Reliability of Gait Performance Tests in Men and Women With Hemiparesis After Stroke

Flansbjer, Ulla Britt; Holmbäck, Anna Maria; Downham, David; Patten, Carolynn; Lexell, Jan

doi:10.1080/16501970410017215

Cited by 944 publications

(292 citation statements)

References 41 publications

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“…The 6MWT is likely a strong predictor of home versus community walking activity because in addition to measuring functional walking endurance it is related to a variety of other body structure/ function, activity, and participation constructs. 6,17,[30][31][32][33] The cutoff values may be useful for clinicians to predict home versus community walking behavior in people with stroke.…”

Section: Discussionmentioning

confidence: 99%

“…In the original studies, all participants provided informed consent, and the study protocols were approved by the appropriate institutional review boards. 11,12 Both trials collected the following data at 12 months poststroke in the LEAPS trial and at ≥10.5 months poststroke in the FASTEST trial: comfortable gait speed (CGS), 3,4,17 fast gait speed, 17 6-minute walk test (6MWT), 6 lower extremity Fugl Meyer (FM), 18 Berg Balance scale (BBS), 19 SIS-mobility, 20 SIS-participation, 20 functional ambulation category, 21 mini mental state exam, age, sex, marital status, and average steps per day (over a 7-day period in the FASTEST trial and a 2-day period in the LEAPS trial) using an activity monitor 15 (StepWatch Activity Monitor; Orthocare Innovations, Oklahoma City, OK).…”

Section: Methodsmentioning

confidence: 99%

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Predicting Home and Community Walking Activity Poststroke

Fulk

Boyne

et al. 2017

Stroke

201

176

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Background and Purpose-Walking ability poststroke is commonly assessed using gait speed categories developed by Perry et al. The purpose of this study was to reexamine factors that predict home and community ambulators determined from real-world walking activity data using activity monitors. Methods-Secondary analyses of real-world walking activity from 2 stroke trials. Home (100-2499 steps/d), most limited community (2500-4499 steps/d), least limited community (5000-74 999), and full community (≥7500 steps/d) walking categories were developed based on normative data. Independent variables to predict walking categories were comfortable and fast gait speed, 6-minute walk test, Berg Balance Scale, Fugl Meyer, and Stroke Impact Scale. Data were analyzed using multivariate analyses to identify significant variables associated with walking categories, bootstrap method to select the most stable model and receiver-operating characteristic to identify cutoff values. Results-Data from 441 individuals poststroke were analyzed. The 6-minute walk test, Fugl Meyer, and Berg Balance Scale combined were the strongest predictors of home versus community and limited versus unlimited community ambulators. The 6-minute walk test was the strongest individual variable in predicting home versus community (receiver-operating characteristic area under curve=0.82) and limited versus full community ambulators (receiver-operating characteristic area under curve=0.76). A comfortable gait speed of 0.49 m/s discriminated between home and community and a comfortable gait speed of 0.93 m/s discriminated between limited community and full community ambulators. Conclusions-The 6-minute walk test was better able to discriminate among home, limited community, and full community ambulators than comfortable gait speed. Gait speed values commonly used to distinguish between home and community walkers may overestimate walking activity.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Predicting Home and Community Walking Activity Poststroke

Fulk

Boyne

et al. 2017

Stroke

201

176

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“…18,19 Participants walked a 30-metre pathway with turns at 0 and 30 metres; they were instructed to walk as far as possible during the 6 minutes, and no verbal encouragement was provided. The 6MWT was performed once, and distance walked was measured.…”

Section: Methodsmentioning

confidence: 99%

“…More specifically, our objectives were to investigate (1) crosssectional convergent construct validity of the ABC scale; (2) known-groups validity (between fallers and non-fallers, and by gender and mobility status); (3) test-retest reliability of the ABC scale; and (4) internal consistency. Based on earlier studies, 9,15 our hypothesis was that correlations would be moderate between scores on the ABC scale and the TUG test, 16 the 10TW, 17 the 6MWT, 18,19 and subjective physical health status measured by the SF-36 physical component summary score. 20,21 …”

Section: Ré Sumémentioning

confidence: 99%

Validity and Reliability of the Swedish Version of the Activities-specific Balance Confidence Scale in People with Chronic Stroke

Forsberg

Nilsagård

2013

Physiotherapy Canada

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Purpose: To evaluate the validity and reliability of the Swedish version of the Activities-specific Balance Confidence (ABC) scale in people >1 year after stroke. Method: In a multi-centre study design, using initial cross-sectional data collection with follow-up, the timed up-and-go (TUG) test, 10 m timed walk (10TW), and 6-Minute Walk Test (6MWT) were performed; ABC scale and Short Form 36 Health Survey (SF-36) were completed; and falls history data were collected during one session. One week later, the ABC scale was sent to participants for a second rating. Spearman correlation coefficients were calculated, and reliability was assessed via the intra-class correlation coefficient (ICC) and Cronbach alpha. Results: A convenience sample of 67 people was included (mean age 68 y). The median score for the ABC scale changed from 57 at the first rating to 43 at the second; 19 participants (28%) reported falls during the previous 3 months. Scores on the ABC scale were moderately correlated with the TUG (r ¼ À0.48), 10TW (r ¼ À0.52), 6MWT (r ¼ 0.45), and SF-36 physical component summary score (r ¼ 0.43). Internal consistency was high for the ABC scale at test and retest (a ¼ 0.95-0.97). The ICC was 0.82 (95% CI, 0.72-0.88). Conclusions: The Swedish version of the ABC scale is a valid and reliable measure for investigating balance confidence in people >1 year after stroke.Key Words: postural balance; self-efficacy; stroke; validation studies; walking RÉ SUMÉObjectif : É valuer la validité et la fiabilité de la version sué doise de l'é chelle ABC (Activities-specific Balance Confidence scale) de confiance de la personne en son é quilibre associé à des gestes de la vie quotidienne chez les personnes >1 an aprè s un AVC. Concept : Collecte initiale de donné es transversales multicentres avec suivi à l'aide de l'é chelle ABC en Suè de. Mé thode : Un test de locomotion TUG (timed up-and-go), 10 mè tres de marche chronomé tré e (10MWT) et un test de marche de 6 minutes (6MWT) ont é té effectué s; une é valuation à l'é chelle ABC et le questionnaire Short Form 36 Health Survey (SF-36) ont é té ré alisé s; des donné es sur l'historique des chutes ont aussi é té recueillies au cours d'une sé ance. Une semaine plus tard, l'é chelle ABC a é té envoyé e aux participants pour une deuxiè me é valuation. Les coefficients de corré lation de Spearman ont é té calculé s, et la fiabilité a é té é valué e à l'aide du coefficient de corré lation intraclasse (CCI) et du coefficient alpha de Cronbach. Ré sultats : Un é chantillon de commodité de 67 personnes a é té inclus (â ge moyen: 68 ans). Le pointage moyen à l'é chelle ABC est passé de 57 à la premiè re é valuation à 43 lors de la seconde; 19 participants (28%) ont signalé des chutes au cours des trois mois pré cé dents. Les pointages à l'é chelle ABC affichaient une corré lation modé ré e avec le test TUG (r ¼ 0,48), le 10 MWT (r ¼ 0,52), avec le 6MWT (r ¼ 0,45) et avec le pointage sommaire de la composante physique du questionnaire SF-36 (r ¼ 0,43). La cohé rence interne é tai...

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“…The time is measured for the middle 6 m. An average of three repetitions was calculated. 10MWT is valid and reliable for patients with stroke [18].…”

Section: -Meter Walk Testmentioning

confidence: 99%

Effects of Kinesio Tape application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke

Ekiz¹,

Aslan²,

Özgirgin³

2015

J Rehabil Res Dev

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Abstract-The aim of this study was to evaluate the effects of Kinesio Tape (KT) application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke. Twenty-four patients were allocated into KT and control groups. All patients participated in the same conventional rehabilitation program 5 times/wk for 4 wk. In addition, KT was applied to quadriceps muscles bilaterally to the patients in the KT group. Compared with baseline, peak torque levels increased significantly in both groups (all p < 0.05). However, change levels were significantly higher in the KT group than the control group at 60 degrees/second angular velocity (AV) in extension (p = 0.04) and 60 and 180 degrees/ second AV in flexion (both p = 0.02) on the paretic side. Moreover, the change levels were more prominent in the KT group at 60 and 180 degrees/second AV in extension (p = 0.03 and p = 0.04, respectively) on the nonparetic side. Gait, balance, mobility, and quality of life values improved significantly in both groups (all p < 0.05), yet the change levels between the groups did not reach significance (p > 0.05). KT application to quadriceps muscles in addition to conventional exercises for 4 wk is effective on isokinetic but not functional parameters.

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Reliability of Gait Performance Tests in Men and Women With Hemiparesis After Stroke

Abstract: These commonly used gait performance tests are highly reliable and can be recommended to evaluate improvements in various aspects of gait performance in individuals with chronic mild to moderate hemiparesis after stroke.

Cited by 944 publications

References 41 publications

Predicting Home and Community Walking Activity Poststroke

Predicting Home and Community Walking Activity Poststroke

Validity and Reliability of the Swedish Version of the Activities-specific Balance Confidence Scale in People with Chronic Stroke

Effects of Kinesio Tape application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke

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