MeSH:
Muscle Spasticity
- From:Neurology Asia
2015;20(4):395-399
- CountryMalaysia
- Language:English
-
Abstract:
Kinematics-based studies before and after selective tibial neurotomy (STN) gait have not been
performed. It is very important for spastic patients before and after STN to evaluate quality of gait
motion. We examined the quantitative changes in kinetic and kinematic parameters in the gait of a
hemiplegic patient after STN. A patient with stroke-related hemiplegia who did not require aids to
walk underwent a three-dimensional gait analysis (3DGA) before and after STN. 3DGA system was
used to obtain spatiotemporal, kinetic and kinematic parameters of the lower extremities. Postoperative
increases in walking speed and the single leg support ratio were detected in the paralyzed limb. Kinetic
and kinematic analyses of the stance phase performed after STN detected dorsiflexion in the ankle,
the appearance of generation power during plantar flexion, an extension of the range of hip movement
during the gait cycle, and the disappearance of genu recurvatum. The acquisition of a normalized ankle
joint gait pattern after STN might result in coordinated improvements in the kinetic and kinematic
parameters of other joints. The measurement of spatiotemporal, kinetic, and kinematic gait parameters
using 3DGA systems might aid decisions regarding the optimal post-STN rehabilitation strategies for
spastic patients who hope to improve their gaits.
- Full text:P020160302391320280260.pdf
