Is automaticity of walking regained after stroke?

Canning, Colleen G.; Ada, Louise; Paul, Serene S.

doi:10.1080/09638280500167712

Cited by 57 publications

(60 citation statements)

References 20 publications

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“…[10][11][12][13][14][15] They found different effects on gait parameters when patients walked and simultaneously performed a cognitive task, including slower gait speed, 12 reduced cadence, longer stride duration, and increased double-limb support. 11,15 In a neurologic population, DT-related gait decrements showed to be significantly correlated with the patients' functional independence (Barthel Index) score, rather than with one of the standardly used gait measures, being the ten-meter walk time.…”

Section: Archives Of Physical Medicine and Rehabilitationmentioning

confidence: 99%

Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients

Baetens

Kegel

Palmans

et al. 2013

Archives of Physical Medicine and Rehabilitation

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This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. Abstract Objectives: To evaluate fall risk in stroke patients based on single-and dual-task gait analyses, and to investigate the difference between 2 cognitive tasks in the dual-task paradigm. Design: Prospective cohort study. Setting: Rehabilitation hospitals. Participants: Subacute stroke patients (NZ32), able to walk without physical/manual help with or without walking aids, while performing a verbal task. Interventions: Not applicable. Main Outcome Measures: Functional gait measures were Functional Ambulation Categories (FAC) and use of a walking aid. Gait measures were evaluated by an electronic walkway system under single-and dual-task (DT) conditions. For the single-task, subjects were instructed to walk at their usual speed. One of the DTs was a verbal fluency dual task, whereby subjects had to walk while simultaneously enumerating as many different animals as possible. For the other DT (counting dual task), participants had to walk while performing serial subtractions. After inclusion, participants kept a 6-month falls diary. Results: Eighteen (56.3%) of the 32 included patients fell. Ten (31.3%) were single fallers (SFs), and 8 (25%) were multiple fallers (MFs). Fallers (Fs) more frequently used a walking aid and more frequently needed an observatory person for walking safely (FAC score of 3) than nonfallers (NFs). Two gait decrement parameters in counting dual task could distinguish potential Fs from NFs: decrement in stride length percentage (PZ.043) and nonparetic step length percentage (PZ.047). Regarding the division in 3 groups (NFs, SFs, and MFs), only MFs had a significantly higher percentage of decrement for paretic step length (PZ.023) than SFs. Conclusions: Examining the decrement of spatial gait characteristics (stride length and paretic and nonparetic step length) during a DT addressing working memory can identify fall-prone subacute stroke patients.

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Section: Archives Of Physical Medicine and Rehabilitationmentioning

confidence: 99%

Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients

Baetens

Kegel

Palmans

et al. 2013

Archives of Physical Medicine and Rehabilitation

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“…The stimuli were presented using a cassette recorder at three-second intervals in random order to prevent anticipation 10 . The third condition was walking during both tasks (triple) in which participants were required to perform both the manual and cognitive task without spilling the water in the dual-manual task, and making no errors in the dual-cognitive task 9 . In order to detect the decrement of walking speed under the aforementioned conditions, the average speed of walking under the three conditions as a percentage (%) of participants' comfortable walking speed was calculated.…”

Section: Walking Performancementioning

confidence: 99%

“…Participants were asked to walk 10 meters as previously under three additional conditions. The first condition was walking during a concurrent manual task (dual-manual) in which participants were required to walk while carrying (using their intact hand) a polystyrene cup of water, filled to within 7 mm of the top without spilling the water 9 . The second condition was walking during a concurrent cognitive task (dualcognitive) in which participants were required to give a correct verbal response on hearing an verbal stimulus: "yes" when they heard the word "red", and "no" when they heard the word "blue".…”

Section: Walking Performancementioning

confidence: 99%

Relationship between walking performance and types of community-based activities in people with stroke: an observational study

Alzahrani¹,

Dean²,

Ada³

2011

Rev. bras. fisioter.

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“…The SWWT test shows good specificity (95%) and acceptable positive predictive values (83%) along with negative predictive values (76%) with moderate sensitivity (48%) in the prediction of falls [38][39][40][41].…”

Section: Introductionmentioning

confidence: 99%

Reduced gait automaticity in female patients with chronic fatigue syndrome: Case-control study

et al. 2015

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Abstract-Patients with chronic fatigue syndrome (CFS)report difficulties walking for a prolonged period of time. This study compares gait automaticity between women with CFS and nondisabled controls. The "stops walking with eyes closed with secondary cognitive task" test is based on the classic "stops walking while talking" test but compares walking with eyes closed while performing a secondary cognitive task in a female CFS population (n = 34) and in female nondisabled controls (n = 38). When initiating gate, 23.5% of patients with CFS looked toward the ground compared with only 2.6% of nondisabled controls. After 7 m, subjects were asked to close their eyes, and after another 7 m, they were asked, "How much is 100 minus 7?" Of the patients with CFS, 55.9% stopped walking compared with 5.3% of nondisabled controls. Less automated walking was observed in patients with CFS than in nondisabled controls (p < 0.001). The test-retest reliability is moderate for global stopping. This simple test observed reduced gait automaticity in patients with CFS for the first time. Dual tasking could be helpful to address the functional limitations found in this particular study.

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Is automaticity of walking regained after stroke?

Abstract: Community dwelling stroke subjects display the same level of automaticity of walking as elderly controls, but both elderly controls and stroke subjects are less automated than young controls.

Cited by 57 publications

References 20 publications

Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients

Gait Analysis With Cognitive-Motor Dual Tasks to Distinguish Fallers From Nonfallers Among Rehabilitating Stroke Patients

Relationship between walking performance and types of community-based activities in people with stroke: an observational study

Reduced gait automaticity in female patients with chronic fatigue syndrome: Case-control study

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