Thesis (PH.D.) - Cairo University - Faculty Of Physical Therapy - Department Of Neuromuscular and Neurosurgery

The purpose of this study is to evaluate pelvic stability during gait after stroke and its effect on the patient's gait and balanceThirty stroke patients and ten normal subjects participated in this studyThe patients were divided into two equal groups according to the degree of spasticity of the affected lower limbsAll subjects were assessed for ; the root mean square of selected muscles controlling the pelvis , pelvic range of motion during gait , some selected gait parameters , and standing balanceThe results of the present study showed significant differences in the electromyographic findings among the normal subjects , the patients with mild spasticity and those with moderate spasticityThere was significant decrease in pelvic forward rotation and posterior tilting , as well as unequal obliquity of the pelvis which were more marked in moderately spastic patientsThere was impairment in all selected gait and standing balance parametersIt was concluded that stroke patients suffer from instability around the pelvis due to muscular imbalance that results in impairment in standing balance and gait parameters

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