Correlation of the gait speed with the quality of life and the quality of life classified according to speed-based community ambulation in Thai stroke survivors

Khanittanuphong, Phichamon; S, Tipchatyotin

doi:10.3233/nre-171465

Cited by 42 publications

(31 citation statements)

References 34 publications

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“…Regaining walking ability is a major objective of rehabilitation 42 ; and the maximum walking speed, which was the primary outcome parameter in this study, represents the level of impairment in walking ability 43 and affects quality of life. 44,45 In this study, the mean change in walking speed created by the SMA was 9.51 cm/s (95% confidence interval, 5.66-13.35 cm/s); therefore, it was smaller than the generally regarded minimum clinically important difference of 13 cm/s for the comfortable walking speed of stroke patients. 21 It has been noted that the effectiveness of RAGT may increase with longer periods and higher movement intensities.…”

Section: Discussionmentioning

confidence: 56%

Effect of Stride Management Assist Gait Training for Poststroke Hemiplegia: A Single Center, Open-Label, Randomized Controlled Trial

Tanaka

Matsushita

Sonoda

et al. 2019

Journal of Stroke and Cerebrovascular Diseases

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Background: Poststroke gait disorders negatively impact activities of daily living. Rehabilitation for stroke patients is aimed at improving their walking ability, balance, and quality of life. Robot-assisted gait training (RAGT) is associated with an increased number of task-specific exercises, which may benefit poststroke motor learning. We investigated the effects of RAGT using Stride Management Assist (SMA, which increases walk ratio by inducing hip-joint flexion and extension) in subacute stroke patients with hemiplegia. Methods: We conducted a single center, open-label randomized controlled trial in hemiplegia patients who experienced a first ever stroke and were admitted to the convalescent rehabilitation ward. A total of 41 were divided into the control (20 patients) and experimental group (21 patients). A 10-day, conventional gait training program was carried out for the control group; and RAGT with SMA was used for the experimental group. The maximum walking speed and other gait parameters were compared preintervention and postintervention. The intergroup differences in the improvement ratio were compared using an intention-to-treat analysis. Results: Ten-day intervention was completed by 36 patients. There was no difference between the 2 groups regarding gait parameters at intervention initiation. The improvement ratio of the maximum walking speed was significantly higher for the experimental group. Significant improvements were observed postintervention for maximum walking speed, paralysis-side step length, symmetry, and cadence in the experimental group. No adverse events attributable to the SMA were observed. Conclusions: Ten days of RAGT with the SMA was effective for improving gait disorders of subacute stroke patients.

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Section: Discussionmentioning

confidence: 56%

Effect of Stride Management Assist Gait Training for Poststroke Hemiplegia: A Single Center, Open-Label, Randomized Controlled Trial

Tanaka

Matsushita

Sonoda

et al. 2019

Journal of Stroke and Cerebrovascular Diseases

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“…Another limitation is that we did not examine the duration of the beneficial effects of IC following the final testing session. As we show, IC improves gait speed, so it will be important to determine whether this improvement in walking function is sustained in the long term as gait speed dramatically affects both functional indoor and outdoor ambulation and strongly correlates with quality of life after stroke (31,33,45,49). Sustained improvements in walking speed with a concordant reduction in neuromuscular fatigability would also likely increase physical fitness, which is dramatically reduced in stroke survivors (3,4), and reduce the incidence of recurrent stroke.…”

Section: Study Limitations and Future Directionsmentioning

confidence: 85%

Two weeks of ischemic conditioning improves walking speed and reduces neuromuscular fatigability in chronic stroke survivors

Durand

Boerger

Nguyen

et al. 2019

Journal of Applied Physiology

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This pilot study examined whether ischemic conditioning (IC), a noninvasive, cost-effective, and easy-to-administer intervention, could improve gait speed and paretic leg muscle function in stroke survivors. We hypothesized that 2 wk of IC training would increase self-selected walking speed, increase paretic muscle strength, and reduce neuromuscular fatigability in chronic stroke survivors. Twenty-two chronic stroke survivors received either IC or IC Sham on their paretic leg every other day for 2 wk (7 total sessions). IC involved 5-min bouts of ischemia, repeated five times, using a cuff inflated to 225 mmHg on the paretic thigh. For IC Sham, the cuff inflation pressure was 10 mmHg. Self-selected walking speed was assessed using the 10-m walk test, and paretic leg knee extensor strength and fatigability were assessed using a Biodex dynamometer. Self-selected walking speed increased in the IC group (0.86 ± 0.21 m/s pretest vs. 1.04 ± 0.22 m/s posttest, means ± SD; P < 0.001) but not in the IC Sham group (0.92 ± 0.47 m/s pretest vs. 0.96 ± 0.46 m/s posttest; P = 0.25). Paretic leg maximum voluntary contractions were unchanged in both groups (103 ± 57 N·m pre-IC vs. 109 ± 65 N·m post-IC; 103 ± 59 N·m pre-IC Sham vs. 108 ± 67 N·m post-IC Sham; P = 0.81); however, participants in the IC group maintained a submaximal isometric contraction longer than participants in the IC Sham group (278 ± 163 s pre-IC vs. 496 ± 313 s post-IC, P = 0.004; 397 ± 203 s pre-IC Sham vs. 355 ± 195 s post-IC Sham; P = 0.46). The results from this pilot study thus indicate that IC training has the potential to improve walking speed and paretic muscle fatigue resistance poststroke. NEW & NOTEWORTHY This pilot study is the first to demonstrate that ischemic conditioning can improve self-selected walking speed and reduce paretic muscle fatigue in stroke survivors. Ischemic conditioning has been shown to be safe in numerous patient populations, can be accomplished at home or at the bedside in only 45 min, and requires no specialized training. Future larger studies are warranted to determine the efficacy of ischemic conditioning as a neurorehabilitation therapy poststroke.

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“…In the previous research, walking speed has been reported to be correlated with the severity of patients' paralysis, sensory disturbance, and activities of daily living [21][22][23] . In this study, the walking speed is also significantly correlated with the outcomes of the BRS, SIAS, and FIM measures, supporting the results of previous studies.…”

Section: Discussionmentioning

confidence: 97%

Clinical assessment of motor imagery and physical function in mild stroke patients

Sakai

Ikeda

2019

J Phys Ther Sci

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Purpose] The aim of this study was to clarify whether the motor imagery of walking and physical function are related in mild hemiplegic stroke patients. [Participants and Methods] Sixteen mild hemiplegic stroke patients were included in this study. We evaluated motor imagery with a 10-m walking, the estimation error and the kinesthetic and visual imagery questionnaire. Physical function was evaluated with the actual 10-m walk test time, Brunnstrom recovery stage, stroke impairment assessment set, and functional independent measure. The correlation coefficient was calculated using Spearman's correlation coefficient for all evaluation methods.[Results] The 10-m walking motor imagery took an average of 23.36 ± 22.14 s. The actual 10-m walk test averaged 24.87 ± 21.41 s. The 10-m walking motor imagery and the 10-m walking speed were significantly correlated. There was a significant correlation between the 10-m walking motor imagery and the Brunnstrom recovery stage, stroke impairment assessment set, and functional independent measure. There were no significant correlations between the estimation error and all the assessments. [Conclusion] These results show that the motor imagery of walking is related to physical function in mild hemiplegic stroke patients.

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Correlation of the gait speed with the quality of life and the quality of life classified according to speed-based community ambulation in Thai stroke survivors

Abstract: The gait speed was significantly correlated with the physical domains of the QOL in stroke patients. The community ambulators had the highest QOL among the three groups.

Cited by 42 publications

References 34 publications

Effect of Stride Management Assist Gait Training for Poststroke Hemiplegia: A Single Center, Open-Label, Randomized Controlled Trial

Effect of Stride Management Assist Gait Training for Poststroke Hemiplegia: A Single Center, Open-Label, Randomized Controlled Trial

Two weeks of ischemic conditioning improves walking speed and reduces neuromuscular fatigability in chronic stroke survivors

Clinical assessment of motor imagery and physical function in mild stroke patients

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