Quantitative Assessment of Gait During Rehabilitation Using an Instrumented Treadmill

Fitzsimons, Karson

Quantitative Assessment of Gait During Rehabilitation Using an Instrumented Treadmill

dc.contributor.advisor	Bertram, John E.A.
dc.contributor.author	Fitzsimons, Karson
dc.contributor.committeemember	Dukelow, Sean P.
dc.contributor.committeemember	Condliffe, Elizabeth G.
dc.contributor.committeemember	Schroeder, Ryan T.
dc.contributor.committeemember	Manocha, Ranita H.
dc.date	2023-11
dc.date.accessioned	2023-09-29T20:11:26Z
dc.date.available	2023-09-29T20:11:26Z
dc.date.issued	2023-09-22
dc.description.abstract	Kinetic gait analysis of subacute stroke is a relatively unexplored area of study. Chronic stroke literature on the subject is extensive but does not capture the time period where the extent of recovery is greatest. Translating methods of gait analysis seen in research to a clinical setting is subject to many additional requirements which have previously prevented such investigations. The work presented in this thesis represents the first investigation using NeuroRecoVR, a new instrumented treadmill facility located within an inpatient rehabilitation gym. Working directly with inpatient physiotherapists, this study examines kinetic based gait parameters to quantify levels of impairment in subacute stroke. Recovery is most readily seen in changes in the walking speed of an individual, with many other gait parameters changing alongside walking speed. Therefor the relationships for all parameters of interest to walking speed are investigated in both neurologically intact controls (n = 14) and those undergoing rehabilitation for subacute stroke (n = 15). Parameters including spatiotemporal measures, forces, impulses, center of mass trajectory, center of pressure variability, and measures of symmetry were calculated for both groups. Subacute stroke participants have higher levels of asymmetry, increased instability, and altered gait dynamics compared to neurologically intact controls. The extent of recovery for each parameter was examined in a subset of stroke patients who took part in instrumented treadmill training over 1-2 months of rehabilitation (n = 4; mean ±SD age = 65 ±17; mean ±SD days post stroke at first session = 79 ±67). These participants showed improvements in stability, walking speed, and symmetry over the course of rehabilitation. These results show the benefit and potential for the use of kinetic analysis for aspects of both research and rehabilitation
dc.identifier.citation	Fitzsimons, K. (2023). Quantitative assessment of gait during rehabilitation using an instrumented treadmill (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.
dc.identifier.uri	https://hdl.handle.net/1880/117277
dc.identifier.uri	https://doi.org/10.11575/PRISM/42119
dc.language.iso	en
dc.publisher.faculty	Graduate Studies
dc.publisher.institution	University of Calgary
dc.rights	University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subject	Biomechanics
dc.subject	Kinetics
dc.subject	Rehabilitation
dc.subject.classification	Rehabilitation and Therapy
dc.subject.classification	Engineering--Biomedical
dc.title	Quantitative Assessment of Gait During Rehabilitation Using an Instrumented Treadmill
dc.type	master thesis
thesis.degree.discipline	Engineering – Biomedical
thesis.degree.grantor	University of Calgary
thesis.degree.name	Master of Science (MSc)
ucalgary.thesis.accesssetbystudent	I do not require a thesis withhold – my thesis will have open access and can be viewed and downloaded publicly as soon as possible.