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KMID : 0363320160370050763
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Journal of Korean Oriental Internal Medicine
2016 Volume.37 No. 5 p.763 ~ p.769
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Case Study of the Immediate Gait Improvement in a Post-Stroke Gait Disturbance Patient Equipped with a Weighted Vest
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Kim Cheol-Hyun
Hong Hae-Jin
Lee Sang-Kwan
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Abstract
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Objective: To confirm the immediate gait improvement in a post-stroke gait disturbance patient equipped with a weighted vest.
Methods: We selected a patient who was able to walk without another’s help or with tools. The selected patient had an
unstable gait because she had only started an independent gait within the past week, so we thought that a weighted vest could be very helpful for her. We first collected gait parameters using a treadmill gait analysis system while the patient walked on the treadmill without the weighted vest. After a 10-minute break, gait parameters were collected again while the patient walked on the treadmill while wearing the weighted vest. The gait parameters we collected included step length (cm), stance phase (%), swing phase (%), SW/ST, and gait line length (mm). For objective evaluation of gait improvement, we calculated the ratio of gait parameters of the right and left limbs.
Results: The gait of the post-stroke patient was more symmetrical when wearing the weighted vest than without the
weighted vest. Without the weighted vest, her step length ratio was 0.78, stance phase ratio was 0.88, swing phase ratio was 1.50, SW/ST ratio was 1.70, and gait line length ratio was 0.91. With the weighted vest, her step length ratio was 0.88, stance phase ratio was 0.90, swing phase ratio was 1.38, SW/ST ratio was 1.54, and gait line length ratio was 0.98. No side effects were observed due to the weighted vest.
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KEYWORD
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weighted vest, stroke, gait disturbance, gait analysis, case study
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