Walking speed over 10 metres overestimates locomotor capacity after stroke

Clinical Rehabilitation - Tập 15 Số 4 - Trang 415-421 - 2001
Catherine M. Dean1, Carol L. Richards, Francine Malouin2
1Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS) de l'Institut de réadaptation en déficience physique de Québec, Québec, Canada and School of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Australia
2CIRRIS, l'Institut de réadaptation en déficience physique de Québec, Québec, Canada

Tóm tắt

Objective: To examine 10-m comfortable walking speed and 6-minute distance in healthy individuals and individuals after stroke and to assess the level of disability associated with poor walking endurance after stroke. Design: Descriptive study in which comfortable walking speed over 10 m and distance covered in 6 minutes (6-minute walk test) were compared between healthy subjects and subjects after stroke. Subjects: Twelve healthy subjects and 14 subjects after stroke. Main outcome measures: Walking speed and 6-minute distances were compared between groups. In addition, for each group, actual distance walked in 6 minutes was compared with the distance predicted by the 10-m walking speed test and the distance predicted by normative reference equations. Results: Subjects after stroke had significant reductions in 10-m speed and 6-minute distance compared with healthy subjects (p < 0.05). Subjects after stroke were not able to maintain their comfortable walking speed for 6 minutes, whereas healthy subjects walked in excess of their comfortable speed for 6 minutes. The average distance walked in 6 minutes by individuals after stroke was only 49.8 ± 23.9% of the distance predicted for healthy individuals with similar physical characteristics. Conclusion: In our subjects after stroke, walking speed over a short distance overestimated the distance walked in 6 minutes. Both walking speed and endurance need to be measured and trained during rehabilitation.

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Tài liệu tham khảo

10.1016/S0004-9514(14)60548-1

10.1016/S0004-9514(14)60408-6

Richards CL, 1995, Gait analysis. Theory and applications, 355

10.1016/S0003-9993(96)90072-6

Wade DT, 1992, Measurement in neurological rehabilitation

Guyatt GH, 1985, Can Med Assoc J, 132, 919

10.1136/bmj.1.6013.822

10.1136/bmj.292.6521.653

10.1136/bmj.284.6329.1607

Kadikar A, 1997, J Heart Lung Transplant, 16, 313

10.1053/mr.2000.3839

10.1161/01.STR.29.10.2055

10.1164/ajrccm.158.5.9710086

10.1161/01.STR.29.8.1562

Dean CM, Malouin F, Richards CL. Locomotor task-related training for chronic stroke: multiple single case design. Unpublished article available from the author.

Winter DA, 1991, The biomechanics and motor control of human gait: normal, elderly and pathological

10.1093/ptj/71.11.791

10.1161/01.STR.28.2.326

10.1161/01.STR.29.10.2114

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Clinical Rehabilitation

Tập 15 Số 4

415-421

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