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- Title
Plantar Pressure and Contact Area Measurement of Foot Abnormalities in Stroke Rehabilitation.
- Authors
Rusu, Ligia; Paun, Elvira; Marin, Mihnea Ion; Hemanth, Jude; Rusu, Mihai Robert; Calina, Mirela Lucia; Bacanoiu, Manuela Violeta; Danoiu, Mircea; Danciulescu, Daniel
- Abstract
Background: Evaluation of plantar pressure in stroke patients is a parameter that could be used for monitoring and comparing how the timing of starting a rehabilitation program effects patient improvement. Methods: We performed the following clinical and functional evaluations: initial moment (T1), intermediate (T2), and final evaluation at one year (T3). At T1 we studied 100 stroke patients in two groups, A and B (each 50 patients). The first group, A, started rehabilitation in the first three months after having a stroke, and group B started after three months from the time of stroke. Due to the impediments observed during rehabilitation, we made biomechanic evaluation for two lots, I and II (each 25 patients). Assessment of the patient was carried out by clinical (neurologic examination), functional (using the Tinetti Functional Gait Assessment Test for classifying the gait), and biomechanical evaluation (maximal plantar pressure (Pmax), contact area (CA), and pressure distribution (COP)). Results: The Tinetti scale for gait had the following scores: for group A, from 1.34 at the initial moment (T1) to 10.64 at final evaluation (T3), and for group B, 3.08 at initial moment (T1) to 9 at final evaluation (T3). Distribution of COP in the left hemiparesis was uneven at T1 but evolved after rehabilitation. The right hemiparesis had uniform COP distribution even at T1, explained by motor dominance on the right side. CA and Pmax for lot I increased more than 100%, meaning that there is a possibility for favorable improvement if the patients start the rehabilitation program in the first three months after stroke. For lot II, increases of the parameters were less than lot I. Discussions: The recovery potential is higher for patients with right hemiparesis. Biomechanic evaluation showed diversity regarding compensatory mechanisms for the paretic and nonparetic lower limb. Conclusions: CA and Pmax are relevant assessments for evaluating the effects on timing of starting a rehabilitation program after a stroke.
- Subjects
STROKE rehabilitation; AREA measurement; FOOT abnormalities; NEUROLOGIC examination; GAIT in humans
- Publication
Brain Sciences (2076-3425), 2021, Vol 11, Issue 9, p1213
- ISSN
2076-3425
- Publication type
Article
- DOI
10.3390/brainsci11091213