EFFECT OF PELVIC TILT ON GAIT PARAMETERS IN PATIENTS WITH STROKE
Effect of pelvic tilt on parameters of gait in stroke patients
Keywords:
Stroke, Pelvic tilt, Trunk control, Gait parametersAbstract
Background: Pelvic asymmetry is commonly observed in stroke subjects. There is increased anterior and Lateral Pelvic Tilt in patients with a stroke which influences the gait parameters like stride length, step length, step width and the cadence of the stroke subject. Objectives: 1. To measure the pelvic tilt in stroke patients.2. To measure the gait parameters of the stroke patient. Materials and Methods: It was a cross-sectional study conducted on 18 patients with stroke. Anterior and Lateral Pelvic Tilt of stroke subjects were measured using pelvic inclinometer. The deviation in pelvic tilt was measured in degrees. Patients were asked to walk on a given platform with or without assistive device. Following this, Gait parameters were measured like stride length, step length, step width and cadence. Results: There was a negative correlation between Anterior Pelvic Tilt and stride length, with r-value of -0.8774 and p-value <0.0001 (extremely significant). Step length and Anterior Pelvic Tilt was also correlated r = -0.7870 and p =0.0001 (extremely significant). Step width and Anterior Pelvic Tilt was correlated which was also negative correlation r =- 0.9817 and p = <0.0001 which was extremely significant and cadence and Anterior Pelvic Tilt was also negative correlation which showed r = -0.6538 and p = 0.0033 which was extremely significant. Stride length and Lateral Pelvic Tilt was correlated were correlation r was -0.8060 and significance p was <0.0001 and the test was extremely significant. Step length and Lateral Pelvic Tilt also had a negative correlation, correlation r was -0.6743 and significance p was 0.0021 which was very significant. Step width and Lateral Pelvic Tilt was correlated had the test showed negative correlation r =-0.8140 and p=<0.0001 which was also extremely significant and cadence after correlation with Lateral Pelvic Tilt also showed
negative correlation were r= -0.5825 and p=0.0112 which was significant. Conclusion: - It can be concluded from the study that there is a significant relationship between Anterior Pelvic Tilt, Lateral Pelvic Tilt and gait parameters in patients with stroke.
References
Mishra NK, Khadilkar SV. Stroke program for India. Annals of Indian Academy of Neurology. 2010 Jan;13(1):28.
Banerjee TK, Das SK. Epidemiology of stroke in India. Neurology Asia. 2006 Jun;11:1-4.
Ryerson S, Byl NN, Brown DA, Wong RA, Hidler JM. Altered trunk position sense and its relation to balance functions in people post-stroke. Journal of Neurologic
Physical Therapy. 2008 Mar 1;32(1):14-20.
Verheyden G, Vereeck L, Truijen S, Troch M, Herregodts I, Lafosse C, Nieuwboer A, De Weerdt W. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clinical rehabilitation. 2006 May;20(5):451-8.
Pathak S, Vijayakumar K, Nayak A, Kedambadi RC. The relationship between pelvic alignment and trunk control in stroke subjects: a cross-sectional study. Int J Res
Med Sci. 2015;2(2):1483-7.
Dubey L, Karthikbabu S, Mohan D. Effects of pelvic stability training on movement control, hip muscles strength, walking speed and daily activities after stroke: a randomized controlled trial. Annals of neurosciences. 2018;25(2):80-9.
Lee D, Hodges P. Principles of the integrated model of function and its application to the lumbopelvic-hip region. The Pelvic Girdle: An Approach to the Examination and Treatment of the Lumbopelvic-Hip Region. 3rd ed. Philadelphia, PA: Churchill Livingstone. 2004:41-54.
Kim MK, Kim SG, Shin YJ, Choi EH, Choe YW. The relationship between Anterior Pelvic Tilt and gait, balance in patient with chronic stroke. Journal of physical therapy science. 2017;30(1):27-30.
Verheyden G, Ruesen C, Gorissen M, Brumby V, Moran R, Burnett M, Ashburn A. Postural alignment is altered in people with chronic stroke and related to motor and
functional performance. Journal of Neurologic Physical Therapy. 2014 Oct 1;38(4):239-45.
Hacmon RR, Krasovsky T, Lamontagne A, Levin MF. Deficits in intersegmental trunk coordination during walking are related to clinical balance and gait functionin chronic stroke. Journal of neurologic physical therapy. 2012 Dec 1;36(4):173-81.
Karthikbabu S, Chakrapani M, Ganesan S, Ellajosyla R. Pelvic alignment in standing, and its relationship with trunk control and motor recovery of lower limb after
stroke. Neurology and Clinical Neuroscience. 2017 Jan;5(1):22-8.
Messier S, Bourbonnais D, Desrosiers J, Roy Y. Dynamic analysis of trunk flexion after stroke. Archives of
physical medicine and rehabilitation. 2004 Oct 1;85
(10):1619-24.
Verheyden G, Vereeck L, Truijen S, Troch M, Herregodts I, Lafosse C, Nieuwboer A, De Weerdt W. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clinical rehabilitation. 2006 May;20(5):451-8.
Karthikbabu S, Chakrapani M, Ganesan S, Ellajosyula R. Relationship between pelvic alignment and weightbearing asymmetry in community-dwelling chronic stroke survivors. Journal of neurosciences in rural practice. 2016 Dec;7(Suppl 1):S37.
Genthon N, Gissot AS, Froger J, Rougier P, Pe rennou D. Posturography in patients with stroke: estimating the percentage of body weight on each foot from a single
force platform. Stroke. 2008 Feb 1;39(2):489.
Naval DS, Nafeez S, Suruliraj K. Intra-rater and interrater reliability of measuring pelvic tilt using the palpation meter (PALMTM) device in stroke. International
Journal of Medical and Health Sciences. 2016;5(4):276-80.
Bujanda ED, Nadeau S, Bourbonnais D, Dickstein R. Associations between lower limb impairments, locomotor capacities and kinematic variables in the frontal plane during walking in adults with chronic stroke. Journal of rehabilitation medicine. 2003 Dec 1;35(6):259-64.
Tyson SF. Trunk kinematics in hemiplegic gait and the effect of walking aids. Clinical rehabilitation. 1999 Aug;13(4):295-300.
Genthon N, Rougier P, Gissot AS, Froger J, Pe lissier J, Pe rennou D. Contribution of each lower limb to upright standing in stroke patients. Stroke. 2008 Jun 1;39 (6):1793-9.
Lennon S. Gait re-education based on the Bobath concept in two patients with hemiplegia following stroke. Physical therapy. 2001 Mar 1;81(3):924-35.
Beardsley C, Egerton T, Skinner B. Test–re-test reliability and inter-rater reliability of a digital pelvic inclinometer in young, healthy males and females. PeerJ. 2016 Mar 31;4:e1881.
Wrisley DM, Marchetti GF, Kuharsky DK, Whitney SL. Reliability, internal consistency, and validity of data obtained with the functional gait assessment. Physical therapy. 2004 Oct 1;84(10):906-18.
Thieme H, Ritschel C, Zange C. Reliability and validity of the functional gait assessment (German version) in subacute stroke patients. Archives of physical medicine
and rehabilitation. 2009 Sep 1;90(9):1565-70.
Preece SJ, Willan P, Nester CJ, Graham-Smith P, Herrington L, Bowker P. Variation in pelvic morphology may prevent the identification of Anterior Pelvic Tilt.
Journal of Manual & Manipulative Therapy. 2008 Apr 1;16(2):113-7.
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