Over-ground walking on level and sloped surfaces in people with stroke compared to healthy matched adults.
Disabil Rehabil
; 35(15): 1302-7, 2013 Jul.
Article
em En
| MEDLINE
| ID: mdl-23210802
ABSTRACT
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 114 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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação Geriátrica
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Caminhada
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Transtornos Neurológicos da Marcha
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Teste de Esforço
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Reabilitação do Acidente Vascular Cerebral
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Marcha
Tipo de estudo:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article