Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3 , Pages 358-363 , March 2006

Hemiplegic Gait After Stroke: Is Measurement of Maximum Speed Required?

  • Boudewijn Kollen

      Affiliations

    • Research Bureau, Isala Klinieken, Zwolle
    • Corresponding Author InformationReprint requests to Boudewijn J. Kollen, Research Bureau, Isala Klinieken, PO Box 10400, 8000 GK Zwolle, the Netherlands
    • ,
  • Gert Kwakkel, PhD

      Affiliations

    • Rehabilitation Centre De Hoogstraat, Rudolf Magnus Institute of Neuroscience, UMC Utrecht, Utrecht
    • Department of Rehabilitation VU Medical Center, Amsterdam, The Netherlands
    • ,
  • Eline Lindeman, MD, PhD

      Affiliations

    • Rehabilitation Centre De Hoogstraat, Rudolf Magnus Institute of Neuroscience, UMC Utrecht, Utrecht

,Accepted 1 November 2005.

  • Image Result

    Distribution of mean comfortable and maximum walking speeds with 95% confidence intervals (CIs) over time after stroke.

    Distribution of mean comfortable and maximum walking speeds with 95% confidence intervals (CIs) over time after stroke.

  • Image Result

    A Bland and Altman plot for differences in comfortable (A) and maximum (B) walking speed poststroke measurements. Initial measurement differences are large but gradually diminish with subsequent enrol

    A Bland and Altman plot for differences in comfortable (A) and maximum (B) walking speed poststroke measurements. Initial measurement differences are large but gradually diminish with subsequent enrollment of patients (learning effect).

  • Image Result
    A scatterplot showing the poststroke relation between overall means (in m/s) of comfortable and maximum walking speed (ICCconsistency, ρ=.96). This plot clearly shows decreased discrimination between

    A scatterplot showing the poststroke relation between overall means (in m/s) of comfortable and maximum walking speed (ICCconsistency, ρ=.96). This plot clearly shows decreased discrimination between measurements at lower speeds and increased scattering (measurement error) at higher speeds.

 Supported by the Netherlands Heart Foundation (project no. 93.134) and ZONmw (grant no. 14.350004).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(05)01385-7

doi: 10.1016/j.apmr.2005.11.007

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3 , Pages 358-363 , March 2006

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