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Distinct Ground Reaction Forces in Gait between the Paretic and Non-Paretic Leg of Stroke Patients: A Paradigm for Innovative Physiotherapy Intervention

This case report study aims to identify the differences in the ground reaction forces (GRF) placed on the forefoot, hindfoot, and entire foot between the paretic and non-paretic legs in two stroke patients to identify potential targets for improved physiotherapy treatment. A digital gait analysis fo...

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Detalles Bibliográficos
Autores principales: Kokolevich, Zoe Mass, Biros, Erik, Tirosh, Oren, Reznik, Jacqueline Elise
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8620401/
https://www.ncbi.nlm.nih.gov/pubmed/34828588
http://dx.doi.org/10.3390/healthcare9111542
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author Kokolevich, Zoe Mass
Biros, Erik
Tirosh, Oren
Reznik, Jacqueline Elise
author_facet Kokolevich, Zoe Mass
Biros, Erik
Tirosh, Oren
Reznik, Jacqueline Elise
author_sort Kokolevich, Zoe Mass
collection PubMed
description This case report study aims to identify the differences in the ground reaction forces (GRF) placed on the forefoot, hindfoot, and entire foot between the paretic and non-paretic legs in two stroke patients to identify potential targets for improved physiotherapy treatment. A digital gait analysis foot pressure insole was fitted inside the participants’ shoes to measure the percentage of body weight taken during the stance phase, and the vertical GRF of the two subjects are reported in this paper. Both patients presented noteworthy differences in gait parameters individually and between their paretic and non-paretic legs. The trend shows a decreased percentage of body weight on the paretic forefoot and hindfoot, although the percentage bodyweight placed on the entire foot remained similar in both feet. The gait patterns shown were highly individual and indicated that both legs were affected to some degree. These findings identify key motion targets for an improved physiotherapy treatment following a stroke, suggesting that physiotherapy treatment should be targeted and individually tailored and should include both extremities.
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spelling pubmed-86204012021-11-27 Distinct Ground Reaction Forces in Gait between the Paretic and Non-Paretic Leg of Stroke Patients: A Paradigm for Innovative Physiotherapy Intervention Kokolevich, Zoe Mass Biros, Erik Tirosh, Oren Reznik, Jacqueline Elise Healthcare (Basel) Case Report This case report study aims to identify the differences in the ground reaction forces (GRF) placed on the forefoot, hindfoot, and entire foot between the paretic and non-paretic legs in two stroke patients to identify potential targets for improved physiotherapy treatment. A digital gait analysis foot pressure insole was fitted inside the participants’ shoes to measure the percentage of body weight taken during the stance phase, and the vertical GRF of the two subjects are reported in this paper. Both patients presented noteworthy differences in gait parameters individually and between their paretic and non-paretic legs. The trend shows a decreased percentage of body weight on the paretic forefoot and hindfoot, although the percentage bodyweight placed on the entire foot remained similar in both feet. The gait patterns shown were highly individual and indicated that both legs were affected to some degree. These findings identify key motion targets for an improved physiotherapy treatment following a stroke, suggesting that physiotherapy treatment should be targeted and individually tailored and should include both extremities. MDPI 2021-11-12 /pmc/articles/PMC8620401/ /pubmed/34828588 http://dx.doi.org/10.3390/healthcare9111542 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Kokolevich, Zoe Mass
Biros, Erik
Tirosh, Oren
Reznik, Jacqueline Elise
Distinct Ground Reaction Forces in Gait between the Paretic and Non-Paretic Leg of Stroke Patients: A Paradigm for Innovative Physiotherapy Intervention
title Distinct Ground Reaction Forces in Gait between the Paretic and Non-Paretic Leg of Stroke Patients: A Paradigm for Innovative Physiotherapy Intervention
title_full Distinct Ground Reaction Forces in Gait between the Paretic and Non-Paretic Leg of Stroke Patients: A Paradigm for Innovative Physiotherapy Intervention
title_fullStr Distinct Ground Reaction Forces in Gait between the Paretic and Non-Paretic Leg of Stroke Patients: A Paradigm for Innovative Physiotherapy Intervention
title_full_unstemmed Distinct Ground Reaction Forces in Gait between the Paretic and Non-Paretic Leg of Stroke Patients: A Paradigm for Innovative Physiotherapy Intervention
title_short Distinct Ground Reaction Forces in Gait between the Paretic and Non-Paretic Leg of Stroke Patients: A Paradigm for Innovative Physiotherapy Intervention
title_sort distinct ground reaction forces in gait between the paretic and non-paretic leg of stroke patients: a paradigm for innovative physiotherapy intervention
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8620401/
https://www.ncbi.nlm.nih.gov/pubmed/34828588
http://dx.doi.org/10.3390/healthcare9111542
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