TY - JOUR
T1 - Accelerometric assessment of different dimensions of natural walking during the first year after stroke: recovery of amount, distribution, quality and speed of walking
AU - Sanchez, MC
AU - Bussmann, J
AU - Janssen, W
AU - Horemans, H
AU - Chastin, Sebastien
AU - Heijenbrok, M
AU - Stam, H
N1 - not yet available online to verify ET 28-10-14 Query to academic 5-5-15, unable to find online - author confirmed still in press, changed publication year to 2015. ET
HH: 22.09.15: found article in number of journals but not journal as stated in record. Updated record and journal.
PY - 2015
Y1 - 2015
N2 - Objectives: To describe the course of walking behaviour over a period of 1 year after stroke, using accelerometry, and to compare 1-year data with those from a healthy group. Design: One-year follow-up cohort study. Subjects: Twenty-three stroke patients and 20 age-matched healthy subjects. Methods: Accelerometer assessments were made in the participants' daily environment for 8 h/day during the 1
st (T1), 12
th (T2) and 48
th (T3) weeks after stroke, and at one timepoint in healthy subjects. Primary outcomes were: percentage of time walking and upright (amount); mean duration and number of walking periods (distribution); step regularity and gait symmetry (quality); and walking speed. Results: Time walking, time upright, and number of walking bouts increased during T1 and T2 (p < 0.01) and then levelled off (p > 0.30). Mean duration of walking periods showed no significant improvements (p > 0.30) during all phases. Step regularity, gait symmetry and gait speed showed a tendency to increase consistently from T1 to T3. At T3, amount and distribution variables reached the level of the healthy group, but significant differences remained (p < 0.02) in step regularity and gait speed. Conclusion: In this cohort, different outcomes of walking behaviour showed different patterns and levels of recovery, which supports the multi-dimensional character of gait.
AB - Objectives: To describe the course of walking behaviour over a period of 1 year after stroke, using accelerometry, and to compare 1-year data with those from a healthy group. Design: One-year follow-up cohort study. Subjects: Twenty-three stroke patients and 20 age-matched healthy subjects. Methods: Accelerometer assessments were made in the participants' daily environment for 8 h/day during the 1
st (T1), 12
th (T2) and 48
th (T3) weeks after stroke, and at one timepoint in healthy subjects. Primary outcomes were: percentage of time walking and upright (amount); mean duration and number of walking periods (distribution); step regularity and gait symmetry (quality); and walking speed. Results: Time walking, time upright, and number of walking bouts increased during T1 and T2 (p < 0.01) and then levelled off (p > 0.30). Mean duration of walking periods showed no significant improvements (p > 0.30) during all phases. Step regularity, gait symmetry and gait speed showed a tendency to increase consistently from T1 to T3. At T3, amount and distribution variables reached the level of the healthy group, but significant differences remained (p < 0.02) in step regularity and gait speed. Conclusion: In this cohort, different outcomes of walking behaviour showed different patterns and levels of recovery, which supports the multi-dimensional character of gait.
KW - Accelerometry
KW - Activities of daily living
KW - Gait
KW - Stroke
U2 - 10.2340/16501977-1994
DO - 10.2340/16501977-1994
M3 - Article
SN - 1650-1977
VL - 47
SP - 714
EP - 721
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
IS - 8
ER -