Practicing walking too early leads to a "circle" gait.
Normal people's walking is that each joint of both lower limbs stretches and flexes in a very coordinated order according to certain rules, and alternately completes the actions of supporting the body and stepping. If hemiplegic patients are eager to start walking exercise without reasonable training, a typical hemiplegic gait will appear. When normal people need to move forward, they can bend their hips, knees and ankles to an appropriate angle, thus shortening the length of their lower limbs and easily lifting their feet off the ground. However, the joints of hemiplegic patients are in a stiff state, and their toes are drooping, which makes the affected limbs "elongated" and difficult to lift off the ground. Only when the trunk leans to the opposite side and the pelvis is raised can the lower limbs be pulled up with great difficulty. However, the range of this pull-up is very limited, and it still cannot make the lower limbs move forward smoothly. It is necessary to draw an arc to the outside and then fall back in front of the body. This is the unique "circle" gait of common hemiplegic patients, and it is a typical manifestation of abuse syndrome. The fundamental reason is that improper training aggravates the muscle spasm responsible for the extension of each joint of lower limbs, making joint flexion difficult to complete. If we can start regular rehabilitation training at the early stage of hemiplegia, and then carry out walking training on the basis of coordination of limb movements of the affected side, we can form a relatively normal walking posture and improve walking efficiency.