| Increasing intensity during treadmill walking does not adversely affect walking pattern or quality in newly-ambulating stroke patients: an experimental study. | |
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MedLine Citation:
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PMID: 18298359 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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QUESTION: Does walking on a treadmill at increasing intensities adversely affect walking pattern or reduce walking quality during treadmill walking? Are any changes influenced by walking ability? DESIGN: A within-participant, repeated measures experimental study. PARTICIPANTS: 18 individuals with a first stroke who were undergoing inpatient rehabilitation. INTERVENTION: Walking on a treadmill at intensities of 30%, 40%, 50% and 60% heart rate reserve in the one session. OUTCOME MEASURES: During treadmill walking practice, walking pattern was measured as linear and angular kinematics while walking quality was measured using the Rivermead Gait Analysis scale and a visual analogue scale. RESULTS: Walking on the treadmill at 60% heart rate reserve, step length of the paretic limb was 0.05 m (95% CI 0.01 to 0.10) longer, step length of the non-paretic limb was 0.09 m (95% CI 0.05 to 0.12) longer, and hip flexion at mid swing was 4 degrees (95% CI 1 to 6) greater than at 30% heart rate reserve. At 60% heart rate reserve, hip and knee extension at mid stance were respectively 3 and 4 degrees more flexed than at 30% heart rate reserve. Walking ability did not affect changes in walking pattern. Walking quality did not change with increasing treadmill intensity. CONCLUSION: Walking on a treadmill at increasing intensity did not adversely affect walking pattern or reduce walking quality in newly-ambulating stroke patients. This study adds some support for the inclusion of walking on a treadmill at higher intensities in rehabilitation for newly-ambulating stroke patients. |
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Authors:
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Suzanne S Kuys; Sandra G Brauer; Louise Ada; Trevor G Russell |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Australian journal of physiotherapy Volume: 54 ISSN: 0004-9514 ISO Abbreviation: Aust J Physiother Publication Date: 2008 |
Date Detail:
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Created Date: 2008-02-26 Completed Date: 2008-06-03 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0370615 Medline TA: Aust J Physiother Country: Australia |
Other Details:
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Languages: eng Pagination: 49-54 Citation Subset: IM |
Affiliation:
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School of Physiotherapy and Exercise Science, Griffith University, QLD, Australia. s.kuys@griffith.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Exercise Test Exercise Therapy / methods* Female Gait / physiology* Heart Rate Humans Male Middle Aged Physical Exertion Stroke / physiopathology*, rehabilitation* Walking / physiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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