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Interlimb coordination during the stance phase of gait in subjects with stroke

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dc.contributor.authorSousa, Andreia S. P.
dc.contributor.authorSilva, Augusta
dc.contributor.authorSantos, Rubim
dc.contributor.authorSousa, Filipa
dc.contributor.authorTavares, João Manuel
dc.date.accessioned2014-01-07T11:16:24Z
dc.date.available2014-01-07T11:16:24Z
dc.date.issued2013
dc.description.abstractTo analyze the relation between contralesional and ipsilesional limbs in subjects with stroke during step-to-step transition of walking. Observational, transversal, analytical study with a convenience sample. Physical medicine and rehabilitation clinic. Participants: Subjects (nZ16) with poststroke hemiparesis with the ability to walk independently and healthy controls (nZ22). Interventions: Not applicable. Main Outcome Measures: Bilateral lower limbs electromyographic activity of the soleus (SOL), gastrocnemius medialis, tibialis anterior, biceps femoris, rectus femoris, and vastus medialis (VM) muscles and the ground reaction force were analyzed during double-support and terminal stance phases of gait. The propulsive impulse of the contralesional trailing limb was negatively correlated with the braking impulse of the leading limb during double support (rZ .639, PZ.01). A moderate functional relation was observed between thigh muscles (rZ .529, PZ.035), and a strong and moderate dysfunctional relation was found between the plantar flexors of the ipsilesional limb and the vastus medialis of the contralesional limb, respectively (SOL-VM, rZ .80, P<.001; gastrocnemius medialis-VM, rZ .655, PZ.002). Also, a functional moderate negative correlation was found between the SOL and rectus femoris muscles of the ipsilesional limb during terminal stance and between the SOL (rZ .506, PZ.046) and VM (rZ .518, PZ.04) muscles of the contralesional limb during loading response, respectively. The trailing limb relative impulse contribution of the contralesional limb was lower than the ipsilesional limb of subjects with stroke (PZ.02) and lower than the relative impulse contribution of the healthy limb (PZ.008) during double support. The findings obtained suggest that the lower performance of the contralesional limb in forward propulsion during gait is related not only to contralateral supraspinal damage but also to a dysfunctional influence of the ipsilesional limb.por
dc.identifier.citationSousa, A. S. P., Silva, A., Santos, R., Sousa, F., & Tavares, J. M. R. S. (2013). Interlimb Coordination During the Stance Phase of Gait in Subjects With Stroke. Archives of Physical Medicine and Rehabilitation, 94(12), 2515–2522. https://doi.org/10.1016/j.apmr.2013.06.032
dc.identifier.doi10.1016/j.apmr.2013.06.032pt_PT
dc.identifier.issn0003-9993
dc.identifier.urihttp://hdl.handle.net/10400.22/3238
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.relation.ispartofseriesArchives of Physical Medicine and Rehabilitation; Vol. 94, Nº 12
dc.relation.publisherversionhttp://www.sciencedirect.com/science/article/pii/S0003999313005376por
dc.subjectElectromyographypor
dc.subjectGaitpor
dc.subjectRehabilitationpor
dc.titleInterlimb coordination during the stance phase of gait in subjects with strokepor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2522por
oaire.citation.issueNº 12por
oaire.citation.startPage2515por
oaire.citation.titleArchives of Physical Medicine and Rehabilitationpor
oaire.citation.volumeVol. 94por
person.familyNamePinheiro de Sousa
person.familyNameFerreira Silva
person.familyNameRubim Silva Santos
person.givenNameAndreia Sofia
person.givenNameMaria Augusta
person.givenNameManuel
person.identifier1070119
person.identifier1087589
person.identifier.ciencia-id2216-9200-7EF6
person.identifier.ciencia-idCE18-7090-9C5E
person.identifier.ciencia-idA018-2B24-C597
person.identifier.orcid0000-0001-9528-1463
person.identifier.orcid0000-0001-5018-6905
person.identifier.orcid0000-0002-7394-7604
person.identifier.ridC-7138-2019
person.identifier.scopus-author-id55950021600
person.identifier.scopus-author-id24482045400
rcaap.rightsopenAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublicationaeecfe02-e80d-49ab-9033-a1ade15658f2
relation.isAuthorOfPublicationedfc4f79-82b7-4669-8fa1-220cc20aa495
relation.isAuthorOfPublication0a264044-a870-4fca-b976-f7ce003d23a8
relation.isAuthorOfPublication.latestForDiscoveryedfc4f79-82b7-4669-8fa1-220cc20aa495

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