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Knee posture during gait and global functioning post-stroke: a theoretical ICF framework using current measures in stroke rehabilitation

Neves Rosa, Marlene Cristina, Marques, Alda, Demain, Sara and Metcalf, Cheryl D. (2015) Knee posture during gait and global functioning post-stroke: a theoretical ICF framework using current measures in stroke rehabilitation Disability and Rehabilitation, 37, (10), pp. 904-913. (doi:10.3109/09638288.2014.948132).

Record type: Article

Abstract

Purpose: To characterise the global functioning post-stroke in patients with normal knee posture (NKP) and abnormal knee posture (AKP) during loading-response.
Methods: 35 people, 6 months post-stroke. with NKP and AKP were identified and assessed using clinical measures classified into the corresponding
International Classification of Functioning, Disability and Health (ICF) domains: weight function (body mass index); muscle power (knee isometric strength); muscle tone (Modified Ashworth Scale); voluntary motor control (Leg sub-score of Fugl–Meyer scale); walking short distances (5-meter walk test; Timed-Up and Go test); walking on different surfaces (Functional Ambulation Categories); moving around (Falls Efficacy Scale); moving using equipment (walking aids) and global assessment of function (WHODAS II). Age, gender, marital status, current occupation and caregivers support characterised personal factors.
Results: Patients with AKP had significantly lower knee flexor strength, higher knee flexor and extensor spasticity, more difficulty in maintaining a standing position, walking short and long distances, used walking aids more often and needed more caregiver support. Restriction in activities and participation were correlated with knee flexor strength for AKP and with knee spasticity for NKP group. Conclusions: AKP restricts functioning and participation.

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More information

Accepted/In Press date: 21 July 2014
e-pub ahead of print date: 6 August 2014
Published date: 2015

Identifiers

Local EPrints ID: 413558
URI: http://eprints.soton.ac.uk/id/eprint/413558
ISSN: 0963-8288
PURE UUID: b8930916-54aa-4937-968e-b62b1e6d8e08
ORCID for Cheryl D. Metcalf: ORCID iD orcid.org/0000-0002-7404-6066

Catalogue record

Date deposited: 25 Aug 2017 16:31
Last modified: 25 Aug 2017 16:31

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Contributors

Author: Marlene Cristina Neves Rosa
Author: Alda Marques
Author: Sara Demain

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