The Analysis of Gait Variables and Plantar Pressure Patterns in Community-Dwelling Elderly Patients with Hemiplegic Stroke

• 발행기관: KEMA학회
• 저자명: Soonbeom Kim Jiyoung Park Dongheon Kang
• 간행물 정보: 『Journal of Musculoskeletal Science and Technology』제9권 제1호, 25~35쪽, 전체 11쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2025.06.30

국문 초록

Background: Stroke is a cerebrovascular disease characterized by interrupting the brain's blood supply or bleeding within brain tissue. It results in loss of brain function and primarily affects motor and sensory nerves. Stroke is a leading cause of adult disability and impairs mobility, and its incidence is expected to rise with population aging. After a stroke, characteristics such as decreased walking speed and asymmetry are observed. Identifying abnormal gait patterns is important for improving the quality of life and health of elderly individuals. Purpose: This study aims to identify the characteristics of plantar pressure distribution and patterns on the paretic side using a plantar pressure measurement system in elderly stroke patients aged 65 and older. Study design: Cross-sectional study Methods: We are sixteen stroke patients aged 65 and older living in the community who were recruited. Gait variables and plantar pressure variables were measured using plantar pressure measurement equipment. For gait variables, temporal variables such as stride time, step time, stance phase, swing phase, single support, double support, and cadence were measured and calculated. For plantar pressure variables, max force, mean pressure, contact areas, and contact time were measured. The analysis was divided into seven regions to identify the characteristics of plantar pressure distribution and patterns on the paretic side. Results: In the gait variables, the asymmetry between the paretic and non-paretic sides was confirmed in all variables except for stride time. In the plantar pressure distribution and pattern, in most areas, the non-paralytic side showed greater maximum force, average pressure, contact area, and contact time than the paralytic side. Regarding plantar pressure distribution and patterns, the paretic side predominantly used the lateral regions (Lateral Midfoot, Lateral Forefoot), and the inability to use the anterior regions (Toes, Hallux, Medial Forefoot, Lateral Forefoot) resulted in a pattern where propulsion could not be generated. Conclusions: If such asymmetrical gait persists, orthopedic joint deformities may occur, and mobility restrictions could decrease quality of life. The results of this study are expected to serve as objective data for designing and developing rehabilitation programs to restore muscle strength and balance to achieve gait symmetry.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

CONCLUSIONS

REFERENCES

키워드

Asymmetry Biomechanics Elderly Rehabilitation Stroke