The responsiveness of the Ten-Meter Walking Test and other measures in patients with hemiparesis in the acute phase

Vos-Vromans, D.C.W.M.; Bie, Rob A. de; Erdmann, Peter G.; Meeteren, N.L.U. van

doi:10.1080/09593980500212920

Cited by 35 publications

(16 citation statements)

References 19 publications

(31 reference statements)

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“…Demographic and routine clinical discharge measures of walking capacity, including comfortable gait speed over 10m 16 and distance walked over 6-minutes 17 were collected. At one, three and six months, participants returned for a follow-up assessment where an accelerometer, the ActivPAL TM (PAL Technologies Ltd©, Glasgow, UK) was applied to record usual daily ambulation activity.…”

Section: Methodsmentioning

confidence: 99%

Recovery of ambulation activity across the first six months post-stroke

2016

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word count: 245 Word count: 2754 Highlights Stroke survivors increase walking activity over the first 6 months post-discharge.  Stroke survivors increase daily sitting time over the first 6-monts post-discahrge.  Stroke survivors spend least time in long duration and high intensity activity.  Interventions to target activity should be considered 3-months post-discharge. AbstractStroke survivors commonly adopt sedentary activity behaviours by the chronic phase of recovery. However, the change in activity behaviours from the subacute to chronic phase of stroke is variable. This study explored the recovery of ambulation activity (volume and bouts) at one, three and six months after hospital discharge post-stroke. A total of 42 stroke survivors were recruited at hospital discharge and followed up one, three and six months later. At follow-up, ambulation activity was measured over four days using the ActivPAL TM accelerometer. Measures included volume of activity and frequency and intensity of ambulation activity bouts per day. Linear mixed effects modelling was used to determine changes over time. There was wide variation in activity. Total step counts across all time points were below required levels for health benefits (mean 4592 SD 3411). Most activity was spread across short bouts. While most number of bouts was of low intensity, most time was spent in moderate intensity ambulation across all time points. Daily step count and time spent walking and sitting/lying increased from one month to three and six months. The number of and time spent in short and medium duration bouts increased from one to six months. Time in long duration bouts increased at three months only. Time spent in moderate intensity ambulation increased over time. No change was observed for any other measures. In future, it would be valuable to identify strategies to increase engagement in activity behaviours to improve health outcomes after stroke.

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Section: Methodsmentioning

confidence: 99%

Recovery of ambulation activity across the first six months post-stroke

2016

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“…The 10MWT showed good reliability in patients with mixed neurological diagnoses (ICC50.93) 60 , stroke 52 , multiple sclerosis 30 and Parkinson's disease 50 . The 10MWT also showed good responsiveness in acute stroke patients 53,61,62 , although the 5 meter walk test appeared to be more responsive compared to the 10MWT 63 .…”

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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“…The Ten-Meter-Walking-Speed test (TMWS-test) times the walking speed along a distance of ten meters and can be performed at a comfortable or maximum walking speed [50]. Because the comfortable walking speed seems to be more responsive to functional recovery after stroke [51] and because the maximum walking speed can be estimated by multiplying comfortable walking speed by 1.32 [52], the TMWS- test is performed at comfortable walking speed, only by patients with a FAC score of 3 or higher.…”

Section: Methodsmentioning

confidence: 99%

Geriatric rehabilitation of stroke patients in nursing homes: a study protocol

et al. 2010

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BackgroundGeriatric patients are typically underrepresented in studies on the functional outcome of rehabilitation after stroke. Moreover, most geriatric stroke patients do probably not participate in intensive rehabilitation programs as offered by rehabilitation centers. As a result, very few studies have described the successfulness of geriatric stroke rehabilitation in nursing home patients, although it appears that the majority of these patients are being discharged back to the community, rather than being transferred to residential care. Nevertheless, factors associated with the successfulness of stroke rehabilitation in nursing homes or skilled nursing facilities are largely unknown. The primary goal of this study is, therefore, to assess the factors that uniquely contribute to the successfulness of rehabilitation in geriatric stroke patients that undergo rehabilitation in nursing homes. A secondary goal is to investigate whether these factors are similar to those associated with the outcome of stroke rehabilitation in the literature.Methods/DesignThis study is part of the Geriatric Rehabilitation in AMPutation and Stroke (GRAMPS) study in the Netherlands. It is a longitudinal, observational, multicenter study in 15 nursing homes in the Southern part of the Netherlands that aims to include at least 200 patients. All participating nursing homes are selected based on the existence of a specialized rehabilitation unit and the provision of dedicated multidisciplinary care. Patient characteristics, disease characteristics, functional status, cognition, behavior, and caregiver information, are collected within two weeks after admission to the nursing home. The first follow-up is at discharge from the nursing home or one year after inclusion, and focuses on functional status and behavior. Successful rehabilitation is defined as discharge from the nursing home to an independent living situation within one year after admission. The second follow-up is three months after discharge in patients who rehabilitated successfully, and assesses functional status, behavior, and quality of life. All instruments used in this study have shown to be valid and reliable in rehabilitation research or are recommended by the Netherlands Heart Foundation guidelines for stroke rehabilitation.Data will be analyzed using SPSS 16.0. Besides descriptive analyses, both univariate and multivariate analyses will be performed with the purpose of identifying associated factors as well as their unique contribution to determining successful rehabilitation.DiscussionThis study will provide more information about geriatric stroke rehabilitation in Dutch nursing homes. To our knowledge, this is the first large study that focuses on the determinants of success of geriatric stroke rehabilitation in nursing home patients.

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The responsiveness of the Ten-Meter Walking Test and other measures in patients with hemiparesis in the acute phase

Cited by 35 publications

References 19 publications

Recovery of ambulation activity across the first six months post-stroke

Recovery of ambulation activity across the first six months post-stroke

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

Geriatric rehabilitation of stroke patients in nursing homes: a study protocol

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