PNF and Movement 2024; 22(2): 159-170
https://doi.org/10.21598/JKPNFA.2024.22.2.159
Suggested Strategies for Observational Gait Analysis Using a Mnemonic Device for Patients with Stroke
Young-Keun Woo, P.T., Ph.D.†
Dept of Physical Therapy, College of Medical Science, Jeonju University
Correspondence to: †Young-Keun Woo (ykwoo92@naver.com)
Received: April 18, 2024; Revised: June 3, 2024; Accepted: June 11, 2024; Published online: August 31, 2024.
© Korea Proprioceptive Neuromuscular Facilitation Association. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: This study suggests observational gait analysis (OGA) strategies for therapists with limited experience in clinics in evaluating patients with stroke during walking.
Methods: The proposed model was the mnemonic STEP APP, whose initials refer to the process of OGA for clinical reasoning and decision-making by identifying problems during walking in patients with stroke.
Results: STEP APP stands for step (S), tibia (T), events (E), phases (P), ankle (A), problems (P), and priority (P). It serves as a procedural guide for OGA in patients with stroke walking on the ground.
Conclusion: This review suggests a simple evaluation of gait using OGA that can be used by therapists who have less experience and difficulty in evaluating patients with stroke during walking. However, it is important to consider the front and back views of motion as well as motion in the transverse plane in order to analyze problems accurately. Furthermore, small joint problems, such as those in the foot, should be considered when evaluating patients with stroke during walking.
Keywords: Hemiplegia, Mnemonic, STEP APP, Stroke, Gait, Observational gait analysis

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