Gait velocity and walking distance to predict community walking after stroke

Abstract

Gait speed and walking distance were evaluated as predictors for levels of community walking after stroke. In this study, 103 stroke survivors were identified as limited (n = 67) or independent community walkers (n = 36). Ten meter and six min walk tests were used to measure gait speed and walking distance, respectively. The discriminative properties of gait speed and walking distance for community walking were investigated using receiver operating characteristic curves. Cut-off values of 0.87 m/s for community walking gait speed for walking distance had positive predictive values of 65% and 55%, respectively. The negative predictive value ranged from 89% for gait speed to 79% for walking distance. Gait speed and walking distance showed significant differences between limited and independent community walking. Gait speed was more significantly related to community walking than walking distance. The results of this study suggest that gait speed is a better predictor for community walking than walking distance in moderately affected post-stroke survivors.

Effect of Decreased Skeletal Muscle Index and Hand Grip Strength on Functional Recovery in Subacute Ambulatory Stroke Patients

“…One study has reported that cutoff value of above 0.85 m/s and 318 m could predict community walking after stroke [36]. According to that study, patients with similar stage as in our study could walk at speed of 0.72 m/s [36]. Stroke patients with decreased SMI and hand grip strength in our study could walk at speed of 0.65 m/s.…”

“…It has been shown that gait speed is an important measure in comprehensive geriatric assessment [35]. One study has reported that cutoff value of above 0.85 m/s and 318 m could predict community walking after stroke [36]. According to that study, patients with similar stage as in our study could walk at speed of 0.72 m/s [36].…”

Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation

“…Such measures do not directly account for the safety, endurance, or tolerance of the participant, nor do they measure whether an individual actually participates in walking activities in their home or community. However, self-paced walking speed is one of the most common measures evaluated after a stroke and has been shown to predict community ambulation (38,39). Various speed thresholds have been proposed to distinguish home and community ambulators, ranging from 0.4-0.93 m/s (22,38); our selection of a 0.8 m/s threshold is on the higher end of this range.…”

Estimating Minimal Clinically Important Differences for Knee Range of Motion after Stroke

“…Measurement of progress in rehabilitation is of utmost importance. For post-stroke rehabilitation, there are numerous standardised clinical measures predominantly assessing temporal and spatial gait parameters, e.g., 10-m walk test [ 1 , 2 ], 2-, 6-, and 12-min walk tests [ 2 , 3 ], up and go test [ 4 ], cadence [ 5 ] or step length symmetry [ 6 ]. Furthermore, the concept of minimal clinically important difference (MCID) is currently at the centre of a newer approach in research on clinical measures post-stroke [ 7 ].…”