Estudio baropodométrico en el hemipléjico vascular: relación con la discapacidad, equilibrio y capacidad de marcha

Abstract

Purpose Assess static and dynamic baropodometry in chronic stroke patients. Evaluate its relationship to balance, gait and disability measurements. Patients and method A descriptive cross-sectional study of 37 patients with chronic hemiparesis after stroke. Static and dynamic baropodometry (performed with MIDI-CAPTEURS S.A. BJL GROUP V. 2.08 ELECTRONIC PEL-38 BAROPODOMETRY SYSTEM [TWIN 99-1.02 version software]) was used to analyze plantar surface contact area, weight bearing symmetry, maximum and mean plantar pressures and gaitline. Disability, balance and gait were measured with the Functional Independence Measure (FIM), Berg Balance Scale (BBS), walking speed, Modified Functional Walking Categories (MFWC) and Scandinavian Stroke Scale (SSS). Results Relative plantar surface in the paretic foot regarding the non-paretic side was 74 % and was significantly correlated with the Functional Independence Measure (FIM) (r 0.573), walking speed and BBS. Body weight bearing asymmetry correlated with FIM, walking speed, BBS and the MFWC. Plantar surface of paretic step was statistically smaller (155 cm 2 vs. 139.8 cm 2, p 0.01) and 48.6 % of patients showed asymmetry and abnormalities on the progression line of the paretic side. Correlation with FIM, BBS and walking speed was significant for the plantar step surface of both feet during the step. Conclusion Plantar surface asymmetry and body weight bearing asymmetry in static standing as well as the dynamic plantar surface asymmetry along the step are significantly related with disability, balance and gait ability in stroke patients.