Assessment of backward walking unmasks mobility impairments in post-stroke community ambulators
| Autor: | Christy Conroy, Chitralakshmi K. Balasubramanian, David J. Clark, Emily J. Fox, Kelly A Hawkins, Arian Vistamehr, Dorian K. Rose |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Walking Article 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Range of Motion Articular Stroke Aged Community and Home Care Backward walking Rehabilitation business.industry Stroke Rehabilitation Stride length Middle Aged medicine.disease Biomechanical Phenomena Lower Extremity Case-Control Studies Post stroke Female Neurology (clinical) Analysis of variance 0305 other medical science business Cadence Single session human activities 030217 neurology & neurosurgery |
| Zdroj: | Top Stroke Rehabil |
| ISSN: | 1945-5119 |
| Popis: | BACKGROUND: While over half of stroke survivors recover the ability to walk without assistance, deficits persist in the performance of walking adaptations necessary for safe mobility in the home and community. One such adaptation is the ability to walk or step backward. Post-stroke rehabilitation rarely includes assessment of backward walking (BW) and BW deficits have not been quantified in post-stroke community ambulators. OBJECTIVE: To quantify spatiotemporal and kinematic BW characteristics in post-stroke community ambulators and compare their performance to healthy older adults. METHODS: Individuals post-stroke (n=15, 60.1±12.9 years, forward speed: 1.13±0.23 m/s) and healthy adults (n=12, 61.2±16.2 years, forward speed: 1.40±0.13 m/s) performed forward walking (FW) and BW during a single session. Step characteristics and peak lower extremity joint angles were extracted using 3D motion analysis and analyzed with mixed-method ANOVAs (group, walking condition). RESULTS: The stroke group demonstrated greater reductions in speed, step length and cadence and a greater increase in double-support time during BW compared to FW (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|