Achievement of simple mobility milestones after stroke

Smith, Mark; Baer, Gillian

doi:10.1016/s0003-9993(99)90283-6

Cited by 91 publications

(54 citation statements)

References 18 publications

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“…It has been applied to both healthy subjects (e.g. elderly subjects 49 ) and different patient groups with neurological disorders such as Parkinson's disease 50,51 , stroke [52][53][54] and multiple sclerosis 55 . In patients with cerebral glioma, the 10MWT correlated well with the BI 56 .…”

Section: General Validity Reliability and Responsiveness Of The 10mwtmentioning

confidence: 99%

Standardized assessment of walking capacity after spinal cord injury: the European network approach

Hedel

Wirz

Dietz

2008

Neurological Research

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Methods: In the EM-SCI, the walking tests were applied 2 weeks and 1, 3, 6 and 12 months after SCI. We identified the WISCI II categories that applied to the EM-SCI subjects at each time point and quantified the relationship between the 10MWT and the TUG using Spearman's correlation coefficients (r) and linear regression.Results: Five WISCI II categories applied to 71% of the EM-SCI subjects with walking ability, while 11 items applied to 11% of the subjects. The 10MWT correlated excellently with the TUG at each time point (r.0.80). However, this relationship changed over time. One year after SCI, the time needed to accomplish the TUG was 1.25 times greater than the 10MWT time.Discussion: Some categories of the WISCI II appear to be redundant, while some discriminate to an insufficient degree. In addition, there appear to be ceiling effects, which limit its usefulness. The relationship between the 10MWT and TUG is high, but changes over time. We suggest that, at present, the 10MWT appears to be the best tool to assess walking capacity in SCI subjects. Additional valuable information is provided by assessing the needs for walking aids or personal assistance. To ensure comparability of study results, proposals for standardized instructions are presented. [Neurol Res 2008; 30: 61-73]

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Section: General Validity Reliability and Responsiveness Of The 10mwtmentioning

confidence: 99%

Standardized assessment of walking capacity after spinal cord injury: the European network approach

Hedel

Wirz

Dietz

2008

Neurological Research

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“…Time to walk 10m is measured and averaged over three trials (Smith & Baer, 1999). Then, the speed is calculated (10m divided by the average time to walk that 10m).…”

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confidence: 99%

Functional recovery and muscle properties after stroke: a preleminary longitudinal study

Horstman¹,

Haan²,

Konijnenbelt³

et al. 2012

Rehabilitation Medicine

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“…The median time to recover the ability to stand for 10 seconds is 44 days (25th to 75th percentileϭ38 to 57 days) for a total anterior circulation infarct. 1 The upright stance of stroke patients is characterized by both weight bearing asymmetry with more weight on the nonparetic limb and by larger postural sway. This asymmetrical posture is the subject's preferred posture.…”

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confidence: 99%

Contribution of Each Lower Limb to Upright Standing in Stroke Patients

Genthon

Rougier

Gissot

et al. 2008

Stroke

203

122

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Background and Purpose-To analyze the postural behavior of standing stroke patients: (1) To differentiate between postural impairment attributable to the neurological condition (deficits attributable to the cerebral lesion) and postural impairment attributable to new mechanical constraints caused by body weight asymmetry; (2) To assess the involvement of each limb in the postural impairment; (3) To better understand which clinical deficits underlie the postural impairment. Methods-The posturographic characteristics of each limb in 41 stroke patients (first hemispheric stroke: 16 left, 25 right cerebral lesions) required to stand in their preferred posture were compared to those in 40 matched healthy individuals required to stand asymmetrically. Results-Compared to normal individuals in a similar asymmetrical posture, stroke patients were more unstable. The weight bearing asymmetry and the lateral postural instability were mainly related to spatial neglect. The paretic limb was unable to bring into play a normal longitudinal pattern of the center of pressure, which reflects an impaired stabilization control. Overall postural instability occurred when the strong limb was unable to compensate for the postural impairment of the paretic limb. Conclusions-The weight bearing asymmetry of standing stroke patients is not the primary cause of their postural imbalance, which is rather the consequence of impaired control of postural stabilization involving both limbs. Weight bearing asymmetry may not be the principle target of rehabilitation programs aiming at restoring standing balance after stroke. Instead it is suggested that more account should be taken of the compensatory role of the strong limb. (Stroke.

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Achievement of simple mobility milestones after stroke

Cited by 91 publications

References 18 publications

Standardized assessment of walking capacity after spinal cord injury: the European network approach

Standardized assessment of walking capacity after spinal cord injury: the European network approach

Functional recovery and muscle properties after stroke: a preleminary longitudinal study

Contribution of Each Lower Limb to Upright Standing in Stroke Patients

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