A novel and simple test of gait adaptability predicts gold standard measures of functional mobility in stroke survivors

Hollands, Kristen; Pelton, Trudy; Veen, S. Van Der; Alharbi, S; Hollands, Mark A.

doi:10.1016/j.gaitpost.2015.09.018

Cited by 18 publications

(16 citation statements)

References 33 publications

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“…This seems timely considering that conventional C-Mill walking-adaptability training showed clinical potential for groups with similar levels of walking ability as our GD group. 6,9,25 However, based on the current evidence, C-Mill training does not seem more effective than other interventions in groups with greater walking ability (and cognitive) limitations, 10 although 2 conventional C-Mill therapy trials are still running. 11,12 The developed patient-tailored C-Gait walking-adaptability assessment and training protocol could facilitate identification of responders and nonresponders to walking-adaptability training by collecting and combining standardized baseline and training data suitable for database research.…”

Section: Discussionmentioning

confidence: 99%

Automatized, Standardized, and Patient-Tailored Progressive Walking-Adaptability Training: A Proof-of-Concept Study

et al. 2019

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Background Treadmill training augmented with visual images projected on the belt's surface can help improve walking adaptability. Moreover, patient-tailored automatization and standardization can increase the feasibility of walking-adaptability therapy. We developed C-Gait, a treadmill protocol consisting of a baseline walking-adaptability assessment involving 7 putatively distinct walking-adaptability tasks and a decision algorithm, to automatically update training content and execution parameters to a patients’ performance and perceived challenge. Objectives The main objective was to examine the feasibility, acceptability, and clinical potential of C-Gait training. The secondary objective was to evaluate the validity of the baseline assessment. Design This was a longitudinal proof-of-concept study with pretraining, posttraining, and retention tests encompassing baseline assessment and walking-related clinical measures. Methods Twenty-four healthy adults, 12 healthy older persons, and 28 patients with gait and/or balance deficits performed the baseline assessment; the gait deficit group received 10 C-Gait training sessions over a 5-week period. Baseline assessment scores and walking-related clinical measures served as outcome measures. Results C-Gait training exhibited significant progression in training content and execution, with considerable between-patient variation and minimal overruling by therapists. C-Gait training was well accepted and led to improvements in walking adaptability and general walking ability, which persisted after training cessation. Baseline assessment scores differed over groups and difficulty levels, had no-to-moderate correlations with walking-related clinical measures, and had limited correlations among walking-adaptability tasks. Limitations C-Gait was evaluated in a small yet diverse cohort. More encompassing studies are required to further establish its apparent merits. The validity of treadmill-based walking-adaptability assessment against an overground standard remains to be established. Conclusions C-Gait offers automatized, standardized, and patient-tailored walking-adaptability training that is feasible and well accepted, with good potential for improving task-specific and generic measures of walking.

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Section: Discussionmentioning

confidence: 99%

Automatized, Standardized, and Patient-Tailored Progressive Walking-Adaptability Training: A Proof-of-Concept Study

et al. 2019

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“…It is also possible that the DGI is not a sensitive enough instrument to detect improvements in gait adaptability between two slightly different training protocols and that a different outcome measure is warranted to assess this aspect of gait. Recent research has developed an overground gait adaptability test that may be a more suitable outcome measure for training in this context ( 36 , 54 ).…”

Section: Discussionmentioning

confidence: 99%

Stepping to the Beat: Feasibility and Potential Efficacy of a Home-Based Auditory-Cued Step Training Program in Chronic Stroke

et al. 2017

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Background: Hemiparesis after stroke typically results in a reduced walking speed, an asymmetrical gait pattern and a reduced ability to make gait adjustments. The purpose of this pilot study was to investigate the feasibility and preliminary efficacy of home-based training involving auditory cueing of stepping in place.Methods: Twelve community-dwelling participants with chronic hemiparesis completed two 3-week blocks of home-based stepping to music overlaid with an auditory metronome. Tempo of the metronome was increased 5% each week. One 3-week block used a regular metronome, whereas the other 3-week block had phase shift perturbations randomly inserted to cue stepping adjustments. conclusion: This pilot study suggests that auditory-cued stepping conducted at home was feasible and well-tolerated by participants post-stroke, with improvements in walking and functional mobility. No differences were detected between regular and phase-shift training with the metronome at each assessment point.

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“…It is an emerging method to quantify subtle changes in walking pattern [8–11] also during therapeutic interventions [12, 13]. However, there are no previous studies that focused on the reliability of these measurements in mitochondrial patients.…”

Section: Introductionmentioning

confidence: 99%

Quantification of gait in mitochondrial m.3243A > G patients: a validation study

Ramakers

Koene

Groothuis

et al. 2017

Orphanet J Rare Dis

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BackgroundMore than half of the patients harbouring the m.3243A > G mutation were found to have trouble maintaining balance when walking in a recent study by our group. Others demonstrated that these patients had an abnormal gait pattern, as quantified by gait analysis. Gait analysis is an emerging method to quantify subtle changes in walking pattern, also during therapeutic interventions. Therefore, we aimed to test the reliability and reproducibility of gait analysis and select the most suitable protocol for this group of patients using a GAITRite electronic walkway. Four different protocols were tested: normal walking, dual task, post exercise and after a ten minutes of rest.ResultsIn total 36 patients with the m.3243A > G mutation and 50 healthy controls were enrolled in this study. Overall high intra class correlation coefficients were found in all experimental conditions for both patients and healthy controls indicating good reproducibility. Marked differences in gait between patients and controls were observed and were in line with the only available exploratory study performed. There was a good correlation between both the overall NMDAS score, NMDAS subscale scores, both markers for disease severity, and specific gait parameters.ConclusionsThe observed reliability of the test makes GAITRite a suitable instrument for intervention studies in patients with mitochondrial disease.

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A novel and simple test of gait adaptability predicts gold standard measures of functional mobility in stroke survivors

Cited by 18 publications

References 33 publications

Automatized, Standardized, and Patient-Tailored Progressive Walking-Adaptability Training: A Proof-of-Concept Study

Automatized, Standardized, and Patient-Tailored Progressive Walking-Adaptability Training: A Proof-of-Concept Study

Stepping to the Beat: Feasibility and Potential Efficacy of a Home-Based Auditory-Cued Step Training Program in Chronic Stroke

Quantification of gait in mitochondrial m.3243A > G patients: a validation study

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