Influence of Kinesitherapy on Gait in Patients with Ischemic Stroke in the Chronic Period

Open Access Maced J Med Sci. 2015 Dec 15;3(4):619-23. doi: 10.3889/oamjms.2015.107. Epub 2015 Oct 7.


Aim: The study aims to trace the influence of specialized kinesitherapeutic methodology (SKTM) on gait in patients with ischemic stroke in the chronic period (ISChP).

Material and methods: The study was conducted with 56 patients with ISChP (duration of the disease up to 1 year). For determining changes in gait before and after the treatment a cadence of gait and maximum movement speed were taken into consideration. To determine the cadence, steps are counted for covering 6 meters and 10 meters respectively. The maximum speed of the gait is determined in m / min by dividing undergone distance (m) and time (min).

Results: Patients were found to significantly normalize the parameters of gait. Compared to the initial data, there is a significant reduction in the number of steps on 6 and 10 meters and a tendency to increase the speed of gait, with the significant change during the 1st month with a level of significance of p <0.001.

Conclusion: The applied specialized kinesitherapeutic methodology continued later as exercise program at home, which significantly improved gait cadence and speed of movement in patients with ischemic stroke in the chronic period and is with a supportive prolonged exposure.

Keywords: Chronic period; Gait; Ischemic stroke; Kinesitherapy; Neurodevelopment treatment; Physical activity.