Diagonals part eight: Stroke 6. Analysis of walking pattern and treatment

The second part, that will go about treatment of walking after an stroke. We know that the science have found that the pattern of the leg muscle are “definitive“ after an short time. Within an month is an pronunciation and some others find that too long. But we want to express that this pattern are only investigated by patient treated in rehabilitation center (in the Netherlands 10 -15% of the stroke population) and often on an treadmill or in an laboratory, not at home, on the street etc. Furthermore the muscles that were investigated are only the leg muscle almost never the spine and stomach muscle that could revealed the existence of the diagonal. There are muscles – the m. gluteus max. and med. that give another image (see part 7). They are an little bit present in first two measurement, than we see their appearance in the third measurement very well but in the fourth this appearance is somewhat lesser and in the fifth also. This is not an sign that walking pattern will change, on the contrary!! In Belgium there is done an investigation, what the value was of the swing of the arms when we are walking and that investigation had the conclusion that this was the most economical way to walk. In this part we follow two individuals after an severe stroke and we try to do an assessment. All elements must be assessed and then we try to give exercises in the diagonal and discuss the progression. Both individuals will be still have an severe stroke but the quality of live has improve in some way and that is where therapist are for!!