Document Detail

Over-ground walking on level and sloped surfaces in people with stroke compared to healthy matched adults.
MedLine Citation:
PMID:  23210802     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To investigate the basic spatio-temporal gait characteristics of people with stroke whilst walking on sloped and level terrain, and to compare this performance to healthy matched adults.
METHOD: Fifteen community dwelling people with stroke who walked with a hemiplegic gait and a reference group of 15 adults without impairments matched for sex, age and height participated in this descriptive, observational study. Basic gait spatio-temporal measures were recorded at self-selected speed across a GAITRite mat placed on level, uphill and downhill (ramp gradient 1:14 or 4.1°) surfaces. Measures recorded were gait speed, cadence, step length, support base, single and double limb support duration and step length symmetry. Group and walking condition effects were assessed by two separate 2-way (group × slope) repeated measures multivariate analysis of variance.
RESULTS: The stroke group walked slower (p < 0.001) than the reference group for all conditions. Within-group analyses found the stroke group decreased their speed and step length when walking downhill compared to level and uphill walking (p < 0.001). In contrast, the reference group maintained speed across all walking conditions.
CONCLUSIONS: The findings suggest that walking on slopes affects gait speed in people with stroke and this may have implications when walking in the community.
IMPLICATIONS FOR REHABILITATION: • Although a high percentage of people achieve walking independence following a stroke, few achieve independent community mobility. • Walking on slopes is an important aspect of community mobility. • When walking down a standard gradient ramp, people with stroke reduced their speed and step length, relative to level over-ground and uphill walking. • It is recommended that attention be directed to assessment and treatment of walking on slopes as part of stroke rehabilitation, as this may have implications when walking in the community.
Phuong L Phan; Jannette M Blennerhassett; Noel Lythgo; Wayne Dite; Meg E Morris
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-12-05
Journal Detail:
Title:  Disability and rehabilitation     Volume:  35     ISSN:  1464-5165     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-06-24     Completed Date:  2013-09-16     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1302-7     Citation Subset:  IM    
Department of Physiotherapy, Royal Talbot Rehabilitation Centre Austin Health, Melbourne, Australia.
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MeSH Terms
Analysis of Variance
Case-Control Studies
Exercise Test / methods*
Gait Disorders, Neurologic / etiology,  rehabilitation*
Geriatric Assessment / methods*
Middle Aged
Multivariate Analysis
Postural Balance / physiology
Stroke / complications,  rehabilitation*
Walking / physiology*

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

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