Gait & Posture
Volume 31, Issue 3 , Pages 311-316 , March 2010

Differences in self-selected and fastest-comfortable walking in post-stroke hemiparetic persons

  • C.B. Beaman

      Affiliations

    • Department of Mechanical Engineering, The University of Texas, Austin, TX, USA
    • ,
  • C.L. Peterson

      Affiliations

    • Department of Mechanical Engineering, The University of Texas, Austin, TX, USA
    • ,
  • R.R. Neptune

      Affiliations

    • Department of Mechanical Engineering, The University of Texas, Austin, TX, USA
    • Corresponding Author InformationCorresponding author at: Department of Mechanical Engineering, The University of Texas at Austin, 1 University Station C2200, Austin, TX 78712, USA. Tel.: +1 512 471 0848; fax: +1 512 471 8727.
    • ,
  • S.A. Kautz

      Affiliations

    • Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA
    • Department of Physical Therapy, University of Florida, Gainesville, FL, USA
    • Brooks Center for Rehabilitation Studies, University of Florida, Gainesville, FL, USA

Received 7 May 2009 ,Revised 26 October 2009 ,Accepted 16 November 2009.

References 

  1. Perry J, Garrett M, Gronley JK, Mulroy SJ. Classification of walking handicap in the stroke population. Stroke. 1995;26:982–989
  2. Richards CL, Malouin F, Dean C. Gait in stroke: assessment and rehabilitation. Clin Geriatr Med. 1999;15:833–855
  3. Turnbull GI, Charteris J, Wall JC. A comparison of the range of walking speeds between normal and hemiplegic subjects. Scand J Rehabil Med. 1995;27:175–182
  4. Kollen B, Kwakkel G, Lindeman E. Hemiplegic gait after stroke: is measurement of maximum speed required?. Arch Phys Med Rehabil. 2006;87:358–363
  5. Bowden MG, Balasubramanian CK, Neptune RR, Kautz SA. Anterior–posterior ground reaction forces as a measure of paretic leg contribution in hemiparetic walking. Stroke. 2006;37:872–876
  6. Jonkers I, Delp S, Patten C. Capacity to increase walking speed is limited by impaired hip and ankle power generation in lower functioning persons post-stroke. Gait Posture. 2009;29:129–137
  7. Milot MH, Nadeau S, Gravel D. Muscular utilization of the plantarflexors, hip flexors and extensors in persons with hemiparesis walking at self-selected and maximal speeds. J Electromyogr Kinesiol. 2007;17:184–193
  8. Jonsdottir J, Recalcati M, Rabuffetti M, Casiraghi A, Boccardi S, Ferrarin M. Functional resources to increase gait speed in people with stroke: strategies adopted compared to healthy controls. Gait Posture. 2009;29:355–359
  9. Lamontagne A, Fung J. Faster is better: implications for speed-intensive gait training after stroke. Stroke. 2004;35:2543–2548
  10. Balasubramanian CK, Bowden MG, Neptune RR, Kautz SA. Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Arch Phys Med Rehabil. 2007;88:43–49
  11. Nadeau S, Arsenault AB, Gravel D, Bourbonnais D. Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke. Am J Phys Med Rehabil. 1999;78:123–130
  12. Peterson CL. Inappropriate flexor synergies influence walking mechanics that reduce plantar flexor contributions to propulsion in persons with post-stroke hemiparesis. MS Thesis, The University of Texas at Austin; 2007.
  13. Chen G, Patten C, Kothari DH, Zajac FE. Gait differences between individuals with post-stroke hemiparesis and non-disabled controls at matched speeds. Gait Posture. 2005;22:51–56

PII: S0966-6362(09)00663-8

doi: 10.1016/j.gaitpost.2009.11.011

Gait & Posture
Volume 31, Issue 3 , Pages 311-316 , March 2010

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