[논문]Structural Assessment of Spastic Hemiplegic Foot using the Foot Posture Index

Park, Ji-Won; Park, Seol

Structural Assessment of Spastic Hemiplegic Foot using the Foot Posture Index 원문보기

대한물리치료학회지 = The journal of Korean Society of Physical Therapy, v.23 no.6, 2011년, pp.55 - 59

Park, Ji-Won (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu) , Park, Seol (Department of Physical Therapy, General Graduate School, Catholic University of Daegu)

Abstract ▼ AI-Helper

Purpose: The aims of this study were to assess the degrees of foot abnormalities by comparing foot abnormalities after stroke using the FPI, and to investigate the relationship between the FPI and spasticity. Methods: 33 hemiplegic patients (patient group) and 39 healthy subjects (control group) were evaluated foot posture by the FPI. Spasticity in patient group was measured by the MAS. And the relationship between Foot posture and spasticity in patients group were investigated. Results: Hemiplegic feet in patients were supinated feet compare with non-hemiplegic feet in hemiplegic patients and the foot in control group. The degree of spasticity affected foot posture. Conclusion: Foot posture is related to stroke impairments, stroke patients with more severe spasticity have more severe foot abnormalities as supinated foot.

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문제 정의

Our goal is to collect preliminary data to study structural change on foot in stroke patients. As such, the aims of this study were to assess the degrees of foot abnormalities by comparing foot abnormalities after stroke using the FPI in people with stroke, and to investigate the relationship between the FPI and spasticity.
Our goal is to collect preliminary data to study structural change on foot in stroke patients. As such, the aims of this study were to assess the degrees of foot abnormalities by comparing foot abnormalities after stroke using the FPI in people with stroke, and to investigate the relationship between the FPI and spasticity.

제안 방법

Statistical analyses were performed using PAWS statistics 18 (SPSS, USA). Paired t-test was used for comparing FPI between hemiplegic feet and non-hemiplegic feet in the patient group, and a one-way ANOVA was used for comparing FPI among hemiplegic feet, non-hemiplegic feet in patient group, and feet in the control group. Duncan was used as post hoc test.
⁷ It also affects balance and gait for promoting ADL and independent activities, thus affecting the quality of life in stroke patients. Therefore, in order to demonstrate the relationship between spasticity and foot posture in hemiplegic patients, this study investigated whether spasticity in hemiplegic patients using the MAS affects abnormal foot posture using the FPI. The literature state that the primary influence on foot abnormalities is abnormal muscle control.
¹⁹ Briefly, this procedure involved asking the subject to take several steps in-place, prior to settling into a comfortable stance position. While each subject stood in their relaxed stance position with their arms by their side and looked straight ahead, each of the 6 clinical criteria of the FPI were assessed and scored on a 5-point scale from -2 to +2 by the same assessor. The six criteria were: position of the hand of the talus, observation of the curves above and below the lateral malleoli, the extent of calcaneal inversion/eversion, the extent of the bulge in the region of the talonavicular joint, the congruence of the medial longitudinal arch, and the extent of abduction/adduction of the forefoot on the rearfoot.

대상 데이터

There were 72 participants recruited in this study. Thirty-three patients with hemiplegia caused by stroke were recruited in the experimental group, all of whom were able to walk independently.
Thirty-three patients with hemiplegia caused by stroke were recruited in the experimental group, all of whom were able to walk independently. Thirty-nine healthy adults (dominant feet) were recruited in the control group, none of whom had any systemic diseases such as rheumatoid arthritis or gout, previous foot surgery, recent trauma of the foot, or had taken taking non-steroidal anti-inflammatory drugs within 3 months, and steroid injections. The mean time since onset in the experimental group was 20.

데이터처리

Duncan was used as post hoc test. Spearman analysis and simple linear regression were used to determine the relationship between the MAS and FPI in the patient group. The p-values less than 0.

이론/모형

In order to assess the degree of spasticity of muscles in the ankle joint for the patient group, the Modified Ashworth Scale (MAS)²² was used. Patients were asked to prevent voluntary muscle contraction by relaxation.

성능/효과

, and they were not investigating relevance with spasticity. This study found that hemiplegic feet in grade 0 and 1 in MAS with lower spasticity had 21% supinated and 26% pronated feet. Our result is similar to Forghany et al.
The literature state that the primary influence on foot abnormalities is abnormal muscle control. This study found that the relationship between the MAS and the FPI is strong; thus, foot posture is abnormally more supinated with increasing spasticity.

참고문헌 (24)

Anderson TP. Rehabilitation of patient with complete stroke. Krusen's handbook of physical medicine and rehabilitation.Philadelphia; WB Saunder's Company, 1990;656-678.
Forghany S, Tyson S, Nester CJ et al. Foot posture after stroke: Frequency, nature and clinical significance. Clin Rehabil. 2011;25(11):1050-1055.

상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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상세보기
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Structural Assessment of Spastic Hemiplegic Foot using the Foot Posture Index 원문보기

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Structural Assessment of Spastic Hemiplegic Foot using the Foot Posture Index 원문보기

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