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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(2):173-177.
Effects of Asymmetrical Weight Bearing during Straight and Circular Walking in Hemiplegic Patients.
Lee, Kyoung Moo , Han, Soo Hwan , Kim, Yong Suk
Department of Rehabilitation Medicine, College of Medicine, Chungbuk National University, Korea. yskim30@intizen.com
편마비 환자에서 직선 및 회전 보행 시 체중부하 비대칭성의 영향
이경무, 한수환, 김용석
충북대학교 의과대학 재활의학교실
Abstract
Objective
The purpose of this study was to compare and analyze the difference of weight bearing between affected and intact feet during straight or circular walking in hemiplegic patients.


Method
16 hemiplegic patients who could walk without assistive devices were included in this study. We used insole foot-pressure system to measure weight bearing ratio of both feet during walking. We assessed walking speed and pressure ratio during straight or circular walking at their comfortable gait speed.


Results
Pressure ratio of affected foot showed negative correlation with walking time irrespective of walking direction. Pressure ratio of affected foot and walking time during circular walking to the affected side was significantly higher and slower respectively than that to the intact side.


Conclusion
Asymmetrical weight bearing of both feet during walking is highly correlated with walking ability in hemiplegic patients and pressure ratio of affected foot may be simple and useful determinant of walking ability. (J Korean Acad Rehab Med 2003; 27: 173-177)

Key Words: Hemiplegia, Walking time, Circular walking, Foot pressure, Weight bearing


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