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[Diagnostics and early rehabilitation of biomechanical gait abnormalities in the patients with cerebral hemiparesis].

[Article in Russian]

Abstract

The objective of the present study was to evaluate the effectiveness of various systems for the analysis of gait biomechanics during the early period of rehabilitation in the patients presenting with central hemiparesis. 30 patients with central hemiparesis were examined with the use of the "Raptor-12", motion capture system, "TRUST-M" gyroscopic system, "Balance Master platform, and "Diasled" tension registration system. The severity of paresis estimated based on the 6-score scale varied from 2 to 4.5 (mean 3.7 +/- 0.9), the Ashworth spasticity index was 1.1 +/- 1.2. The clinically significant phenomena (low goniogram amplitude, gate asymmetry etc.) responsible for the poor mobility (the Rivermead index below 13) were revealed during the analysis using "Raptor-12" and "TRUST-M". These abnormalities served as the targets for the rehabilitative treatment. The analysis of walking parameters on the "Balance Master" platform provided no clinically significant results. The "Diasled" data made it possible to evaluate the treatment-induced improvement in the patients' conditions but had no influence on decision-making as regards the choice of the rehabilitation strategy. The analysis of gait biomechanics with goniometry provides a basis for differential early rehabilitation of walking disorders in the patients suffering central hemoparesis.

PMID:
24137930
[Indexed for MEDLINE]

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