Open AccessRELATIONSHIP OF PELVIC ALIGNMENT WITH BALANCE AND GAIT IN PATIENTS WITH STROKE: A SYSTEMATIC REVIEW
Author(s) -
Ashwini Kumar Mishra,
Suvarna Ganvir
Publication year - 2021
Publication title -
international journal of clinical and biomedical research
Language(s) - English
Resource type - Journals
eISSN - 2521-0394
pISSN - 2395-0471
DOI - 10.31878/ijcbr.2021.73.01
Subject(s) - gait , pelvis , pelvic tilt , physical medicine and rehabilitation , medicine , balance (ability) , observational study , stroke (engine) , physical therapy , weight bearing , gait analysis , surgery , mechanical engineering , engineering
Background- Pelvis is the key structure that connects the spine and the lower limbs. Altered Pelvic Alignment and asymmetrical weight bearing on affected lower limbs is a common problem leading to pelvic instability which may have an effect on balance and gait in patients with stroke. Hence, it was aimed to investigate the interdependence of these three components in patients with stroke. Methods- Four databases (PubMed, Google Scholar, Cochrane, Science Direct) were searched to identify eligible studies using the keywords Pelvic Alignment, Gait, Balance, Stroke. Only observational studies published in last 10 years (2010-2020) were included in this review. Results- Thirteen studies were included in the review conducted on sub-acute and chronic stage. All studies investigated the affection of pelvic mal-alignment, balance and gait in combination of two variables except 3 studies which investigated the combined effect of pelvic inclination on both balance and gait. The abnormal pelvic tilt results in lateral displacement of the pelvis on affected side, altered Base of Support, reduced balance control, asymmetry in weight bearing leading to altered gait. Conclusion- Pelvic tilt, anterior and lateral has a significant impact on static balance, gait variables, weight bearing symmetry.