Quantitative and Qualitative Analysis of Gait in Right and Left Side Stroke Patients

Abstract

To determine the gait pattern in right and left sided stroke patients which will be useful, in diagnosis of gait abnormality, help in correcting the gait pattern for gait re-education and also to prevent deformity. Thirty six subjects [31 male, 5 female] who were affected by stroke were randomly assigned to one of two intervention groups. Group I consist of 18 patients with right side stroke. Group II consist of 18 patients with left side stroke. During the quantitative measurement, patients were instructed to walk at their comfortable speeds on a 10-m walk way for three repetitions. Typically, a rest period of about 2 mts was given after each walk trial. Gait analysis is facilitated by the patient leaving a trace by walking with wet legs, chalk powder, or color powder. Distance between them is measured using inch tape. Parameter measured in the study was stride length, speed, and cadence. In observational gait analysis, the Tinetti gait scale is a simple and easily administrated test. The test is scored on the patients who have ability to perform specific tasks. By conventional criteria, this difference is considered to be not statistically significant between two groups. The overall results of the compensatory movements generated by the hemiplegic patient include a decrease in walking velocity with a shorter duration of stance phase, decreased weight bearing, and increased swing time for the affected leg. The unaffected leg has an increased stance time and decreased steplength.