Habitual walking speed and fatigue explain self‐reported functional capacity after stroke

Polese, Janaíne Cunha; Albuquerque, Thaís Bueno Dias; Faria‐Fortini, Iza; Teixeira-Salmela, Luci Fuscaldi

doi:10.1002/pri.1990

Cited by 3 publications

(7 citation statements)

References 47 publications

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“…Topics in Geriatric Rehabilitation www.topicsingeriatricrehabilitation.com practice, with these variables being directly related. 10 It is also worth noting that post-stroke individuals spend more oxygen in ambulation and have a worse metabolic efficiency when compared to healthy subjects. This consequently reduces their walking speed, increases the fatigue, and can cause a more limited functional capacity.…”

Section: Discussionmentioning

confidence: 99%

“…This consequently reduces their walking speed, increases the fatigue, and can cause a more limited functional capacity. 10 Previous studies have found evidence to incorporate post-stroke cardiorespiratory training to improve fitness, balance, speed, and walking ability, and that a cardiorespiratory care program can provide improvements in walking ability and fitness, and when the goal is to improve walking ability after stroke, it is important to consider aerobic capacity training. 9,33,34 The fitness levels in non-community ambulators post stroke can be improved not just by walking but also by graded walking, stationary cycle ergometer, resistance and strength training, among other possibilities.…”

Section: Discussionmentioning

confidence: 99%

“…The relevance of assessing aerobic fitness and exercise capacity for the rehabilitation process is widely known 14,32. In addition, aerobic fitness indicates the ability of the systems to offer oxygen during physical practice, with these variables being directly related 10. It is also worth noting that post-stroke individuals spend more oxygen in ambulation and have a worse metabolic efficiency when compared to healthy subjects.…”

Section: Discussionmentioning

confidence: 99%

“…9 Polese et al found that habitual walking speed is a significant predictor (48%) of functional capacity in elderly individuals after stroke. 10 Previous studies stated that individuals after stroke present a reduced aerobic fitness, thus relating to a decline in exercise capacity and interfering in the quality of life. 11,12 Considering individuals after stroke, the aerobic fitness is even lower, which limits activity performance, such as walking and climbing stairs.…”

Section: Introductionmentioning

confidence: 99%

“…Aerobic fitness assists the performance of daily activities, such as walking, and it is likely to decline with reduced physical practice and aging 9. Polese et al found that habitual walking speed is a significant predictor (48%) of functional capacity in elderly individuals after stroke 10. Previous studies stated that individuals after stroke present a reduced aerobic fitness, thus relating to a decline in exercise capacity and interfering in the quality of life 11,12.…”

Section: Introductionmentioning

confidence: 99%

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Aerobic Fitness of Elderly Community and Non-Community Individuals After Chronic Stroke

Ferreira de Oliveira,

Joviano Galvão,

Moura Dario

et al. 2024

Topics in Geriatric Rehabilitation

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Introduction: Stroke commonly causes low aerobic fitness and walking speed. Objective: To compare the estimated aerobic fitness of the community and non-community elderly individuals after chronic stroke. Investigate the association between walking speed and aerobic fitness. Methods: Elderly people after stroke classified as community walkers or limited community walkers, according to their walking speed (10-m walk test), in m/s, were assessed with The Human Activity Profile (HAP). The Lifestyle Energy Consumption (LEC) score of the HAP was used to estimate aerobic fitness through the peak oxygen uptake (V̇o2peak). Results: Aerobic fitness of elderly individuals after stroke classified as community walkers was on average 17.3 (6.0) mL kg−1 min−1, while for non-community walkers, it was on average 10.2 (5.6) mL kg−1 min−1. There was a significant difference between groups (−7.05, 95% CI −10.98 to −3.12; P < .001). A statistically significant (P < .001) association with moderate magnitude (r = 0.587) was observed between the LEC and the habitual walking speed. Conclusions: Individuals with lower walking speed have lower aerobic fitness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Aerobic Fitness of Elderly Community and Non-Community Individuals After Chronic Stroke

Ferreira de Oliveira,

Joviano Galvão,

Moura Dario

et al. 2024

Topics in Geriatric Rehabilitation

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Adapted Assistance and Resistance Training With a Knee Exoskeleton After Stroke

de Miguel Fernández,

Rey-Prieto,

Rio

et al. 2023

IEEE Trans. Neural Syst. Rehabil. Eng.

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Speed- and Endurance-Based Classifications of Community Ambulation Post-Stroke Revisited: The Importance of Location in Walking Performance Measurement

Bansal,

Fox,

Clark

et al. 2024

Neurorehabil Neural Repair

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Background Gait speed or 6-minute walk test are frequently used to project community ambulation abilities post-stroke by categorizing individuals as household ambulators, limited, or unlimited community ambulators. However, whether improved clinically-assessed gait outcomes truly translate into enhanced real-world community ambulation remains uncertain. Objective This cross-sectional study aimed to examine differences in home and community ambulation between established categories of speed- and endurance-based classification systems of community ambulation post-stroke and compare these with healthy controls. Methods Sixty stroke survivors and 18 healthy controls participated. Stroke survivors were categorized into low-speed, medium-speed, or high-speed groups based on speed-based classifications and into low-endurance, medium-endurance, or high-endurance groups based on the endurance-based classification. Home and community steps/day were quantified using Global Positioning System and accelerometer devices over 7 days. Results The low-speed groups exhibited fewer home and community steps/day than their medium- and high-speed counterparts ( P < .05). The low-endurance group took fewer community steps/day than the high-endurance group ( P < .05). Despite vast differences in clinical measures of gait speed and endurance, the medium-speed/endurance groups did not differ in their home and community steps/day from the high-speed/endurance groups, respectively. Stroke survivors took 48% fewer home steps/day and 77% fewer community steps/day than healthy controls. Conclusions Clinical classification systems may only distinguish home ambulators from community ambulators, but not between levels of community ambulation, especially beyond certain thresholds of gait speed and endurance. Clinicians should use caution when predicting community ambulation status through clinical measures, due to the limited translation of these classification systems into the real world.

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Habitual walking speed and fatigue explain self‐reported functional capacity after stroke

Cited by 3 publications

References 47 publications

Aerobic Fitness of Elderly Community and Non-Community Individuals After Chronic Stroke

Aerobic Fitness of Elderly Community and Non-Community Individuals After Chronic Stroke

Adapted Assistance and Resistance Training With a Knee Exoskeleton After Stroke

Speed- and Endurance-Based Classifications of Community Ambulation Post-Stroke Revisited: The Importance of Location in Walking Performance Measurement

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