Immediate effect of treadmill walking practice versus overground walking practice on overground walking pattern in ambulatory stroke patients: An experimental study

Kuys, Suzanne S., Brauer, Sandra G., Ada, Louise and Russell, Trevor G. (2008) Immediate effect of treadmill walking practice versus overground walking practice on overground walking pattern in ambulatory stroke patients: An experimental study. Clinical Rehabilitation, 22 10-11: 931-939. doi:10.1177/0269215508094245


Author Kuys, Suzanne S.
Brauer, Sandra G.
Ada, Louise
Russell, Trevor G.
Title Immediate effect of treadmill walking practice versus overground walking practice on overground walking pattern in ambulatory stroke patients: An experimental study
Journal name Clinical Rehabilitation   Check publisher's open access policy
ISSN 0269-2155
1477-0873
Publication date 2008-10-01
Year available 2008
Sub-type Article (original research)
DOI 10.1177/0269215508094245
Open Access Status Not yet assessed
Volume 22
Issue 10-11
Start page 931
End page 939
Total pages 9
Editor Derick T. Wade
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Subject C1
920201 Allied Health Therapies (excl. Mental Health Services)
920103 Cardiovascular System and Diseases
110317 Physiotherapy
110201 Cardiology (incl. Cardiovascular Diseases)
1106 Human Movement and Sports Science
1103 Clinical Sciences
Abstract Objective: To determine whether 10 minutes of treadmill walking had a different effect on overground walking pattern compared with 10 minutes of overground walking in newly ambulatory stroke patients. Are any changes influenced by walking ability?
Formatted abstract
Objective:
To determine whether 10 minutes of treadmill walking had a different effect on overground walking pattern compared with 10 minutes of overground walking in newly ambulatory stroke patients. Are any changes influenced by walking ability?

Design:
A within-participant, repeated measures experimental study was conducted. Each participant carried out 10 minutes of overground walking practice followed by 10 minutes of treadmill walking practice at matched heart rate on separate days. Setting: An inpatient rehabilitation facility.

Subjects:
Twenty-one participants receiving inpatient rehabilitation following stroke.

Measures:
Overground walking pattern was measured as linear and angular kinematics using GAITRite and a two-dimensional webcam application respectively.

Results:
Following treadmill walking practice, there was 6 degrees (95% confidence interval (CI) 2 to 10) more knee extension at heel strike during overground walking than following overground walking practice. Poorer walkers increased non-paretic limb step length following treadmill walking practice more than those with better walking ability (mean difference 2.2 cm, 95% CI 0 to 5).

Conclusions:
Ten minutes of treadmill walking practice resulted in a similar overground walking pattern compared with overground walking practice in newly ambulatory stroke patients undergoing rehabilitation, regardless of walking ability.
© SAGE Publications 2008
Keyword Stroke patients
Treadmill walking
Overground walking
Walking ability
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Mon, 06 Apr 2009, 21:20:16 EST by Meredith Downes on behalf of School of Health & Rehabilitation Sciences