Effects of Walking Endurance Reduction on Gait Stability in Patients with Stroke

Control of gait is usually altered following stroke, and it may be further compromised by overexertion and fatigue. This study aims to quantitatively assess patients' gait stability during six-minute walking, measuring upper body accelerations of twenty patients with stroke (64±13 years old) an...

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Main Authors: M. Iosa, G. Morone, A. Fusco, L. Pratesi, M. Bragoni, P. Coiro, M. Multari, V. Venturiero, D. De Angelis, S. Paolucci
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.1155/2012/810415
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author M. Iosa
G. Morone
A. Fusco
L. Pratesi
M. Bragoni
P. Coiro
M. Multari
V. Venturiero
D. De Angelis
S. Paolucci
author_facet M. Iosa
G. Morone
A. Fusco
L. Pratesi
M. Bragoni
P. Coiro
M. Multari
V. Venturiero
D. De Angelis
S. Paolucci
author_sort M. Iosa
collection DOAJ
description Control of gait is usually altered following stroke, and it may be further compromised by overexertion and fatigue. This study aims to quantitatively assess patients' gait stability during six-minute walking, measuring upper body accelerations of twenty patients with stroke (64±13 years old) and ten age-matched healthy subjects (63±10 years old). Healthy subjects showed a steady gait in terms of speed and accelerations over the six minutes. Conversely, the patients unable to complete the test (𝑛=8) progressively reduced their walking speed (−22±11%, confidence interval CI95%: −13, −29%, 𝑃=0.046). Patients able to complete the test (𝑛=12) did not vary their walking speed over time (𝑃=0.493). However, this ability was not supported by an adequate capacity to maintain their gait stability, as shown by a progressive increase of their upper body accelerations (+5±11%, CI95%: −1; +12%, 𝑃=0.010). Walking endurance and gait stability should be both quantitatively assessed and carefully improved during the rehabilitation of patients with stroke.
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spelling doaj-art-c3e00aa2d0f84d6890ec4088c855acec2025-08-20T03:23:12ZengWileyStroke Research and Treatment2090-81052042-00562012-01-01201210.1155/2012/810415810415Effects of Walking Endurance Reduction on Gait Stability in Patients with StrokeM. Iosa0G. Morone1A. Fusco2L. Pratesi3M. Bragoni4P. Coiro5M. Multari6V. Venturiero7D. De Angelis8S. Paolucci9Clinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyClinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyClinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyOperative Unit F, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyOperative Unit F, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyOperative Unit F, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyOperative Unit F, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyOperative Unit F, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyOperative Unit F, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyClinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation I.R.C.C.S., via Ardeatina 306, 00179 Rome, ItalyControl of gait is usually altered following stroke, and it may be further compromised by overexertion and fatigue. This study aims to quantitatively assess patients' gait stability during six-minute walking, measuring upper body accelerations of twenty patients with stroke (64±13 years old) and ten age-matched healthy subjects (63±10 years old). Healthy subjects showed a steady gait in terms of speed and accelerations over the six minutes. Conversely, the patients unable to complete the test (𝑛=8) progressively reduced their walking speed (−22±11%, confidence interval CI95%: −13, −29%, 𝑃=0.046). Patients able to complete the test (𝑛=12) did not vary their walking speed over time (𝑃=0.493). However, this ability was not supported by an adequate capacity to maintain their gait stability, as shown by a progressive increase of their upper body accelerations (+5±11%, CI95%: −1; +12%, 𝑃=0.010). Walking endurance and gait stability should be both quantitatively assessed and carefully improved during the rehabilitation of patients with stroke.http://dx.doi.org/10.1155/2012/810415
spellingShingle M. Iosa
G. Morone
A. Fusco
L. Pratesi
M. Bragoni
P. Coiro
M. Multari
V. Venturiero
D. De Angelis
S. Paolucci
Effects of Walking Endurance Reduction on Gait Stability in Patients with Stroke
Stroke Research and Treatment
title Effects of Walking Endurance Reduction on Gait Stability in Patients with Stroke
title_full Effects of Walking Endurance Reduction on Gait Stability in Patients with Stroke
title_fullStr Effects of Walking Endurance Reduction on Gait Stability in Patients with Stroke
title_full_unstemmed Effects of Walking Endurance Reduction on Gait Stability in Patients with Stroke
title_short Effects of Walking Endurance Reduction on Gait Stability in Patients with Stroke
title_sort effects of walking endurance reduction on gait stability in patients with stroke
url http://dx.doi.org/10.1155/2012/810415
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