Gait Pattern in the Early Recovery Period after Stroke*

  title={Gait Pattern in the Early Recovery Period after Stroke*},
  author={In{\`e}s A. KRAMERS DE QUERVAIN and Sheldon R. Simon and Sue E. Leurgans and William S. Pease and David R. Mcallister},
  journal={The Journal of Bone \& Joint Surgery},
The gait patterns of eighteen patients who had had a single infarct due to obstruction of the middle cerebral artery were evaluated within one week after the patients had resumed independent walking and before a gait rehabilitation program had been initiated. [] Key Method Gait was analyzed with use of motion analysis, force-plate recordings, and dynamic surface electromyographic studies of the muscles of the lower extremities. The patterns of motion of the lower extremity on the hemiplegic side had a…

Figures from this paper


It is found that the shorter stance phase time for the affected side is related to the deficient ability to load and transfer weight through their affected leg and the resulting compensations that compromise walking.


It is found that the shorter stance phase time for the affected side is related to the deficient ability to load and transfer weight through their affected leg and the resulting compensations that compromise walking.

Analysis of Ankle Muscle Activities During the Extension Thrust of Hemiparetic Patients Gait

The results suggest the possibility that in the stance phase of the hemiplegic side, tibialis anterior activity is a factor contributing to knee extension during the loading response phase ofThe hemipLegic side.

Changes in the Gait Pattern of Hemiparetic Patients with Subacute Basal Ganglia Stroke: a Retrospective Study

The gait parameters of all stroke patients improved in terms of time and the changes in gait pattern were different depending on the motor grade of the paretic lower limb.

Gait Patterns in Hemiplegic Patients with Equinus Foot Deformity

Clustering of gait patterns in chronic hemiplegic patients with equinus deformity of the foot is helpful for a better understanding of dysfunction during gait and delivering more targeted treatment.

Gait and Muscle Activity Changes in Patients in the Recovery Phase of Stroke with Continuous Use of Ankle–Foot Orthosis with Plantarflexion Resistance

Plar Flexion movement induced by an ankle–foot orthosis with plantarflexion resistance could increase the activity ratio of the tibialis anterior during loading response.

Gait kinematics and physical function that most affect intralimb coordination in patients with stroke.

The study indicates that improvement in knee movement during the stance phase may improve coordination and clarify the gait kinematic and physical function variables that most affect intralimb coordination by using the continuous relative phase (CRP) between the thigh and shank.

Stretch reflex coupling between the hip and knee: implications for impaired gait following stroke

The presence of a reciprocal, reflex-mediated coupling between RF and AL following stroke suggests that changes in the excitability of spinal networks may contribute to the development of abnormal inter-joint coordination patterns observed during hemiparetic gait.

Electromyographic gait assessment, Part 2: Preliminary assessment of hemiparetic synergy patterns.

The electromyographic gait patterns of both lower limbs in 12 hemiparetic patients were studied during the early and late recovery periods and patients' stride parameters and EMG envelopes were compared to those of normal individuals measured at very-slow walking speeds.

Adult-onset hemiplegia: changes in gait after muscle-balancing procedures to correct the equinus deformity.

Postoperative analyses of gait showed that the stance and double-support phases ofGait of adult patients with acquired spastic equinus and equinovarus deformity approached the findings in normal control subjects.

Activation of paralysed leg flexors and extensors during gait in patients after stroke.

EMG activity of long foot flexor and extensor muscles was studied during gait in 34 ambulatory hemiparetic patients, correlating the EMG to phases of the gait cycle as monitored by switches placed on

Hemiplegic gait: analysis of temporal variables.

Key quantitative variables in hemiplegic gait were determined and correlated with clinical abnormality, eg, degree of motor recovery, and two temporal gait variables, walking speed and symmetry of the swing/phase, showed a good correlation with the stage ofMotor recovery.

Gait asymmetries in residual hemiplegia.

  • J. WallG. Turnbull
  • Medicine, Psychology
    Archives of physical medicine and rehabilitation
  • 1986
The basic rehabilitative implication of these findings is that it is not possible to design a single gait reeducation program for all residual stroke patients; the exercises prescribed must address the unique deficiencies of each patient.

Electromyographic gait analysis before and after operative treatment for hemiplegic equinus and equinovarus deformity.

The finding that the pattern of activity of the muscles whose tendon was transferred, lengthened, or released was not altered after operation makes the preoperative gait electromyogram a useful means of determining the appropriate surgical plan.

The functional recovery of stroke: a comparison between neuro-developmental treatment and the Brunnstrom method.

Time series analysis indicated that for one patient only, walking speed progressed more during the Brunnstrom phases than the N.D.T. phases, and this result did not generalize towards other parameters or patients studied.

Variation of time-distance parameters of the stride as related to clinical gait improvement in hemiplegics.

Gait improvement was evaluated in two different ways for 20 hemiplegics during an average follow-up period of 8 weeks in early rehabilitation. One way was by weekly measuring time-distance parameters

Gait performance of hemiparetic stroke patients: selected variables.

The results provide guidance as to which predictor variables might be important in assessing stroke patients and provide some guidance for identifying appropriate targets for treatment intervention with hemiparetic stroke patients.

Electromyographic gait assessment, Part 1: Adult EMG profiles and walking speed.

The profiles of the linear envelopes of surface electromyograms of seven major muscles in adults were studied as a function of walking speed and found that the fundamental phasing of muscle activity never changed but that relative amplitudes of the phases were modulated as speed increased.