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Neurology International
Volume 7
Issue 2
10.4081/ni.2015.5417
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Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes

by
Laís Moreira Moura
1,
Mônica Maria Pena Quintão
1,2,
Karen Santos R. de Carvalho
1,
Beatriz Cantanhede Carrapatoso
1,
Sabrina Lindenberg L. Malfacini
1,
André Custódio da Silva
1,
Marco Orsini
3,4,
Osvaldo J.M. Nascimento
3 and
Sergio S.M.C. Chermont
1,2,*
1
The Heart Failure Clinic, School Clinic of Physiotherapy, Serra dos Órgãos University Center, Teresópolis
2
Post Graduate Program in Cardiovascular Sciences, Fluminense Federal University, Niterói
3
Fluminense Federal University, Niterói
4
Masters Program in Science Rehabilitation, Centro Universitário Augusto Motta, Bonsucesso, Rio de Janeiro, Brazil
*
Author to whom correspondence should be addressed.
Neurol. Int. 2015, 7(2), 5417; https://doi.org/10.4081/ni.2015.5417
Submission received: 23 July 2014 / Revised: 18 March 2015 / Accepted: 15 June 2015 / Published: 24 September 2015

Abstract

The six-minute walking test (6MWT) is used to assess exercise tolerance that is associated with motor function of the lower limbs in hemiparetic patients. It is suggested that, for post-stroke subjects, performance in the 6MWT may be limited by biomechanical and cardiovascular factors. Our aim is to determine the correlation between the six-minute walk distance (6MWD) and the biomechanical profile of hemiparetic patients. During this cross-sectional controlled study, 10 hemiparetic patients with heart failure underwent 6MWT (ATS protocol). Tonus (Ashworth Scale) and goniometry of the lower limbs were measured. The average of 6MWD in two tests was 279±8 m. There was a negative correlation between the degree of spasticity for both the sural triceps (r=−0.57, P<0.05), quadriceps (r=−0.58, P<0.05) and the limitation in ankle dorsiflexion and the 6MWD (r=−0.76, P<0.05). Also, there was correlation between hip extension and ankle dorsiflexion limitations with 6MWD (r=0.66, P<0.05), (r=0.77, P<0.05). The negative correlation between the highest spasticity in paretic limb and the 6MWD and the correlation between the lower movement range of paretic hip and ankle suggest association with these factors and gait velocity in 6MWT. Loss percentage represents the percentage calculation between distance traveled and the distance predicted achieved by patients. In this study, the negative correlation between the percentage of loss of 6MWD and the limitation in the ankle dorsiflexion movement suggests that for a minor motion arch of the ankle, there is a higher percentage of walking distance loss foretold.
Keywords: stroke; six-minute walk test; six-minute walk distance; biomechanical profile stroke; six-minute walk test; six-minute walk distance; biomechanical profile

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MDPI and ACS Style

Moura, L.M.; Quintão, M.M.P.; de Carvalho, K.S.R.; Carrapatoso, B.C.; Malfacini, S.L.L.; da Silva, A.C.; Orsini, M.; Nascimento, O.J.M.; Chermont, S.S.M.C. Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes. Neurol. Int. 2015, 7, 5417. https://doi.org/10.4081/ni.2015.5417

AMA Style

Moura LM, Quintão MMP, de Carvalho KSR, Carrapatoso BC, Malfacini SLL, da Silva AC, Orsini M, Nascimento OJM, Chermont SSMC. Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes. Neurology International. 2015; 7(2):5417. https://doi.org/10.4081/ni.2015.5417

Chicago/Turabian Style

Moura, Laís Moreira, Mônica Maria Pena Quintão, Karen Santos R. de Carvalho, Beatriz Cantanhede Carrapatoso, Sabrina Lindenberg L. Malfacini, André Custódio da Silva, Marco Orsini, Osvaldo J.M. Nascimento, and Sergio S.M.C. Chermont. 2015. "Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes" Neurology International 7, no. 2: 5417. https://doi.org/10.4081/ni.2015.5417

APA Style

Moura, L. M., Quintão, M. M. P., de Carvalho, K. S. R., Carrapatoso, B. C., Malfacini, S. L. L., da Silva, A. C., Orsini, M., Nascimento, O. J. M., & Chermont, S. S. M. C. (2015). Controlled Study of Correlation of Biomechanical Profile of Hemiparetic Patients with Distance Travelled in Six Minutes. Neurology International, 7(2), 5417. https://doi.org/10.4081/ni.2015.5417

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