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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(1):20-25.
The Relationship between Weight-Bearing and Stiff-Knee Gait in Hemiplegic Patients.
Kim, Deog Young , Park, Chang Il , Jang, Yong Won , Ahn, So Young , Na, Sang il , Park, Young Sun
Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. rina-an@hanmail.net
편마비 환자에서 체중부하 정도와 뻐쩡다리 보행과의 상관관계
김덕용, 박창일, 장용원, 안소영, 나상일, 박영선
연세대학교 의과대학 재활의학교실 및 재활의학연구소
Abstract
Objective
To determine whether insufficient weight- bearing on the hemiparetic side has a correlation with the degree of stiff-knee gait in hemiplegic patients.
Method
Fifty hemiplegic patients were included. In all patients, 3-dimensonal gait analysis and static and dynamic foot pressure measurements were taken. The degree of stiff-knee gait was evaluated using the peak knee flexion angle and the knee flexion slope at toe-off in hemiplegic limb. The degree of weight-bearing was evaluated using the percentage of hemiplegic foot pressure and pressure-time integration on the non-hemiplegic side.
Results
The static and dynamic mean pressure ratios and pressure-time integration ratio were statistically correlated with peak knee flexion angle and knee flexion slope (p<0.01).
Conclusion
As a result, insufficient weight-bearing had a correlation with the degree of stiff-knee gait in hemiplegic patients. Insufficient weight-bearing should be further investigated to determine whether it is one of the characteristic findings of stiff-knee gait, or another cause of stiff-knee gait. (J Korean Acad Rehab Med 2004; 28: 20-25)
Key Words: Hemiplegia, Stiff-knee gait, Weight-bearing


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