Dynamic structure of lower limb joint angles during walking post-stroke

Kelley Kempski, Louis N. Awad, Thomas S. Buchanan, Jill S. Higginson, Brian A. Knarr

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Variability in joint kinematics is necessary for adaptability and response to everyday perturbations; however, intrinsic neuromotor changes secondary to stroke often cause abnormal movement patterns. How these abnormal movement patterns relate to joint kinematic variability and its influence on post-stroke walking impairments is not well understood. Objective: The purpose of this study was to evaluate the movement variability at the individual joint level in the paretic and non-paretic limbs of individuals post-stroke. Methods: Seven individuals with hemiparesis post-stroke walked on a treadmill for two minutes at their self-selected speed and the average speed of the six-minute walk test while kinematics were recorded using motion-capture. Variability in hip, knee, and ankle flexion/extension angles during walking were quantified with the Lyapunov exponent (LyE). Interlimb differences were evaluated. Results: The paretic side LyE was higher than the non-paretic side at both self-selected speed (Hip: 50%; Knee: 74%), and the average speed of the 6-min walk test (Hip: 15%; Knee: 93%). Conclusion: Differences in joint kinematic variability between limbs of persons post-stroke supports further study of the source of non-paretic limb deviations as well as the clinical implications of joint kinematic variability in persons post-stroke. The development of bilaterally-targeted post-stroke gait interventions to address variability in both limbs may promote improved outcomes.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalJournal of Biomechanics
Volume68
DOIs
StatePublished - Feb 8 2018

Keywords

  • Gait
  • Nonlinear analysis
  • Stroke
  • Variability

ASJC Scopus subject areas

  • Biophysics
  • Orthopedics and Sports Medicine
  • Biomedical Engineering
  • Rehabilitation

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