Stiff-Knee Gait Analysis

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Summary of Article: Stroke continues to cause stress to elderly people. Survivors may have difficulty with mobility after the incident during their neurological recovery due to muscle imbalance. Surgical correction is rarely considered for patients who may have issues with their gait after a stroke. Most patients after a stroke may have a chronic foot deformity or stiff-knee gait, which will disturb their walking, however, it is handled through clinical management and not surgical methods. Neuro-orthopaedic specialists identify abnormal gait patterns using techniques such as, dynamic electromyography or three-dimensional kinematic and kinetic studies. Certain patients may benefit from a referral for gait assessment to improve the diagnosis of their hind-foot deformity or stiff-knee gait. From previous research, 50% of long-term stroke survivors have some sort of foot deformity, which prevents effective plantigrade walking in 30% of the survivors. Certain…show more content…
Therefore, due to poor evidence and support stroke patients are rarely referred for surgical options. Some patients could be considered for technological gait analysis, and these patients would even benefit from a simple surgery. A lot of times gait abnormalities are very subtle and very difficult to diagnose. Sometimes they happen months after the initial event, making it even more difficult to notice the gait abnormality. A suggestive approach to help with these difficulties of treating gait abnormality have been suggested: 1. A screening exercise could identify the scale and type of the problem (using gait analysis). 2. A RCT is needed to assess surgical treatment. Treatment protocols need further work, however, more research on the topic will help with reliable evidence to indicate whether such management could help improve ambulation in chronic stroke

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