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.

References 

  1. Collen FM , Wade DT , Bradshaw CM . Mobility after stroke (reliability of measures of impairment and disability) . Int Disabil Stud . 1990;12:6–9
  2. Wade DT . Measurement in neurological rehabilitation . Oxford: Oxford Univ Pr; 1992;
  3. Holden MK , Gill KM , Magliozzi MR , Nathan J , Piehl-Baker L . Clinical gait assessment in the neurologically impaired (Reliability and meaningfulness) . Phys Ther . 1984;64:35–40
  4. Wade DT , Langton Hewer R . Functional abilities after stroke (measurement, natural history and prognosis) . J Neurol Neurosurg Psychiatry . 1987;50:177–182
  5. Friedman PJ , Richmond DE , Baskett JJ . A prospective trial of serial gait speed as a measure of rehabilitation in the elderly . Age Ageing . 1988;17:227–235
  6. Richards CL , Malouin F , Wood-Dauphinee S , Williams JI , Bouchard JP , Brunet D . Task-specific physical therapy for optimization of gait recovery in acute stroke patients . Arch Phys Med Rehabil . 1993;74:612–620
  7. Salbach NM , Mayo NE , Wood-Dauphinee S , Hanley JA , Richards CL , Cote R . A task-orientated intervention enhances walking distance and speed in the first year post stroke (a randomized controlled trial) . Clin Rehabil . 2004;18:509–519
  8. Richards CL , Malouin F , Bravo G , Dumas F , Wood-Dauphinee S . The role of technology in task-oriented training in persons with subacute stroke (a randomized controlled trial) . Neurorehabil Neural Repair . 2004;18:199–211
  9. Duncan P , Studenski S , Richards L , et al.   Randomized clinical trial of therapeutic exercise in subacute stroke . Stroke . 2003;34:2173–2180
  10. Van Peppen RP , Kwakkel G , Wood-Dauphinee S , Hendriks HJ , Van der Wees PJ , Dekker J . The impact of physical therapy on functional outcomes after stroke (what’s the evidence?) . Clin Rehabil . 2004;18:833–862
  11. Mizrahi J , Susak Z , Heller L , Najenson T . Objective expression of gait improvement of hemiplegics during rehabilitation by time-distance parameters of the stride . Med Biol Eng Comput . 1982;20:628–634
  12. Brandstater ME , Bruin de H , Gowland C , Clarke BM . Hemiplegic gait (analysis of temporal variables) . Arch Phys Med Rehabil . 1983;64:583–587
  13. Wall JC , Turnbull GI . Gait asymmetries in residual hemiplegia . Arch Phys Med Rehabil . 1986;67:550–553
  14. Dettmann MA , Londer MT , Sepic SB . Relationships among walking performance, postural stability, and functional assessments of the hemiplegic patient . Am J Phys Med . 1987;66:77–90
  15. Friedman PJ . Gait recovery after hemiplegic stroke . Int Disabil Stud . 1990;12:119–122
  16. Wade DT , Wood VA , Heller A , Maggs J , Hewer RL . Walking after stroke . Scand J Rehabil Med . 1987;19:25–30
  17. Bohannon RW . Walking after stroke (comfortable versus maximum safe speed) . Int J Rehabil Res . 1992;15:246–248
  18. Ozgirgin N , Bolukbasi N , Beyazova M , Orkun S . Kinematic gait analysis in hemiplegic patients . Scand J Rehabil Med . 1993;25:51–55
  19. Bohannon RW . Selected determinants of ambulatory capacity in patients with hemiplegia . Clin Rehabil . 1989;3:47–53
  20. Potter JM , Evans AL , Duncan G . Gait speed and activities of daily living function in geriatric patients . Arch Phys Med Rehabil . 1995;76:997–999
  21. Kwakkel G , Wagenaar RC , Twisk JW , Lankhorst GJ , Koetsier JC . Intensity of leg and arm training after primary middle-cerebral-artery stroke (a randomised trial) . Lancet . 1999;354:191–196
  22. Connelly DM , Stevenson TJ , Vandervoort AA . Between- and within-rater reliability of walking tests in a frail elderly population . Physiother Can . 1996;48:47–51
  23. Collin C , Wade D . Assessing motor impairment after stroke (a pilot reliability study) . J Neurol Neurosurg Psychiatry . 1990;53:576–579
  24. Bohannon RW . Correlation of lower limb strengths and other variables with standing performance in stroke patients . Physiother Can . 1989;41:198–202
  25. Kwakkel G , Wagenaar RC . Effect of duration of upper- and lower-extremity rehabilitation sessions and walking speed on recovery of interlimb coordination in hemiplegic gait . Phys Ther . 2002;82:432–448
  26. Twisk JW . Applied longitudinal data analysis for epidemiology . Cambridge: Cambridge Univ Pr; 2003;
  27. Lamontagne A , Fung J . Faster is better (Implications for speed-intensive gait training after stroke) . Stroke . 2004;35:2543–2548

 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