Stroke-specific Movement Patterns During Passage Through a Narrow-Opening: A Cross-Sectional Study.
Purpose: Individuals with stroke have difficulty rotating their trunk and adjusting their supporting foot when negotiating spatial constraints. This study aimed to classify movement patterns used when passing through narrow openings and to identify factors associated with stroke-specific patterns. M...
| Publicado en: | NeuroRehabilitation Vol. 59; no. 2; pp. 279 - 291 |
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| Autores principales: | , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196473407&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196473407 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Sep2026 vid: 59 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 196473407 195009033 196473407 196473407 10.1177/10538135261464177 196473407 ppf: 279 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Stroke-specific Movement Patterns During Passage Through a Narrow-Opening: A Cross-Sectional Study. aug: au: Muroi, Daisuke Matsui, Hiroshi Tomono, Takayuki Sakazaki, Juntaro Saito, Yutaro Nakazawa, Aki Kodama, Kentaro Higuchi, Takahiro affil: Division of Physical Therapy, Department of Rehabilitation Sciences, Faculty of Health Care Sciences, Chiba Prefectural University of Health Sciences, Chiba, Japan sug: subj: Stroke Patients Walking Evaluation Gait Analysis Human Funding Source Male Female Adult Middle Age Aged Cross Sectional Studies Torso Movement Descriptive Statistics Odds Ratio Confidence Intervals Balance, Postural Stroke Rehabilitation Clinical Assessment Tools Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose: Individuals with stroke have difficulty rotating their trunk and adjusting their supporting foot when negotiating spatial constraints. This study aimed to classify movement patterns used when passing through narrow openings and to identify factors associated with stroke-specific patterns. Methods: Twenty-three individuals with stroke (age: 60.7 ± 10.1 years, time after stroke: 15.2 ± 21.1 months, subacute and chronic, independently ambulatory), 23 age-matched community-dwelling adults (61.0 ± 9.7 years), and 12 young adults (25.4 ± 2.5 years) were recruited. Participants walked through openings of various widths. Movement patterns were independently classified by three trained physical therapists, and inter-rater agreement was assessed. Generalized linear mixed models with participants as a random effect were used to examine associations between pattern selection and clinical/environmental factors. Results: Five passing patterns were identified: (A) pivot, (B-1) early pivot, (B-2) early pivot with reverse trunk rotation, (C) multiple steps, and (D) no-rotation. Inter-rater agreement was substantial (Cohen's κ =.76). Stroke-specific patterns were patterns B-2 and C. The mixed-model analysis showed that B-2 and C were more likely with narrower openings (odds ratio [OR]:.52, 95% confidence interval [CI]:.39–.70; and OR:.18, 95% CI:.11–.32, respectively; both p <.001). TUG performance was not significantly associated with pattern C (OR: 1.22, 95% CI:.99–1.49, p =.056). Conclusion: Opening width was associated with stroke-specific pattern selection. Multi-step strategies may reflect increased stability demands, whereas pivot-like strategies may be associated with better mobility. These findings may help clinicians assess movement behaviors in constrained environments. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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