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Critical Reviews™ in Physical and Rehabilitation Medicine

Erscheint 4 Ausgaben pro Jahr

ISSN Druckformat: 0896-2960

ISSN Online: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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Spastic Paretic Gait: An Approach to Evaluation and Treatment

Volumen 7, Ausgabe 3, 1995, pp. 253-268
DOI: 10.1615/CritRevPhysRehabilMed.v7.i3.30
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ABSTRAKT

An approach to evaluation and treatment of spastic paretic gait is presented with a focus on the utilization of quantitative gait analysis in the formulation of a therapeutic plan. Presented is an overview of the typical spastic paretic gait patterns and an approach to their evaluation including strength, tone, range of motion, orthopedic deformity, observational gait evaluation, and quantitative gait evaluation. The procedures for gait analysis, including preparation and acquisition of the kinematic, kinetic, and dynamic EMG data, are presented. The approach to treatment utilizing standard physiatric interventions are discussed. Identifying each patient's unique set of impairments, disabilities, and compensations, regardless of underlying neurological disease, is critical for implementation of a focused and optimal therapeutic plan to maximize ambulatory function.

SCHLÜSSELWÖRTER: gait, rehabilitation, spastic, paresis
REFERENZIERT VON
  1. Kerrigan D. Casey, Burke David T., Nieto Tanya J., Riley Patrick O., Can Toe-Walking Contribute to Stiff-Legged Gait?, American Journal of Physical Medicine & Rehabilitation, 80, 1, 2001. Crossref

  2. Tenniglo Martin J., Nederhand Marc J., Prinsen Erik C., Nene Anand V., Rietman Johan S., Buurke Jaap H., Effect of Chemodenervation of the Rectus Femoris Muscle in Adults With a Stiff Knee Gait Due to Spastic Paresis: A Systematic Review With a Meta-Analysis in Patients With Stroke, Archives of Physical Medicine and Rehabilitation, 95, 3, 2014. Crossref

  3. Salem Yasser, Lovelace-Chandler Venita, Zabel Reta J., McMillan Amy Gross, Effects of Prolonged Standing on Gait in Children with Spastic Cerebral Palsy, Physical & Occupational Therapy In Pediatrics, 30, 1, 2010. Crossref

  4. Lennon Sheila, Ashburn Ann, Baxter David, Gait outcome following outpatient physiotherapy based on the Bobath concept in people post stroke, Disability and Rehabilitation, 28, 13-14, 2006. Crossref

  5. Annaswamy Thiru M., Giddings Candace J., Croce Ugo Della, Kerrigan D.Casey, Rectus femoris: Its role in normal gait, Archives of Physical Medicine and Rehabilitation, 80, 8, 1999. Crossref

  6. Sung Duk Hyun, Jung June-Yong, Kim Ho-Dirk, Ha Bom Joon, Ko Young Jin, Motor branch of the rectus femoris: anatomic location for selective motor branch block in stiff-legged gait 11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated., Archives of Physical Medicine and Rehabilitation, 84, 7, 2003. Crossref

  7. Sung Duk H., Bang Heui J., Motor branch block of the rectus femoris: Its effectiveness in stiff-legged gait in spastic paresis, Archives of Physical Medicine and Rehabilitation, 81, 7, 2000. Crossref

  8. Kerrigan D. Casey, Karvosky Mark E., Riley Patrick O., Spastic Paretic Stiff-Legged Gait, American Journal of Physical Medicine & Rehabilitation, 80, 4, 2001. Crossref

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  10. Crenna P., Fedrizzi E., Andreucci E., Frigo C., Bono R., The heel-contact gait pattern of habitual toe walkers, Gait & Posture, 21, 3, 2005. Crossref

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