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KMID : 0377619720230060565
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Korean Jungang Medical Journal
1972 Volume.23 No. 6 p.565 ~ p.570
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Gait Training and Lower-Extremity Bracing in Hemiplegia
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Abstract
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Most patients with hemiplegia exhibit primitive pattern motion whenever there is serious impairment of selective motor control. The upper extremity patterns are not well defined and functional recovery is poor, often barely above the reflex level. This is consistent with the versality required for normal daily activities and the large topographic representation of the upper extremity in the cerebral cortex.
Such cortical dominance appears to diminish pattern recall. The lower extremity, however, cortical representation relatively small, the primitive patterns are discrete and prominent, and most patients regain a useful mode of walking. They can initiate the extensor pattern for standing and use the flexor pattern to take steps.
In this paper, two illustrative cases demonstrate some results of gait training, entirely dependent on primitive patterns of mass flexion and mass extension synergy and bracing in safe for independent gait. The gait mechanics in hemiplegia are defined and discussed, and all the defects in gait related to hemiplegia that will respond to bracing can be managed by a short leg brace with 90-95° stop adjustable ankle lock.
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