Different instructions during the ten-meter walking test determined significant increases in maximum gait speed in individuals with chronic hemiparesis

Nascimento, Lucas Rodrigues; Caetano, Lívia C. G.; Freitas, Daniele C. M. A.; Morais, Tatiane M.; Polese, Janaíne Cunha; Teixeira-Salmela, Luci Fuscaldi

doi:10.1590/s1413-35552012005000008

Cited by 69 publications

(56 citation statements)

References 29 publications

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“…"reach a bus that is about to pull out") or demonstration by the clinician were found to result in greater maximal WSs compared to traditional simple instructions (e.g. "walk as fast as possible and safely, but without running") (Nascimento et al, 2012). These results may hold for other populations as well.…”

Section: Recommendations On Assessment Proceduresmentioning

confidence: 84%

“…Procedures differ in regards to distance (2 meters to 40 meters) (Rydwik et al, 2012), start (static versus dynamic) (PhanBa et al, 2012), path (straight versus turn) (van Herk, Arendzen, & Rispens, 1998), speed (self-selected versus maximal) (Rydwik et al, 2012), instruction (e.g. "walk at a comfortable pace" versus " walk as if you are taking a stroll through the park") (Nascimento et al, 2012), and timing instrument (e.g. stopwatch, automatic timer, instrumented walkway) (Peters, Fritz, et al, 2013;Youdas et al, 2010).…”

Section: Recommendations On Assessment Proceduresmentioning

confidence: 99%

“…These results may hold for other populations as well. Regardless of approach decided upon, instructions should be consistent across testing sessions as differing methods have been shown to produce significantly different results (Nascimento et al, 2012). Being able to increase WS in response to environmental demands is an important aspect of functional mobility and safety.…”

Section: Recommendations On Assessment Proceduresmentioning

confidence: 99%

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Walking Speed: The Functional Vital Sign

Middleton¹,

Fritz²,

Lusardi³

2015

Journal of Aging and Physical Activity

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Walking speed (WS) is a valid, reliable, sensitive measure appropriate for assessing and monitoring functional status and overall health in a wide range of populations. These capabilities have led to its designation as the "6 th vital sign". By synthesizing the available evidence on WS, this scholarly review article provides clinicians with a reference tool regarding this robust measure. Recommendations on testing procedures for assessing WS, including optimal distance, inclusion of acceleration/deceleration phases, instructions, and instrumentation are given. After assessing an individual's WS, clinicians need to know what this value represents. Therefore, WS cut-off values and the corresponding predicted outcomes, as well as minimal detectable change values for specific populations and settings are provided.

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Section: Recommendations On Assessment Proceduresmentioning

confidence: 84%

Section: Recommendations On Assessment Proceduresmentioning

confidence: 99%

Section: Recommendations On Assessment Proceduresmentioning

confidence: 99%

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Walking Speed: The Functional Vital Sign

Middleton¹,

Fritz²,

Lusardi³

2015

Journal of Aging and Physical Activity

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“…Characteristics such as age, sex, body mass, height, time since the onset of the stroke, side of hemiparesis, number and type of medications, walking speed (10-m Walk Test) [14,15], and levels of independence (Barthel Index) [16], were collected for characterization purposes.…”

Section: Participantsmentioning

confidence: 99%

Cardiorespiratory Stress is not Achieved During Routine Physiotherapy in Chronic Stroke

Polese¹

2014

International Journal of Physical Medicine & Rehabilitation

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“…In this test, the individual is seated in a chair with armrests, and the time taken to stand up, walk forward three meters and return to the seated position is measured. Finally, the overground 10-meter walking speed test 16,17 (10 mWT) was measured on the comfortable and maximum speeds.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Strength deficit of knee flexors is dependent on hip position in adults with chronic hemiparesis

Michaelsen¹,

Ovando²,

Bortolotti³

et al. 2013

Braz. J. Phys. Ther.

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| Background: The extent to which muscle length affects force production in paretic lower limb muscles after stroke in comparison to controls has not been established. Objectives: To investigate knee flexor strength deficits dependent on hip joint position in adults with hemiparesis and compare with healthy controls. Method: a cross-sectional study with ten subjects with chronic (63±40 months) hemiparesis with mild to moderate lower limb paresis (Fugl-Meyer score 26±3) and 10 neurologically healthy controls. Isometric knee flexion strength with the hip positioned at 90° and 0° of flexion was assessed randomly on the paretic and non-paretic side of hemiparetic subjects and healthy controls. Subjects were asked to perform a maximal isometric contraction sustained for four seconds and measured by a dynamometer. The ratio of knee flexor strength between these two hip positions was calculated: Hip 0°/Hip 90°. Also, locomotor capacity was evaluated by the timed up and go test and by walking velocity over 10 meters. Results: In subjects with hemiparesis, absolute knee flexion torque decreased (p<0.001) with the hip in extension (at 0°). The ratio of knee flexor torque Hip 0°/Hip 90° on the paretic side in hemiparetics was lower than in controls (p=0.02). Conclusions: Weakness dependent on joint position is more significant in the paretic lower limb of adults with hemiparesis when compared to controls. More attention should be given to lower limb muscle strengthening exercises in individuals with stroke, with emphasis on the strengthening exercises in positions in which the muscle is shortened.Keywords: stroke; lower extremity; muscle weakness; physical therapy; rehabilitation. HOW TO CITE THIS ARTICLEMichaelsen SM, Ovando AC, Bortolotti A, Bandini B. Strength deficit of knee flexors is dependent on hip position in adults with chronic hemiparesis. Braz J Phys Ther. 2013 Jan-Feb; 17(1):86-91. http://dx

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Different instructions during the ten-meter walking test determined significant increases in maximum gait speed in individuals with chronic hemiparesis

Cited by 69 publications

References 29 publications

Walking Speed: The Functional Vital Sign

Walking Speed: The Functional Vital Sign

Cardiorespiratory Stress is not Achieved During Routine Physiotherapy in Chronic Stroke

Strength deficit of knee flexors is dependent on hip position in adults with chronic hemiparesis

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