Tutus, NisanurOzdemir, Filiz2024-08-042024-08-0420230966-63621879-2219https://doi.org/10.1016/j.gaitpost.2023.07.004https://hdl.handle.net/11616/101489Background: Although reduced gait asymmetry and trunk control are generally accepted outcomes in stroke patients after having a stroke, the number of studies examining the factors affecting gait symmetry and trunk control is limited in the literature.Research question: What are the effects of gastrocnemius muscle spasticity on trunk control and gait symmetry in chronic stroke patients?Method: The sample of the study included 29 individuals aged 40-70 who were diagnosed with stroke at least six months ago. The sociodemographic information of the patients was collected using a descriptive information form. Their gastrocnemius muscle spasticity levels were assessed using the Modified Ashworth Scale (MAS), their trunk control was assessed using the Trunk Impairment Scale (TIS), and their gait symmetry was assessed using software developed for the Kinect V2 camera.Results: There was a numerical difference between the gait symmetry results of the patients who had a MAS score lower than 2 and those who had a MAS score of 2 or higher, where MAS scores corresponded to gastrocnemius muscle spasticity levels, but this difference was not statistically significant (p > 0.05). There was a statistically significant difference between the total TIS scores and TIS coordination subscale scores of the patients who had a MAS score lower than 2 and those who had a MAS score of 2 or higher (p < 0.05). A negative significant relationship was determined between total TIS and TIS coordination subscale scores and the severity of gastrocnemius muscle spasticity. Significance: According to the results of our study, to improve trunk control and gait in stroke survivors, the management of gastrocnemius muscle spasticity should be included in rehabilitation programs. We believe that our study will be guiding for future interventional studies aiming to improve trunk control and gait in stroke patients.eninfo:eu-repo/semantics/closedAccessGastrocnemiusTrunk controlStrokeSpasticityGait symmetryArticle10545503748081910.1016/j.gaitpost.2023.07.0042-s2.0-85165996881Q1WOS:001050675800001Q2