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Effects of Walking Endurance Reduction on Gait Stability in Patients with Stroke

By M. Iosa, G. Morone, A. Fusco, L. Pratesi, M. Bragoni, P. Coiro, M. Multari, V. Venturiero, D. De Angelis and S. Paolucci


Control of gait is usually altered following stroke, and it may be further compromised by overexertion and fatigue. This study aims to quantitatively assess patients' gait stability during six-minute walking, measuring upper body accelerations of twenty patients with stroke (64 ± 13 years old) and ten age-matched healthy subjects (63 ± 10 years old). Healthy subjects showed a steady gait in terms of speed and accelerations over the six minutes. Conversely, the patients unable to complete the test (n = 8) progressively reduced their walking speed (−22 ± 11%, confidence interval CI95%: −13, −29%, P = 0.046). Patients able to complete the test (n = 12) did not vary their walking speed over time (P = 0.493). However, this ability was not supported by an adequate capacity to maintain their gait stability, as shown by a progressive increase of their upper body accelerations (+5 ± 11%, CI95%: −1; +12%, P = 0.010). Walking endurance and gait stability should be both quantitatively assessed and carefully improved during the rehabilitation of patients with stroke

Topics: Clinical Study
Publisher: Hindawi Publishing Corporation
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Provided by: PubMed Central

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  7. (1965). Functional evaluation: the Barthel index,”
  8. (2002). Functional walk tests in individuals with stroke: relation to perceived exertion and myocardial exertion,”
  9. (2011). Greig et al., “Is fatigue after stroke associated with physical deconditioning? A crosssectional study in ambulatory stroke survivors,”
  10. (1986). H o l d e n ,K .M .G i l l ,a n dM .R .M a g l i o z z i ,“ G a i t assessment for neurologically impaired patients. Standards for outcome assessment,”
  11. (2009). Interventions for post-stroke fatigue,”
  12. (2011). Kaiser,“Reliabilityandvalidityofbilateralankleaccelerometer algorithms for activity recognition and walking speed after stroke,”
  13. (2005). Measurement of community ambulation after stroke: current status and future developments,”
  14. (2001). Mechanisms leading to a fall from an induced trip in healthy older adults,”
  15. (2009). PedestriansinBerlinafterstroke:recommendationsforstreet and subway transit,”
  16. (2009). Poststroke fatigue-A review,”
  17. (1987). Prospective study of restriction of activity in old people after falls,”
  18. (2008). Quantification of the probability of reaching mobility independence at discharge from a rehabilitation hospital in nonwalking early ischemic strokepatients:amultivariatestudy,”CerebrovascularDiseases,
  19. (2011). Reliability and clinical correlates of 3D-accelerometry based gait analysis outcomes according toage andfall-risk,”Gait and Posture,
  20. (2011). S i m p s o n ,W .C .M i l l e r ,a n dJ .J .E n g ,“ E ffect of stroke on fall rate, location and predictors: a prospective comparison of older adults with and without stroke,”
  21. (2009). Sagittal plane kinematic analysis of the six-minute walk test: a classification of hemiplegic gait,”
  22. (2006). Short-distance walking speed and timed walking distance: redundant measures for clinical trials?”
  23. (2003). T e a s e l l ,S .K .B h o g a l ,N .C .F o l e y ,a n dM .R .S p e e c h l e y , “Gait retraining post stroke,” Topics in Stroke Rehabilitation,
  24. (2001). Walking speed over 10 metres overestimates locomotor capacity after stroke,”
  25. (2011). Who may benefit from robotic-assisted gait training? A randomized clinical trial in patients with subacute stroke,”