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Trunk dysfunction and walking ability in hemiplegic patients Kazunari ENISHI 1 , Motoyuki ABE 2 , Hajime OGATA 2 1Department of Reahbilitation, University Hospital of Occupational and Environmental Health 2Department of Rehabilitation Medicine, University of Occupational and Environmental Health pp.821-826
Published Date 1996/11/15
DOI https://doi.org/10.11477/mf.1551104650
  • Abstract
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 We investigated the relationship between trunk function and walking ability in 91 hemiplegic patients and examined the usefulness of trunk function assessment.

 Using a force plate to measure sitting balance, we compared trunk function among three groups classified according to gait abilities at admission and discharge, we also examined the relations of Brunnstrom stages for upper and lower extremities to walking ability. We further compared sitting balance in patients with the results of two trunk function evaluation methods-NTP Stage(functional motor examination for the neck, trunk and pelvis in hemiplegia)and C-M Stage (Chedoke-McMaster Assessment, postural control).

 The results showed that stable sitting balance was requisite for independence in gait and that paretic limb function was an effective index to predict walking ability for most hemiplegic patients. In severe paretic patients, quality of trunk function appeared to be an important sign to predict gait ability. Of the two methods to assess hemiplegic trunk function, C-M stage was more effective for clinical purposes.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1359 印刷版ISSN 0915-0552 医学書院

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