Document Detail

Does clinic-measured gait speed differ from gait speed measured in the community in people with stroke?
MedLine Citation:
PMID:  16774095     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the extent to which gait speed measured in the clinic setting differs from that measured in the community. DESIGN: Participants completed the 10-m walk test at a self-selected speed in a clinic SETTING. Following this they completed a 300-m community-based walking circuit that covered a variety of environmental conditions. Gait velocity was sampled at different points in the circuit. The same circuit and sampling points were used for all participants. Clinic gait velocity was compared to gait velocity measured on five occasions during the community-based circuit. SETTING: Physiotherapy clinic and local shopping mall. PARTICIPANTS: Twenty-eight chronic stroke patients who regularly accessed the community divided into two groups based on their gait velocity in the clinic. MAIN OUTCOME MEASURES: Walking velocity. RESULTS: Spearman rank correlation coefficient indicated that there was a strong correlation between the total time taken to walk the 300-m course and the clinic-based gait velocity (r = -0.88, P < 0.0001). A linear mixed model with repeated measures analysis revealed significant interaction between community measures for group A versus group B (F4,26 = 4.49, P = 0.0068) and significant differences across community conditions (F4,26 = 7.12, P = 0.0005). CONCLUSION: The clinic-based 10-m walk test is able to predict walking velocity in a community setting in chronic stroke patients who score 0.8 m/s or faster. However, for those who score less than 0.8 m/s in the clinic test, gait velocity in the community may be overestimated.
Denise Taylor; Caroline M Stretton; Suzie Mudge; Nick Garrett
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical rehabilitation     Volume:  20     ISSN:  0269-2155     ISO Abbreviation:  Clin Rehabil     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-06-15     Completed Date:  2006-11-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  438-44     Citation Subset:  IM    
School of Physiotherapy and Physical Rehabilitation Research Centre, Auckland University of Technology, New Zealand.
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MeSH Terms
Aged, 80 and over
Exercise Test*
Gait / physiology*
Health Facilities
Middle Aged
Predictive Value of Tests
Residence Characteristics
Stroke / physiopathology*
Task Performance and Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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