Timed Up and Go test: Comparison of kinematics between patients with chronic stroke and healthy subjects

Bonnyaud, Céline; Pradon, Didier; Vaugier, Isabelle; Vuillerme, Nicolas; Bensmaïl, Djamel; Roche, Nicolás

doi:10.1016/j.gaitpost.2016.06.023

Cited by 31 publications

(40 citation statements)

References 35 publications

(45 reference statements)

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“…These results may indicate that the time to complete the TUG depend more on gait parameters than on sit to stand acceleration. 3,4 According to a sensitivity/specificity curve analyses, gait velocity was discriminated considering the LL severity. A cutoff point of .57 m/s was determined between mild/moderate and severe level of impairment during gait analysis, suggesting that poststroke individuals walking slower than .57 m/s could be classified as severe LL impairment.…”

Section: Discussionmentioning

confidence: 99%

“…Upper (UL) and lower limb (LL) motor impairments are the most common causes of disability after stroke and affect the performance of several activities of daily living, such as reaching forward, object grasping, standing up, and walking. [1][2][3][4] The level of impairment after stroke is quite variable, but always impacts on health care costs and on quality of life of poststroke individuals and their caregivers. 5 In order to reduce the impact of sensorimotor disabilities, an adequate assessment of functioning is essential to plan the ideal physical therapy treatment.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke

Rech

Salazar

Marchese

et al. 2020

Journal of Stroke and Cerebrovascular Diseases

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke

Rech

Salazar

Marchese

et al. 2020

Journal of Stroke and Cerebrovascular Diseases

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“…In this study, out of 151 patients with suspected hydrocephalus from brain imaging and at least one symptom of the classical triad, 76 were A B C D Fig. 2 Radar plots of the progression of median values of cadence, stride length, total time, total steps, double support, and gait speed for a p-iNPH on TUG, b v-iNPH on TUG, c p-iNPH on 18 mW and d v-iNPH on 18 mW from baseline to T72 h. Distances are normalized with respect to baseline (blue lines) and normative values (green dot lines) derived for TUG from [18,38]; for 18 mW from [33]. Red plots refer to the p-iNPH group, yellow plots to the v-iNPH group.…”

Section: Discussionmentioning

confidence: 99%

The effects of cerebrospinal fluid tap-test on idiopathic normal pressure hydrocephalus: an inertial sensors based assessment

Ferrari

Milletti

Giannini

et al. 2020

J NeuroEngineering Rehabil

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Background: Gait disturbances are typical of persons with idiopathic normal pressure hydrocephalus (iNPH) without signs distinctive from other neurodegenerative and vascular conditions. Cerebrospinal fluid tap-test (CSF-TT) is expected to improve the motor performance of iNPH patients and is a prognostic indicator in their surgical management. This observational prospective study aims to determine which spatio-temporal gait parameter(s), measured during instrumented motor tests, and clinical scale(s) may provide a relevant contribution in the evaluation of motor performance pre vs. post CSF-TT on iNPH patients with and without important vascular encephalopathy. Methods: Seventy-six patients (20 with an associated vascular encephalopathy) were assessed before, and 24 and 72 h after the CSF-TT by a timed up and go test (TUG) and an 18 m walking test (18 mW) instrumented using inertial sensors. Tinetti Gait, Tinetti Balance, Gait Status Scale, and Grading Scale were fulfilled before and 72 h after the CSF-TT. Stride length, cadence and total time were selected as the outcome measures. Statistical models with mixed effects were implemented to determine the relevant contribution to response variables of each quantitative gait parameter and clinical scales. Results and conclusion: From baseline to 72 h post CSF-TT patients improved significantly by increasing cadence in 18 mW and TUG (on average of 1.7 and 2.4 strides/min respectively) and stride length in 18 mW (on average of 3.1 cm). A significant reduction of gait apraxia was reflected by modifications in double support duration and in coordination index. Tinetti Gait, Tinetti Balance and Gait Status Scale were able to explain part of the variability of response variables not covered by instrumental data, especially in TUG. Grading Scale revealed the highest affinity with TUG total time and cadence when considering clinical scales alone. Patients with iNPH and an associated vascular encephalopathy showed worst performances compared to pure iNPH but without statistical significance. Gait improvement following CSF-TT was comparable in the two groups. Overall these results suggest that, in order to augment CSF-TT accuracy, is key to assess the gait pattern by analyzing the main spatiotemporal parameters and set post evaluation at 72 h. Trial registration: Approved by ethics committee: CE 14131 23/02/2015.

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“…In general, normal scores are less than 10 seconds for healthy adults, 11-20 seconds for those who are elderly or with disabilities, and more than 20 seconds indicates that assistance is required for outdoor walking and that additional tests and therapeutic interventions are needed. In addition, it is judged that there is a risk of falling if the TUG score is 30 seconds [7][8][9].…”

Section: Experimental Equipment and Clinical Measurement Toolsmentioning

confidence: 99%

Walking behaviors for stroke survivors: comparison between straight line and curved path

Hwang

Choi²

2019

PTRS

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The purpose of this study was to compare walking conditions (straight line and curved path) on walking patterns in persons who had experienced hemiplegic stroke and to determine whether if they adapt their walking pattern and performances according to changes in environmental conditions. Design: Cross-sectional study. Methods: Forty-four hemiplegic stroke survivors participated in this study. This study measured walking performance in three different walking conditions, such as straight walking, the more-affected leg in the inner curve walking, and less-affected leg in the inner curve walking conditions, and a 2-dimentional gait analysis system was used as a primary measurement. This study also measured secondary clinical factors including the Timed Up-and-Go Test, the Trunk Impairment Scale, and the Dynamic Gait Index. Results: After analyzing, cadence and step length of the less-affected side, stride length in the more-affected side, and stride length in less-affected side were significantly different among the three different walking conditions in this study (p<0.05), but other temporospatial parameters were not significant. Cadence was the largest in the straight walking condition. Step length in the less-affected side, stride length in the more-affected side, and stride length in less-affected side were also the longest in the straight walking condition. Conclusions: The results of the study suggest that hemiplegic stroke survivors show walking adaptability according to changes in walking demands and conditions, and moreover, cadence and step and stride lengths were significantly different between straight and curved walking conditions.

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Timed Up and Go test: Comparison of kinematics between patients with chronic stroke and healthy subjects

Cited by 31 publications

References 35 publications

Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke

Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke

The effects of cerebrospinal fluid tap-test on idiopathic normal pressure hydrocephalus: an inertial sensors based assessment

Walking behaviors for stroke survivors: comparison between straight line and curved path

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