Analysis of the Hemiplegic Gait by the Angle-to-Angle Diagram |
Tai Ryoon Han, M.D., Jin Ho Kim, M.D., , Min Wook Kim, M.D., |
Department of Rehabilitation Medicine, Seoul National University College of Medicine |
각도-대-각도 도형을 이용한 편마비 환자의 보행 분석 |
한태륜, 김진호, 김민욱 |
서울대학교 의학대학 재활의학교실 |
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Abstract |
Hemiplegic gait was characterized by the loss of neuromuscular coordination and control. The angle-to-angle diagram has potential of assessing the neuromuscular coordination and control. We tried to classify the hemiplegic gait pattern by angle-to-angle diagram in order to assess the hemiplegic gait in terms of neuromuscular coordination and control and investigate the characteristic of the groups. Fourty-six hemiplegic gaits were analysed by the telemeterized gait analysis system which demonstated angle-to-angle diagram and other kinematic data. Three groups were defined by Wad's minimum variance cluster analysis, in that variables were Pa(perimeter /√area) and area of the angle-to-angle diagram of the affected side, Group 1(Pa<6.5 and area≥450 Degree2) was good, Group 3(Pa≥6.5 and area<450 Degree2) was poor, and Group 2(Pa<6.5 and area<450 Degree2) was borderline in terms of neuromuscular coordination and control. Brunnstrom atage, gait state(aids), stride time and swing time were different between the groups. We conclude that this grouping by the angle-to-angle diagram is outstanding in terms of assessing neuromuscular coordination and control and gait state of hemiplegic gait. |
Key Words:
Hemiplegic gait, Angle-to-angle diagram, Neuromuscular coordination and control |
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