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Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes

The six-minute walking test (6MWT) is used to assess exercise tolerance that is associated with motor function of the lower limbs in hemiparetic patients. It is suggested that, for post-stroke subjects, performance in the 6MWT may be limited by biomechanical and cardiovascular factors. Our aim is to...

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Autores principales: Moura, Laís Moreira, Quintão, Mônica Maria Pena, de Carvalho, Karen Santos R., Carrapatoso, Beatriz Cantanhede, Malfacini, Sabrina Lindenberg L., da Silva, André Custódio, Orsini, Marco, Nascimento, Osvaldo J.M., Chermont, Sergio S.M.C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591490/
https://www.ncbi.nlm.nih.gov/pubmed/26487924
http://dx.doi.org/10.4081/ni.2015.5417
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author Moura, Laís Moreira
Quintão, Mônica Maria Pena
de Carvalho, Karen Santos R.
Carrapatoso, Beatriz Cantanhede
Malfacini, Sabrina Lindenberg L.
da Silva, André Custódio
Orsini, Marco
Nascimento, Osvaldo J.M.
Chermont, Sergio S.M.C.
author_facet Moura, Laís Moreira
Quintão, Mônica Maria Pena
de Carvalho, Karen Santos R.
Carrapatoso, Beatriz Cantanhede
Malfacini, Sabrina Lindenberg L.
da Silva, André Custódio
Orsini, Marco
Nascimento, Osvaldo J.M.
Chermont, Sergio S.M.C.
author_sort Moura, Laís Moreira
collection PubMed
description The six-minute walking test (6MWT) is used to assess exercise tolerance that is associated with motor function of the lower limbs in hemiparetic patients. It is suggested that, for post-stroke subjects, performance in the 6MWT may be limited by biomechanical and cardiovascular factors. Our aim is to determine the correlation between the six-minute walk distance (6MWD) and the biomechanical profile of hemiparetic patients. During this cross-sectional controlled study, 10 hemiparetic patients with heart failure underwent 6MWT (ATS protocol). Tonus (Ashworth Scale) and goniometry of the lower limbs were measured. The average of 6MWD in two tests was 279±8 m. There was a negative correlation between the degree of spasticity for both the sural triceps (r=–0.57, P<0.05), quadriceps (r=–0.58, P<0.05) and the limitation in ankle dorsiflexion and the 6MWD (r=–0.76, P<0.05). Also, there was correlation between hip extension and ankle dorsiflexion limitations with 6MWD (r=0.66, P<0.05), (r=0.77, P<0.05). The negative correlation between the highest spasticity in paretic limb and the 6MWD and the correlation between the lower movement range of paretic hip and ankle suggest association with these factors and gait velocity in 6MWT. Loss percentage represents the percentage calculation between distance traveled and the distance predicted achieved by patients. In this study, the negative correlation between the percentage of loss of 6MWD and the limitation in the ankle dorsiflexion movement suggests that for a minor motion arch of the ankle, there is a higher percentage of walking distance loss foretold.
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spelling pubmed-45914902015-10-20 Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes Moura, Laís Moreira Quintão, Mônica Maria Pena de Carvalho, Karen Santos R. Carrapatoso, Beatriz Cantanhede Malfacini, Sabrina Lindenberg L. da Silva, André Custódio Orsini, Marco Nascimento, Osvaldo J.M. Chermont, Sergio S.M.C. Neurol Int Article The six-minute walking test (6MWT) is used to assess exercise tolerance that is associated with motor function of the lower limbs in hemiparetic patients. It is suggested that, for post-stroke subjects, performance in the 6MWT may be limited by biomechanical and cardiovascular factors. Our aim is to determine the correlation between the six-minute walk distance (6MWD) and the biomechanical profile of hemiparetic patients. During this cross-sectional controlled study, 10 hemiparetic patients with heart failure underwent 6MWT (ATS protocol). Tonus (Ashworth Scale) and goniometry of the lower limbs were measured. The average of 6MWD in two tests was 279±8 m. There was a negative correlation between the degree of spasticity for both the sural triceps (r=–0.57, P<0.05), quadriceps (r=–0.58, P<0.05) and the limitation in ankle dorsiflexion and the 6MWD (r=–0.76, P<0.05). Also, there was correlation between hip extension and ankle dorsiflexion limitations with 6MWD (r=0.66, P<0.05), (r=0.77, P<0.05). The negative correlation between the highest spasticity in paretic limb and the 6MWD and the correlation between the lower movement range of paretic hip and ankle suggest association with these factors and gait velocity in 6MWT. Loss percentage represents the percentage calculation between distance traveled and the distance predicted achieved by patients. In this study, the negative correlation between the percentage of loss of 6MWD and the limitation in the ankle dorsiflexion movement suggests that for a minor motion arch of the ankle, there is a higher percentage of walking distance loss foretold. PAGEPress Publications, Pavia, Italy 2015-09-24 /pmc/articles/PMC4591490/ /pubmed/26487924 http://dx.doi.org/10.4081/ni.2015.5417 Text en ©Copyright L.M. Moura et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Moura, Laís Moreira
Quintão, Mônica Maria Pena
de Carvalho, Karen Santos R.
Carrapatoso, Beatriz Cantanhede
Malfacini, Sabrina Lindenberg L.
da Silva, André Custódio
Orsini, Marco
Nascimento, Osvaldo J.M.
Chermont, Sergio S.M.C.
Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes
title Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes
title_full Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes
title_fullStr Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes
title_full_unstemmed Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes
title_short Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes
title_sort controlled study of correlation of biomechanical profile of hemiparetic patients with distance travelled in six minutes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591490/
https://www.ncbi.nlm.nih.gov/pubmed/26487924
http://dx.doi.org/10.4081/ni.2015.5417
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