Spastic paretic stiff-legged gait: Biomechanics of the unaffected limb

American Journal of Physical Medicine and Rehabilitation

Volumn 78, Issue 4, 1999, Pages 354-360

  Kerrigan, D Casey ^a,b   Frates, Elizabeth P ^a,b   Rogan, Shannon ^b   Riley, Patrick O ^a,b  

^a HARVARD MEDICAL SCHOOL   (United States)

^b and Red Sox Foundation and Massachusetts General Hospital Home Base Program   (United States)

Author keywords

Adult; Biomechanics; Gait; Hemiplegia; Human; Kinetics; Rehabilitation; Stroke

Indexed keywords

BIOMECHANICS; KINETIC THEORY; OPTOELECTRONIC DEVICES; PATIENT REHABILITATION; TORQUE;

ANKLE; FORCE PLATFORM SYSTEM; HEMIPARESIS; HIP; KNEE; LIMB; OPTOELECTRONIC MOTION ANALYSIS; SAGITTAL PLANE JOINT MOTION; STIFF LEGGED GAIT; STROKE;

JOINTS (ANATOMY);

ADULT; AGED; ANKLE; BIOMECHANICS; CONTROLLED STUDY; FEMALE; GAIT; HEMIPARESIS; HIP; HUMAN; JOINT INJURY; JOINT MOBILITY; KNEE; LIGAMENT INJURY; MAJOR CLINICAL STUDY; MALE; MUSCLE CONTRACTION; PATHOGENESIS; REVIEW; RISK ASSESSMENT; STROKE; TENDON; TORQUE;

ANKLE JOINT; BIOMECHANICS; CASE-CONTROL STUDIES; CEREBROVASCULAR DISORDERS; FEMALE; GAIT; HEMIPLEGIA; HIP JOINT; HUMANS; KNEE JOINT; MALE; MIDDLE AGED; MUSCLE SPASTICITY; TORQUE; WALKING;

EID: 0032799317     PISSN: 08949115     EISSN: None     Source Type: Journal    
DOI: 10.1097/00002060-199907000-00012     Document Type: Review

References (24)

1. Olney SJ, Griffin MP, Monga TN, McBride ID: Work and power in gait of stroke patients. Arch Phys Med Rehabil 1991;72:309-314.
2. Felson DT, Zhang Y: An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum 1998;41:1343-1355.
3. Moskowitz RW: Experimental models of osteoarthritis, in Moskowitz RVV, Howell DS, Goldberg VM, Mankin HJ (eds): Osteoarthritis: Diagnosis and Medical/Surgical Management, ed 2. Philadelphia, WB Saunders, 1992, pp 213-232.
4. Lage KJ, White SC, Yack HJ: The effects of unilateral knee immobilization on lower extremity gait mechanics. Med Sci Sports Exerc 1995;27:8-14.
5. Shiavi R, Bugle H, Limbird T: Electromyographic gait assessment. Part 2. Preliminary assessment of hemiparetic synergy patterns. J Rehabil Res Dev 1987;24:24-30.
6. Olney SJ, Griffin MP, McBride ID: Temporal, kinematic, and kinetic variables related to gait speed in subjects with hemiplegia: a regression approach. Phys Ther 1994;74:872-885.
7. Adams JM, Perry J: Gait analysis: clinical application, in Rose J, Gamble JG (eds): Human Walking, ed 2. Philadelphia, Williams & Wilkins, 1994, p 149.
8. Pease W, Quesada P: Kinematics and kinetics of gait, in Braddom RL (eds): Physical Medicine & Rehabilitation. Philadelphia, WB Saunders, 1996, pp 83-103.
9. Perry J, Montgomery J: Gait of the stroke patient and orthotic indication, in Brandstater ME, Basmajian JV (eds): Stroke Rehabilitation, Baltimore, Williams & Wilkins, 1987, pp 278-279.
10. Winter DA: Biomechanics and Motor Control of Human Movement, ed 2. New York, John Wiley and Sons, 1990.
11. Winter DA: The Biomechanics and Motor Control of Human Gait: Normal, Elderly and Pathological, ed 2. Waterloo, Ontario, University of Waterloo Press, 1991.
12. Meglan D, Todd F: Kinetics of human locomotion, in Rose J, Gamble JG (eds): Human Walking, ed 2. Baltimore, Williams & Wilkins, 1994, pp 73-99.
13. Brandstater ME, de Bruin H, Gowland C, Clark BM: Hemiplegic gait: analysis of temporal variables. Arch Phys Med Rehabil 1983;64:583-587.
14. Kerrigan DC, Todd MK, Della Croce U: Gender differences in joint biomechanics during walking: normative study in young adults. Am J Phys Med Rehabil 1998;77:2-7.
15. Kerrigan DC, Todd MK: Della Croce U, Lipsitz LA, Collins JJ: Biomechanical gait alterations independent of speed in the healthy elderly: evidence for specific limiting impairments. Arch Phys Med Rehabil 1998;79:317-322.
16. Kerrigan DC, Roth RS, Riley PO: The modelling of spastic paretic stiff-legged gait based on actual kinematic data. Gait Posture 1998;7:117-124.
17. Kerrigan DC, Gronley J, Perry J: Stiff-legged gait in spastic paresis: a study of quadriceps and hamstrings muscle activity. Am J Phys Med Rehabil 1991;70:294-300.
18. Kerrigan DC, Deming LC, Holden MK: Knee recurvatum in gait: a study of associated knee biomechanics. Arch Phys Med Rehabil 1996;77:645-650.
19. Kerrigan DC, Todd MK, Riley PO: Knee osteoarthritis and high-heeled shoes. Lancet 1998;351:1399-1401.
20. Bresler B, Frankel JP: The forces and moments in the leg during level walking. Trans Am Soc Mech Eng 1950;48:27-36.
21. Frigo C, Rabuffetti M, Kerrigan DC, Deming LC, Pedotti A: Functionally oriented and clinically feasible quantitative gait analysis method. Med Biol Eng Comput 1998;36:179-185.
22. Kerrigan DC, Abdulhadi HM, Ribaudo TA, Della Croce U: Biomechanic effects of a contralateral shoe-lift on walking with an immobilized knee. Arch Phys Med Rehabil 1997;78:1085-1091.
23. Perry J: Gait Analysis: Normal and Pathological Function. Thorofare, SLACK, Inc., 1992.
24. Roth EJ, Merbitz C, Mroczek K, Dugan SA, Suh WW: Hemiplegic gait: relationships between walking speed and other temporal parameters. Am J Phys Med Rehabil 1997;76:128-133.