Predictive Validity and Responsiveness of the Functional Ambulation Category in Hemiparetic Patients After Stroke

Mehrholz, Jan; Wagner, Katja; Rutte, Katja; Meißner, Daniel; Pohl, Marcus

doi:10.1016/j.apmr.2007.06.764

Cited by 579 publications

(428 citation statements)

References 25 publications

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“…Similar mean velocity (0.84 km/h) was reported by Mehrholz et al during the 6-minute walk test (6MWT) for the less-affected patients only (FAC score = 2.0 ± 1.5) [29]. Conversely, the WS mean achieved during GT training by our patients was much higher than the over-ground velocities recorded in the most-affected patients in the Mehrholz et al study (0.16 km/h for patients with an FAC score = 0.4 ± 0.7 and 0.51 km/h for an FAC score = 1.2 ± 1.3) [29]. At dismissal, our patients performed the 6MWT with a WS mean similar to the maximum achieved on the GT (about 1.6 km/h).…”

Section: Discussionsupporting

confidence: 69%

Driving electromechanically assisted Gait Trainer for people with stroke

Iosa¹,

Morone²,

Bragoni³

et al. 2011

JRRD

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Abstract-Electromechanically assisted gait training is a promising task-oriented approach for gait restoration, especially for people with subacute stroke. However, few guidelines are available for selecting the parameter values of the electromechanical Gait Trainer (GT) (Reha-Stim; Berlin, Germany) and none is tailored to a patient's motor capacity. We assessed 342 GT sessions performed by 20 people with stroke who were stratified by Functional Ambulatory Category. In the first GT session of all patients, the body-weight support (BWS) required was higher than that reported in the literature. In further sessions, we noted a slow reduction of BWS and a fast increment of walking speed for the most-affected patients. Inverse trends were observed for the less-affected patients. In all the patients, the heart rate increment was about 20 beats per minute, even for sessions in which the number of strides performed was up to 500. In addition, the effective BWS measured during GT sessions was different from that initially selected by the physiotherapist. This difference depended mainly on the position of the GT platforms during selection. Finally, harness acceleration in the anteroposterior direction proved to be higher in patients with stroke than in nondisabled subjects. Our findings are an initial step toward scientifically selecting parameters in electromechanically assisted gait training.

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Section: Discussionsupporting

confidence: 69%

Driving electromechanically assisted Gait Trainer for people with stroke

Iosa¹,

Morone²,

Bragoni³

et al. 2011

JRRD

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“…Mehrholz et al 26 stated that the SRM could reflect individual changes better than the ES. However, Samsa et al 27 described the ES as effective and well accepted.…”

mentioning

confidence: 99%

How often should sitting and rising from a chair be evaluated in patients with Duchenne muscular dystrophy?

Hukuda

Caromano

Escórcio

et al. 2017

Arq. Neuro-Psiquiatr.

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Objective: To determine how often sitting/rising from a chair should be assessed in Duchenne muscular dystrophy (DMD) patients to avoid redundant/missing data. Methods: Sitting/rising from a chair was evaluated in 26 DMD children (5-12 yrs), in three-month intervals, over twelve months, with the Functional Evaluation Scale (domain sitting/rising from a chair). Scores were compared by effect sizes (ES) and standardized response means (SRM) (responsiveness analysis). Results: Sit-to-stand showed low-to-moderate responsiveness in three-month intervals

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“…Ranges from non-functional walking to independent walking outside with a scale for 0-5 respectively. The Functional Ambulation Classification has excellent validity with the 6 minute walking test in acute Stroke patients (32).…”

Section: Dynamic Gait Indexmentioning

confidence: 98%

A Community-Based, Bionic Leg Rehabilitation Program for Patients with Chronic Stroke: Clinical Trial Protocol

Wright

Stone

Lambrick

et al. 2018

Journal of Stroke and Cerebrovascular Diseases

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word count: 2292 This is an accepted manuscript of an article published by Elsevier in Journal of Stroke and Cerebrovascular Diseases, available online at http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.09.002. It is not the copy of record. Copyright © 2017, Elsevier. AbstractStroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic assisted devices (i.e., a bionic leg) within a community-setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dualcentre, randomized, parallel group clinical trial to investigate the impact of a community based, training program using a bionic leg on biomechanical, cardiovascular and functional outcomes in stroke survivors.Following a baseline assessment which will assess gait, postural sway, vascular health (blood pressure, arterial stiffness) and functional outcomes (6-minute walk), participants will be randomized to a 10-week program group, incorporating either: i) physiotherapy plus community-based bionic leg training program, ii) physiotherapy only, or iii) usual care control. The training program will involve participants engaging in a minimum of 1 hour per day of bionic leg activities at home. Follow up assessment, identical to baseline, will occur after 10-weeks, 3 and 12 months post intervention. Given the practical implications of the study, the clinical significance of using the bionic leg will be assessed for each outcome variable. The potential improvements in gait, balance, vascular health and functional status may have a meaningful impact on patients' quality of life. The integration of robotic devices within home-based rehabilitation programs may prove to be a cost effective, practical and beneficial resource for stroke survivors.

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Predictive Validity and Responsiveness of the Functional Ambulation Category in Hemiparetic Patients After Stroke

Cited by 579 publications

References 25 publications

Driving electromechanically assisted Gait Trainer for people with stroke

Driving electromechanically assisted Gait Trainer for people with stroke

How often should sitting and rising from a chair be evaluated in patients with Duchenne muscular dystrophy?

A Community-Based, Bionic Leg Rehabilitation Program for Patients with Chronic Stroke: Clinical Trial Protocol

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