Document Detail

Increasing intensity during treadmill walking does not adversely affect walking pattern or quality in newly-ambulating stroke patients: an experimental study.
MedLine Citation:
PMID:  18298359     Owner:  NLM     Status:  MEDLINE    
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.
Suzanne S Kuys; Sandra G Brauer; Louise Ada; Trevor G Russell
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian journal of physiotherapy     Volume:  54     ISSN:  0004-9514     ISO Abbreviation:  Aust J Physiother     Publication Date:  2008  
Date Detail:
Created Date:  2008-02-26     Completed Date:  2008-06-03     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370615     Medline TA:  Aust J Physiother     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  49-54     Citation Subset:  IM    
School of Physiotherapy and Exercise Science, Griffith University, QLD, Australia.
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MeSH Terms
Exercise Test
Exercise Therapy / methods*
Gait / physiology*
Heart Rate
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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