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The recovery of walking ability and subclassification of stroke.

By Gill Baer and M Smith


BACKGROUND AND PURPOSE: The recovery of walking after a stroke is a key functional goal for many patients. Reports vary, but approximately 50-80% of patients will regain some degree of walking ability following stroke (Skilbeck et al., 1983). There are few data available to show whether different subclassifications of stroke have distinct patterns of gait recovery. The present paper describes the pattern of walking recovery in a population of stroke patients classified according to the Oxfordshire Community Stroke Project classification (Bamford et al., 1991). METHOD: A prospective observational study. Stroke patients (n = 238) admitted to the inpatient Stroke Rehabilitation Unit at the Western General Hospital, Edinburgh were initially included, with data for 185 patients ultimately available for analysis. Standardized measures of recovery of 10 steps and a 10-metre walk were used routinely to examine recovery time of walking ability. The main outcome measures consisted of days taken to achieve a 10-step walk, days to achieve a 10-metre walk, and initial and discharge gait velocity over 10 meters. RESULTS: Eighty-nine per cent of the sample (n = 164) achieved a 10-step walk in a median time of five days and a 10-metre walk in eight days. The median initial gait velocity was 0.45 m/s which improved by discharge to 0.55 m/s. Further analysis by subgroup revealed that subjects sustaining a partial anterior circulation infarct, lacunar infarct or posterior circulation infarct recovered significantly more quickly than those subjects with a total anterior circulation infarct (Kruskal Wallis test for days to achieve 10 steps (H = 22.524, N = 164, df = 3) p < 0.001; Kruskal Wallis test for days to achieve a 10-metre walk (H = 22.586, N = 164, df = 3) p < 0.001. CONCLUSIONS: An hierarchical pattern of recovery of gait was observed with definite variation between the subclassifications of stroke. It is suggested that further work needs to be undertaken to identify more accurately the factors that may influence the recovery of walking following stroke

Publisher: Wiley
Year: 2001
OAI identifier:

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  2. (1999). Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke. doi
  3. (1983). Archives of Physical Medicine and Rehabilitation doi
  4. (1991). Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet doi
  5. (1996). Epidemiology of stroke. doi
  6. (1988). Gait comparison of subjects with hemiplegia walking unbraced, with ankle–foot orthosis and with air–stirrup brace. Physical Therapy
  7. (1994). Gait outcome in ambulatory hemiparetic patients after a 4 week comprehensive rehabilitation program and prognostic factors. Stroke doi
  8. (1995). Gait parameters following stroke: a practical assessment
  9. (1987). Gait performance of hemiparetic stroke patients: selected variables. doi
  10. (1991). Importance of four variables of walking to patients with stroke. doi
  11. (1995). Incidence and consequence of falls due to stroke: a systematic enquiry.
  12. (1969). Locomotion patterns in elderly women.
  13. (1992). Measurement in Neurological Rehabilitation.
  14. (1992). Measurement of motor recovery after stroke. Outcome assessment and sample size requirements. Stroke doi
  15. (1988). Nonparametric Statistics for the Behavioral Sciences (second edition). doi
  16. (1999). Predictive model of functional independence in stroke patients admitted to a rehabilitation programme. Clinical Rehabilitation doi
  17. (1985). Recovery after stroke — the first 3 months. doi
  18. (1983). Recovery after stroke. doi
  19. (1993). Recovery from physical disability after stroke: profiles for different levels of starting severity. Clinical Rehabilitation doi
  20. (1989). Selected determinants of ambulatory capacity in patients with hemiplegia. Clinical Rehabilitation doi
  21. (1997). Self-selected walking speed in patients with hemiparesis after stroke.
  22. (1993). Task specific physical therapy for optimization of gait recovery in acute stroke patients. Archives of Physical Medicine and Rehabilitation doi
  23. (1998). Ten-metre walk, with or without a turn? Clinical Rehabilitation doi
  24. (1999). The achievement of simple mobility milestones following stroke. Archives of Physical Medicine and Rehabilitation doi
  25. (1991). Walking speed as a measure of disability. Care of the Elderly
  26. (1996). Walking speed: reference values and correlates for older adults. doi
  27. (1986). Why are patients with acute stroke admitted to hospital? British Medical Journal. doi

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