Immediate effects of cane use on gait symmetry in individuals with subacute stroke.
OBJECTIVE
In stroke rehabilitation, there is a lack of consensus regarding the effects of cane use on gait symmetry. This study aimed to evaluate the immediate effects on gait symmetry of ambulating with a standard cane and a quad cane among individuals with subacute stroke.


METHODS
A within-subject experimental design was used to evaluate symmetry in in-patients with subacute stroke during ambulation on a pressure-sensitive walkway for three task conditions: with no cane, with standard single-point cane, and with quad cane.


RESULTS
Fourteen patients were classified as symmetric (n = 5) or asymmetric (n = 9) based on their gait symmetry while walking without an aid. Overall, use of a standard cane during ambulation significantly improved symmetry in asymmetric patients (p = 0.028). In contrast, the use of a quad cane did not improve symmetry (p = 0.36). There was no effect on symmetry in symmetric patients with use of either a standard cane (p = 0.88) or a quad cane (p = 0.32).


CONCLUSIONS
These results indicate that the immediate effect of a standard cane is to improve symmetry in patients with subacute stroke who have asymmetric gait. Future studies are required to determine the long-term effects of canes on gait symmetry in this population.
Marla K. Beauchamp, MScPT: PhD candidate, Department of Physical Therapy and Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario.
Marla K
MK
Beauchamp
Martina
M
Skrela
Degen
D
Southmayd
Jaime
J
Trick
Meghan Van
MV
Kessel
Karen
K
Brunton
Elizabeth
E
Inness
William E
WE
McIlroy