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Relationships between walking velocity and distance and the symmetry of temporospatial parameters in chronic post-stroke subjects

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: Subjects with post-stroke hemiparesis frequently present with asymmetric gait patterns. Symmetry, reflecting similarities in temporospatial, kinematic parameters, is an important measure of gait assessment. The study was designed to examine the relationships between asymmetry of temporal, spatial and kinematic gait parameters and walking velocity and distance. Methods: Temporospatial and kinematic gait parameters were examined in a group of 50 chronic post-stroke subjects and in a group of 25 healthy controls. Symmetry ratio was calculated for all the parameters. Gait velocity was measured during 10-metre test, the walking distance during 2-Minute Walk Test, and balance during Up&Go Test. Results: The relationship between stance phase duration symmetry and gait speed was at a moderate level (r = –0.43, p = 0.0173). There was a moderate relationship between swing phase symmetry and walking velocity and distance. The findings did not show a significant correlation between step length symmetry versus gait speed and distance. Conclusions: There is a mild relationship between self-selected gait velocity and walking distance versus temporal parameters symmetry. The findings do not confirm a relationship between self-selected gait velocity and walking distance versus spatial and kinematic parameters as well as balance. Likewise, no evidence confirms that asymmetry of temporal, spatial, kinematic gait parameters changes with the age of post-stroke subjects or is related to the length of time from stroke onset. Given the above, gait symmetry may be recognized as an important indicator of the level of gait control in post-stroke patients because it enables unique gait assessment, independent from other parameters.
Słowa kluczowe
Rocznik
Strony
147--154
Opis fizyczny
Bibliogr. 30 poz., tab.
Twórcy
autor
  • Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland
  • Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland
  • Clinical Rehabilitation Ward of Province Hospital No. 2 in Rzeszów, Rzeszów, Poland
autor
  • Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland
  • Clinical Rehabilitation Ward of Province Hospital No. 2 in Rzeszów, Rzeszów, Poland
autor
  • Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland
  • Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland
  • Rzeszów University of Technology, Rzeszów, Poland
Bibliografia
  • [1] ADA L., DEAN C.M., LINDLEY R., LOYD G., Improving community ambulation after stroke: the AMBULATE Trial, BMC Neurol, 2009, 11(9), 8.
  • [2] ALEXANDER L.D., BLACK S.E., PATTERSON K.K., GAO F., DANELLS C.J., MCILROY W.E., Association between gait asymmetry and brain lesion location in stroke patients, Stroke, 2009, 40(2), 537–544.
  • [3] BALASUBRAMANIN C.K., BOWDEN M.G., NEPTUNE R.R., KAUTZ S.A., Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis, Arch. Phys Med. Rehabil., 2007, 88(1), 43–49.
  • [4] BUTLAND R.J.A., PANG J., GROSS E.R., WOODCOCK A.A., GEDDES D.M., Two, six and twelve minute walking tests in respiratory disease, Br. Med. J., 1982, (284), 1604–1608.
  • [5] COLLEN F.M., WADE D.T., BRADSHW C.M., Mobility after stroke: reliability of measures of impairment and disability, Int. Disabil. Stud., 1990, 12, 6–9.
  • [6] DAVIS R.B., OUNPUU S., TYBURSKI D., GAGA J.R., A gait analysis data collection and reduction technique, Human Movement Science, 1991, 10(5), 575–587.
  • [7] DEAN C.M., ADA L., BAMPTON J., MORRIS M.E., KATRAK P.H., POTTS S., Treadmill walking with body weight support in subacute non-ambulatory stroke improves walking capacity more than overground walking: a randomised trial, J. Physiother., 2010, 56(2), 97–103.
  • [8] DICKSTEIN R., Rehabilitation of Gait Speed After Stroke: A Critical Review of Intervention Approaches, Neurorehabilitation and Neural Repair, 2008, 22(6), 649–660.
  • [9] HENDRICKSON J., PATTERSON K.K., INNESS E.L., MCILOROY W.E., MANSFIELD A., Relationship between asymmetry of quiet standing balance control and walking post-stroke, Gait Posture, 2014, 39(1), 177–181.
  • [10] HESSE S., REITER F., JAHNKE M., DAWSON M., SARKODIE-GYAN T., MAURITZ K.H., Asymmetry of gait initiation in hemiparetic stroke subjects, Arch. Phys. Med. Rehabil., 1997, 78(7), 719–724.
  • [11] HSU A.L., TANG P.F., JAN M.H., Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke, Arch. Phys. Med. Rehabil., 2003, 84, 1185–1193.
  • [12] JANSEN K., DE GROOTE F., AERTS W., DE SCHUTTER J., DUYSENS J., JONKERS I., Altering length and velocity feedback during a neuro-musculoskeletal simulation of normal gait contributes to hemiparetic gait characteristics, J. Neuroeng. Rehabil, 2014, 30(11), 78.
  • [13] LEWEK M.D., BRADLEY C.E., WUTZKE C.J., ZINDER S.M., The Relationship Between Spatiotemporai Gait Asymmetry and Balance in Individuals With Chronic Stroke, J. Appl. Biomech., 2014, 30(1), 31–36.
  • [14] LEWEK M.D., RANDALL E.P., Reliability of spatiotemporal asymmetry during overground walking for individuals following chronic stroke, J. Neurol. Phys. Ther., 2011, 35(3), 116–121.
  • [15] OLNEY S.J., RICHARDS C., Hemiparetic gait following stroke. Part I: Characteristics, Gait Posture, 1996, 4(2), 136–148.
  • [16] PATTERSON K.K., GAGE W.H., BROOKS D., BLACK S.E., MCILROY W.E., Evaluation of gait symmetry after stroke: a comparison of current methods and recommendations for standardization, Gait Posture, 2010, 31(2), 241–246.
  • [17] PATTERSON K.K., GAGE W.H., BROOOKS D., BLACK S.E., MCILROY W.E., Changes in gait symmetry and velocity after stroke: a cross-sectional study from weeks to years after stroke, Neurorehabil. Neural. Repair, 2010, 24(9), 783–790.
  • [18] PATTERSON K.K., NADKARNI N.K., BLACK S.E., MCILROY W.E., Temporal gait symmetry and velocity differ in their relationship to age, Gait Posture, 2012, 35(4), 590–594.
  • [19] PATTERSON K.K., PARAFINOWICZ I., DANELLS C.J., CLOSSON V., VERRIER M.C., STAINES W.R. et al., Gait asymmetry in community-ambulating stroke survivors, Arch. Phys. Med. Rehabil., 2008, 89, 304–310.
  • [20] PATTERSON S.L., RODGERS M.M., MACKO R.F., FORRESTER L.W., Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke: a preliminary report, J. Rehabil. Res. Dev., 2008, (45), 221–228.
  • [21] PLUMMER P., BEHRMAN A.L., DUNCAN P.W., SPIGEL P., SARACINO D., MARTIN J. et al., Effects of stroke severity and training duration on locomotor recovery after stroke: a pilot study, Neurorehabil. Neural. Repair, 2007, 21, 137–151.
  • [22] PODSIADŁO D., RICHARDSON S., The timed “up & go": A test of basic functional mobility for frail elderly persons, JAGS, 1991, 39, 142–148.
  • [23] REISMAN D.S., MCLEAN H., BASTIAN A.J., Split-belt treadmill training poststroke: a case study, J. Neurol. Phys. Ther., 2010, 34(4), 202–207.
  • [24] ROERDINK M., LAMOTH C.J., VAN KORDELAAR J., ELICH P., KONIJNENBELT M., KWAKKEL G. et al., Rhythm Perturbations in Acoustically Paced Treadmill Walking After Stroke, Neurorehabil. Neural. Repair, 2009, 23(7), 668–678.
  • [25] ROTH E.J., MERBITZ C., MROCZEK K., DUGAN S.A., SUH W.W., Hemiplegic gait. Relationships between walking speed and other temporal parameters, Am. J. Phys. Med. Rehabil., 1997, 76(2), 128–133.
  • [26] SCHMID A., DUNKAN P.W., STUDENSKI S., Improvements in speed-based gait classifications are meaningful, Stroke, 2007, 38(7), 2096–2100.
  • [27] SZCZERBIK E., KRAWCZYK M., SYCZEWSKA M., Ground reaction force analysed with correlation coefficient matrix in group of stroke patients, Acta Bioeng. Biomech., 2014, 16(2), 3–9.
  • [28] TENORE N., FORTUGNO F., VIOLA F., GALLI M., GIAQUINTO S., Gait Analysis as a Reliable Tool for Rehabilitation of Chronic Hemiplegic Patients, Clin. Exp. Hypertens, 2006, 28(3–4), 349–355.
  • [29] TURNBULL G.I., WALL J.C., Long-term changes in hemiplegic gait, Gait Posture, 1995, 3(4), 258–261.
  • [30] WEERDESTEYN V., DE NIET M., VAN DUIJNHOVEN H.J., GEURTS A.C., Falls in individuals with stroke, J. Rehabil. Res. Dev., 2008, 45(8), 1195–1214.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-3813289d-4611-4fca-a5ed-0a29f9be485a
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