Preswing Knee Flexion Assistance Is Coupled With Hip Abduction in People With Stiff-Knee Gait After Stroke

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Preswing knee flexion assistance is coupled with hip abduction in people with stiff-knee gait after stroke.

BACKGROUND AND PURPOSE Stiff-knee gait is defined as reduced knee flexion during the swing phase. It is accompanied by frontal plane compensatory movements (eg, circumduction and hip hiking) typically thought to result from reduced toe clearance. As such, we examined if knee flexion assistance before foot-off would reduce exaggerated frontal plane movements in people with stiff-knee gait after ...

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Importance of preswing rectus femoris activity in stiff-knee gait.

Stiff-knee gait is characterized by diminished and delayed knee flexion during swing. Rectus femoris transfer surgery, a common treatment for stiff-knee gait, is often recommended when a patient exhibits prolonged activity of the rectus femoris muscle during swing. Treatment outcomes are inconsistent, in part, due to limited understanding of the biomechanical factors contributing to stiff-knee ...

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Kinematic and kinetic factors that correlate with improved knee flexion following treatment for stiff-knee gait.

Stiff-knee gait is a movement abnormality in which knee flexion during swing phase is significantly diminished. This study investigates the relationships between knee flexion velocity at toe-off, joint moments during swing phase and double support, and improvements in stiff-knee gait following rectus femoris transfer surgery in subjects with cerebral palsy. Forty subjects who underwent a rectus...

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Muscles that influence knee flexion velocity in double support: implications for stiff-knee gait.

Adequate knee flexion velocity at toe-off is important for achieving normal swing-phase knee flexion during gait. Consequently, insufficient knee flexion velocity at toe-off can contribute to stiff-knee gait, a movement abnormality in which swing-phase knee flexion is diminished. This work aims to identify the muscles that contribute to knee flexion velocity during double support in normal gait...

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Stiff-knee gait is a common walking problem in cerebral palsy characterized by insufficient knee flexion during swing. To identify factors that may limit knee flexion in swing, it is necessary to understand how unimpaired subjects successfully coordinate muscles and passive dynamics (gravity and velocity-related forces) to accelerate the knee into flexion during double support, a critical phase...

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ژورنال

عنوان ژورنال: Stroke

سال: 2010

ISSN: 0039-2499,1524-4628

DOI: 10.1161/strokeaha.110.586917