Correlation between the ambulation profile and gait velocity in a group of hemiplegic patients treated at a rehabilitation center

Abstract

The gait of hemiplegic patients is characterized by decreased velocity and asymmetry, which brings limitations to the activities of daily living and restrictions in the individual’s social integration. The aim of this study was to describe the functional ambulation profile in this group of patients and correlate it with gait velocity. Methods: 87 patients were evaluated using the Modified Functional Gait Classification (MFGC), gait velocity at 10 meters, with the identification of the need for help and use of public transportation. Statistical analysis: descriptive analysis; comparison between groups and correlation tests (p≤0.05). Results: 49 male individuals, with a mean age of 54 yrs, mean injury time of 33 months. Three patients performed therapeutic gait, 10 at-home gait, 29 restricted community gait, 43 community gait and 2 presented normal gait. Regarding gait assistance: 38 patients needed help or supervision from others, 45 used public transportation, 59 did not need gait support. Gait velocity was different among the groups divided by the gait functional type, need for others’ help and use of public transportation, correlated with age, MFGC, help from others and use of public transportation. Conclusion: 85% of the sample performed community gait, but only 55% did it independently. There was a correlation between gait velocity and the functional types of gait evaluated, with gait velocity thresholds being established for the different groups.