Responsiveness and predictability of gait speed and other disability measures in acute stroke

Salbach, Nancy M.; Mayo, Nancy E.; Higgins, Johanne; Ahmed, Sara; Finch, Lois; Richards, Carol L.

doi:10.1053/apmr.2001.24907

Cited by 371 publications

(299 citation statements)

References 39 publications

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“…Measurement of gait velocity has satisfactory validity in subjects with stroke. 27 The intrareliability of gait speed is very satisfactory, 28 and the 26,29 Balance and mobility were measured using the Get up and Go test. 30 Subjects were asked to stand up from a chair, walk 3 m, turn around, return, and sit down again.…”

Section: Activities: Performance Basedmentioning

confidence: 99%

“…2. Performance-based: quality of walking (Walking Capability Scale (WCS)), 3,4 balance (Berg Balance Scale (BBS)), [22][23][24][25] walking speed (7-metre walking test), [26][27][28][29] and balance and mobility (Get up and Go test). 30,31 Body functions Spasms (Modified Ashworth Scale (MAS)) [32][33][34][35][36][37] and muscle strength (MicroFet).…”

Section: Quality Of Lifementioning

confidence: 99%

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Body weight-supported treadmill training in chronic incomplete spinal cord injury: a pilot study evaluating functional health status and quality of life

et al. 2005

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Study design: A controlled single-case design: A1 (baseline: 6 weeks), B (intervention: 12 weeks of treadmill training (TT), maximally five times a week/30 min a day), A2 (wash-out: 6 weeks), follow-up measurement: 6 months. Objective: To investigate the effects of TT on functional health status (FHS) and quality of life (QoL) in subjects with a chronic incomplete spinal cord injury (ISCI). Setting: Rehabilitation Department, University Medical Centre Utrecht, The Netherlands. Methods: Three male subjects with a stable (448 months postinjury) ISCI, American Spinal Injury Association (ASIA) class C (n ¼ 2) and D (n ¼ 1). Performance-based walking, subject's perception concerning quality of life (SEIQoL) and activities of daily living Canadian Occupational Performance Measure (COPM). Results: The results of the three subjects were variable. Changes in QoL were relatively small and diverse. After 6 months' follow-up, QoL was unchanged in subjects 1 and 2, and improved in subject 3. In subject 2, performance of activities of daily living (ADL) was significantly improved, consistent with his perception of improvement (Po0.05), and this improvement was sustained throughout the follow-up period. Walking ability improved in subject 3 (Po0.05) but performance of other activities remained stable. Performance of ADL decreased slightly in subject 1 whereas his walking speed and Get up and Go performance improved (Po0.05). Conclusions: This study demonstrates positive effects of TT on FHS. A randomised clinical trial should be executed before definite conclusions about the effect of TT on FHS and QoL can be drawn.

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Section: Activities: Performance Basedmentioning

confidence: 99%

Section: Quality Of Lifementioning

confidence: 99%

Body weight-supported treadmill training in chronic incomplete spinal cord injury: a pilot study evaluating functional health status and quality of life

et al. 2005

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“…Excellent inter-rater reliability of the CMSA has been reported among stroke patients on a rehabilitation unit (ICC=0.97). 26 Gait speed is an objective measure that is sensitive to change over time, 27 and has been used as a key indicator of community ambulation among stroke survivors. 28,29 Assessment of gait was performed using the GAITRite walkway system (CIR Systems Inc., Clifton, New Jersey, USA), which is a four-metre long pressure-sensitive mat that records the placement and timing of each footfall.…”

Section: Data Collectionmentioning

confidence: 99%

The Impact of Falls on Motor and Cognitive Recovery after Discharge from In-Patient Stroke Rehabilitation

Wong

Brooks

Inness

et al. 2016

Journal of Stroke and Cerebrovascular Diseases

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“…Comfortable and fast walking speeds ranged from 0.48 to 1.25 m/s and from 0.62 to 1.66 m/s, respectively. Five subjects with hemiparesis had moderate deficits in gait speed (comfortable walking speed ranging from 0.30 to 0.72 m/s) an the others had mild deficits (comfortable walking ≥0.72 m/s) 16 . At fast walking speeds, they have increased 25±11% from their comfortable speed (Table 1).…”

Section: Resultsmentioning

confidence: 96%

“…In this test, the individual is seated in a chair with armrests, and the time taken to stand up, walk forward three meters and return to the seated position is measured. Finally, the overground 10-meter walking speed test 16,17 (10 mWT) was measured on the comfortable and maximum speeds.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Strength deficit of knee flexors is dependent on hip position in adults with chronic hemiparesis

Michaelsen¹,

Ovando²,

Bortolotti³

et al. 2013

Braz. J. Phys. Ther.

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| Background: The extent to which muscle length affects force production in paretic lower limb muscles after stroke in comparison to controls has not been established. Objectives: To investigate knee flexor strength deficits dependent on hip joint position in adults with hemiparesis and compare with healthy controls. Method: a cross-sectional study with ten subjects with chronic (63±40 months) hemiparesis with mild to moderate lower limb paresis (Fugl-Meyer score 26±3) and 10 neurologically healthy controls. Isometric knee flexion strength with the hip positioned at 90° and 0° of flexion was assessed randomly on the paretic and non-paretic side of hemiparetic subjects and healthy controls. Subjects were asked to perform a maximal isometric contraction sustained for four seconds and measured by a dynamometer. The ratio of knee flexor strength between these two hip positions was calculated: Hip 0°/Hip 90°. Also, locomotor capacity was evaluated by the timed up and go test and by walking velocity over 10 meters. Results: In subjects with hemiparesis, absolute knee flexion torque decreased (p<0.001) with the hip in extension (at 0°). The ratio of knee flexor torque Hip 0°/Hip 90° on the paretic side in hemiparetics was lower than in controls (p=0.02). Conclusions: Weakness dependent on joint position is more significant in the paretic lower limb of adults with hemiparesis when compared to controls. More attention should be given to lower limb muscle strengthening exercises in individuals with stroke, with emphasis on the strengthening exercises in positions in which the muscle is shortened.Keywords: stroke; lower extremity; muscle weakness; physical therapy; rehabilitation. HOW TO CITE THIS ARTICLEMichaelsen SM, Ovando AC, Bortolotti A, Bandini B. Strength deficit of knee flexors is dependent on hip position in adults with chronic hemiparesis. Braz J Phys Ther. 2013 Jan-Feb; 17(1):86-91. http://dx

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Responsiveness and predictability of gait speed and other disability measures in acute stroke

Cited by 371 publications

References 39 publications

Body weight-supported treadmill training in chronic incomplete spinal cord injury: a pilot study evaluating functional health status and quality of life

Body weight-supported treadmill training in chronic incomplete spinal cord injury: a pilot study evaluating functional health status and quality of life

The Impact of Falls on Motor and Cognitive Recovery after Discharge from In-Patient Stroke Rehabilitation

Strength deficit of knee flexors is dependent on hip position in adults with chronic hemiparesis

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