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- W1450871993 abstract "Isokinetic strength and multiple sclerosis: Correlation between motor impairment and gait speed according to clinical features P. Thoumiea, D. Lamottea and E. Mevelleca,b Service de Reeducation Neuro-orthopedique Hopital Rothschild, F-75012 Paris and Inserm U483, France Centre Molini Agosta plage, F-20700 Ajaccio, France Introduction: Correlation between strength and gait parameters has been studied for a long time in hemiplegic patients [1,2] but no study has yet been performed to extend these investigations to multiple sclerosis (MS). Bilateral achievements so that sensory and cerebellar deficiencies that frequently occur in MS may change the usual relation related between motor function and gait parameters. This study was performed to evaluate strength parameters in MS and their relation to gait hability with respect to different clinical aspects. Methods: Twenty-seven patients with definite MS were included in this study. All exhibited clinical features of pyramidal track involvment. Depending on the associated clinical signs, they were classified in three clinical forms: spastic, spastic-ataxic (i,e, with proprioceptive involvment) and spastic-cerebellar. All were able to walk without aid (EDSS these patients, correlation is higher between hamstring strength and gait parameters than in other subgroups. Discussion: Hamstring deficiency appears to be the most predictive strength parameter in estimating gait ability in multiple sclerosis. Quadriceps strength may be critical in some clinical forms with sensory loss [3]. These results may help to define the modalities of re- habilitation with strengthening aimed to improve gait function in multiple sclerosis. References [1] R.W. Bohannon and A.W. Andrews, Correlation of knee exten- sor muscle torque and spasticity with gait speed in patients with stroke, Arch. Phys. Med. Rehabil. 71 (1990), 330–333. [2] S.J. Olney, M.P. Griffin and I.D. MacBride, Temporal, kine- matic and kinetics variables related to gait speed in subjects with hemiplegia: a regression approach, Phys. Ther. 74 (1994), 872–885. [3] P. Thoumie and E. Mevellec, The relashionship between walk- ing speed and muscle strength is affected by somatosensory loss in multiple sclerosis, J. Neurol. Neurosurg. Psychiat. 73 (2002), 313–315." @default.
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- W1450871993 date "2003-02-12" @default.
- W1450871993 modified "2023-09-23" @default.
- W1450871993 title "Isokinetic strength and multiple sclerosis: Correlation between motor impairment and gait speed according to clinical features" @default.
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- W1450871993 doi "https://doi.org/10.3233/ies-2003-0127" @default.
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