Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Correlation among triceps surae muscle structure, balance, and gait in persons with stroke

  • Park, Hye-Kang (Rehabilitation Center, Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital) ;
  • Yu, Ki-Gon (Rehabilitation Center, Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital) ;
  • Shin, Jang-Hoon (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Lee, Wan-Hee (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University)
  • Received : 2020.08.28
  • Accepted : 2020.09.15
  • Published : 2020.09.30
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Abstract

Objective: This study aimed to compare muscle structure, balance, and gait parameters between healthy adults and persons with stroke and to analyze the correlation among these variables. Design: Cross-sectional study. Methods: Twenty persons with stroke (11 male, 9 female) and twenty healthy participants (9 male, 11 female) were included. Ultrasound images of the triceps surae and the tibialis anterior were acquired in sitting resting, sitting co-contraction, and standing resting positions and also during the functional reach test (FRT) and single leg anterior reaching test (SLART). Muscle thickness and fascicle length were measured. Spatiotemporal parameters of gait were measured using a pressure walkway. Gait speed, cadence, step length, stride length, stance time, and swing time were measured. Results: Changes in percent fascicle length were significantly greater in the gastrocnemius and soleus (SOL) muscles of healthy adults in the sitting co-contraction position (p<0.05). The percent fascicle length of the SOL in FRT and SLART were significantly greater in healthy adults (p<0.05). The mid-stance phase of stroke patients was shorter than healthy adults (p<0.05). A negative correlation was observed between percent fascicle length of the SOL in the sitting co-contraction position and the proportion of the mid-stance phase (p<0.05). Conclusions: The function of the triceps surae is affected in persons with stroke when compared with healthy adults. This can lead to difficulty in performing tasks that involve forward transfer of weight. If the triceps surae is not sufficiently secured, the possibility of compensation in the stance phase increases during gait.

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References

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