European Journal of Molecular & Clinical Medicine

Abstract

Background: Stroke-related gait disability has a substantial influence on stroke survivors' quality of life. Instrumental gait analysis aids in the identification of gait abnormalities, the development of appropriate treatment methods, and the monitoring of therapeutic intervention effectiveness. The objective of the study is to determine the gait kinematics in spastic hemiplegic patients using the Instrumental Gait Analysis (IGA) system.
Methods: The present descriptive study was done in the Department of Orthopedics, Prathima Institute of Medical Sciences, Karimnagar. A sample size of 100 subjects was obtained fulfilling the inclusion criteria. Gait analysis was carried out in the gait laboratory using the iSen3.08 system and STT-IWS sensors and kinematic data collected. Descriptive statistical analysis was performed to find out the mean and standard deviation for the quantitative data and qualitative data was expressed as frequency and percentage.
Results: Peak hip extension was reduced in the late stance phase, while peak hip flexion was reduced in the swing phase. During the loading response phase, knee flexion was reduced, and knee hyperextension was observed at mid-stance. During the late stance and swing phases, knee flexion was reduced. The majority of respondents' ankles stayed in plantar flexion at first contact, and their ankle plantar flexion was reduced during terminal stance and their ankle dorsiflexion was reduced during the swing phase.
Conclusion: Hemiplegic gait analysis aids in the development of effective treatment strategies and the provision of appropriate therapies. Gait study reveals the necessity for a variety of interventional treatments such as rehabilitative exercises, medicinal management, neurolysis, orthotic aids, and surgical interventions. This improves ambulation ability and overall quality of life.