Hemiplegic Gait, Stroke
Conditions
Brief summary
After stroke, a lot of patients present an hemiparesis and gait disorders. They need walking aids like quadripod cane or rolling cane. The quadripod cane confers a great stability but implies a walk in 3 times, thus consume more energy. The pause time necessary for the displacement (uplift) of the cane disappear with the Wheeleo. The investigators will study many spatio-temporal parameters to determine which one allows to decrease the walking speed.
Detailed description
Hemiparesis affects 65% of stroke patients and cause gait disorders. During rehabilitation, patients often need technical aids to the the return to walk. For example, they can use the quadripod cane and the rolling cane, called Wheeleo. Regarding the first one, as its name indicate, there are 4 feet while the other model has 4 wheels. Deltombe and al. proved that the walking speed is higher with a rolling cane. The investigators will recruited stroke patients and study many spatio-temporal parameters with a gait analysis system, when participants are walking with the two walking aids. Participants will achieve 6 minutes walking test and a 10 meters walking test, with a wearable inertial systems on their shoes. The investigators wish to reveal which spatio-temporal parameters most influence walking speed.
Interventions
6 minutes walking test 10 meters walking test Before this experimentation, we will fix wearables sensors on the shoes.
6 minutes walking test 10 meters walking test Before this experimentation, we will fix wearables sensors on the shoes.
Sponsors
Study design
Intervention model description
Clinical trial, randomized, crossover
Eligibility
Inclusion criteria
* Age \> 18 years * Hemiparesis following a stroke * Be able to walk with a quadripod cane independently * Be able to walk with the rolling cane independently * Be able to follow instructions
Exclusion criteria
* cognitive impairment * acute orthopedic impairment * other pathologies affecting walking (Parkinson's disease, severe polyneuropathy,...)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 10 meters walking test at fast speed | 2 days | Calculate the walking speed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 6 minutes walking test at spontaneous speed | 2 days | Spatio-temporals factors analysis (symmetry, time of unipodal/bipodal stance station,...) |
Countries
Belgium