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New insight into postural adjustments during locomotion post stroke

A new clinical measure of postural adaptation, the Advanced Mobility and Balance Scale (AMBS), was developed to assess balance capacities of stroke patients in standing and walking. In the first pilot study, involving 12 stroke patients and 6 healthy subjects, we found excellent interrater reliability and reasonable discriminative capacity of the AMBS. However, high-level functioning stroke subjects could not be differentiated from healthy subjects. / In order to refine the scoring of the AMBS for better discrimination, we conducted a kinematic analysis of head turning while walking in 10 stroke patients and 5 age-matched healthy subjects. Results showed that stroke patients manifested disrupted head-trunk-pelvis coordination and increased footpath deviation during head turns towards the paretic side. These abnormal patterns are likely due to compensations and altered sensorimotor integration processes.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.33789
Date January 2002
CreatorsKairy, Dahlia.
ContributorsPaquet, Nicole (advisor), Fung, Joyce (advisor)
PublisherMcGill University
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Formatapplication/pdf
CoverageMaster of Science (School of Physical and Occupational Therapy.)
RightsAll items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated.
Relationalephsysno: 001862289, proquestno: MQ78906, Theses scanned by UMI/ProQuest.

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