Timed Walking Tests Correlate With Daily Step Activity In Persons With Stroke

Abstract Mudge S, Stott NS. Timed walking tests correlate with daily step activity in persons with stroke. Objectives To examine the relationship among 4 clinical measures of walking ability and the outputs of the StepWatch Activity Monitor in participants with stroke. Design Correlational study. Se...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2009-02, Vol.90 (2), p.296-301
Hauptverfasser: Mudge, Suzie, MHSc, Stott, N. Susan, PhD
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Stott, N. Susan, PhD
description Abstract Mudge S, Stott NS. Timed walking tests correlate with daily step activity in persons with stroke. Objectives To examine the relationship among 4 clinical measures of walking ability and the outputs of the StepWatch Activity Monitor in participants with stroke. Design Correlational study. Setting Clinic and participants' usual environments. Participants Fifty participants more than 6 months after stroke were recruited. All participants were able to walk independently, but with some residual difficulty. Interventions Not applicable. Main Outcome Measures Rivermead Mobility Index (RMI), Rivermead Motor Assessment (RMA), six-minute walk test (6MWT), ten-meter walk test (10MWT), StepWatch outputs (based on daily step counts and stepping rates). Results The correlations between the RMA and all StepWatch outputs were low ( ρ =0.36–0.48; P
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Susan, PhD</creator><creatorcontrib>Mudge, Suzie, MHSc ; Stott, N. Susan, PhD</creatorcontrib><description>Abstract Mudge S, Stott NS. Timed walking tests correlate with daily step activity in persons with stroke. Objectives To examine the relationship among 4 clinical measures of walking ability and the outputs of the StepWatch Activity Monitor in participants with stroke. Design Correlational study. Setting Clinic and participants' usual environments. Participants Fifty participants more than 6 months after stroke were recruited. All participants were able to walk independently, but with some residual difficulty. Interventions Not applicable. Main Outcome Measures Rivermead Mobility Index (RMI), Rivermead Motor Assessment (RMA), six-minute walk test (6MWT), ten-meter walk test (10MWT), StepWatch outputs (based on daily step counts and stepping rates). Results The correlations between the RMA and all StepWatch outputs were low ( ρ =0.36–0.48; P &lt;.05), as were most for the RMI (ρ=0.31–0.52; P &lt;.05). The 10MWT and 6MWT had moderate to high correlations (ρ=0.51–0.73; P &lt;.01) with most StepWatch outputs. Multiple regression showed that the 6MWT was the only significant predictor for most StepWatch outputs, accounting for between 38% and 54% of the variance. Age and the RMI were further significant predictors of 1 and 2 outputs, respectively. Conclusions The 6MWT has the strongest relationship with the StepWatch outputs and may be a better test than the 10MWT to predict usual walking performance. However, it should be remembered that the 6MWT explains only half the variability in usual walking performance. Thus, activity monitoring captures aspects of walking performance not captured by other clinical tests and should be considered as an additional outcome measure in stroke rehabilitation.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2008.07.025</identifier><identifier>PMID: 19236983</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Disability Evaluation ; Diseases of the osteoarticular system ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Motor activity ; Neurology ; Physical Medicine and Rehabilitation ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Susan, PhD</creatorcontrib><title>Timed Walking Tests Correlate With Daily Step Activity In Persons With Stroke</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Mudge S, Stott NS. Timed walking tests correlate with daily step activity in persons with stroke. Objectives To examine the relationship among 4 clinical measures of walking ability and the outputs of the StepWatch Activity Monitor in participants with stroke. Design Correlational study. Setting Clinic and participants' usual environments. Participants Fifty participants more than 6 months after stroke were recruited. All participants were able to walk independently, but with some residual difficulty. Interventions Not applicable. Main Outcome Measures Rivermead Mobility Index (RMI), Rivermead Motor Assessment (RMA), six-minute walk test (6MWT), ten-meter walk test (10MWT), StepWatch outputs (based on daily step counts and stepping rates). Results The correlations between the RMA and all StepWatch outputs were low ( ρ =0.36–0.48; P &lt;.05), as were most for the RMI (ρ=0.31–0.52; P &lt;.05). The 10MWT and 6MWT had moderate to high correlations (ρ=0.51–0.73; P &lt;.01) with most StepWatch outputs. Multiple regression showed that the 6MWT was the only significant predictor for most StepWatch outputs, accounting for between 38% and 54% of the variance. Age and the RMI were further significant predictors of 1 and 2 outputs, respectively. Conclusions The 6MWT has the strongest relationship with the StepWatch outputs and may be a better test than the 10MWT to predict usual walking performance. However, it should be remembered that the 6MWT explains only half the variability in usual walking performance. Thus, activity monitoring captures aspects of walking performance not captured by other clinical tests and should be considered as an additional outcome measure in stroke rehabilitation.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Disability Evaluation</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Motor activity</subject><subject>Neurology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Reproducibility of Results</subject><subject>Stroke</subject><subject>Stroke - physiopathology</subject><subject>Stroke Rehabilitation</subject><subject>Time Factors</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Walking</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFqGzEQhkVJaJw0L9BD0SW57WYk7a5WUALGbdpAQgt2SG9C1o5b2etdR5IDfvtqsUkgh6DDIPhm5ucbQj4zyBmw6mqZm83a5xygzkHmwMsPZMRKwbOasz9HZAQAIlNKiRNyGsIyfatSsI_khCkuKlWLEbmfuTU29NG0K9f9pTMMMdBJ7z22JiJ9dPEf_WZcu6PTiBs6ttE9u7ijtx39jT70Xdgz0-j7FX4ixwvTBjw_1DPycPN9NvmZ3f36cTsZ32W2qEXM-EKWFq1CC7LgwGR6zCA0RVVxWTRW1A2XMEfBS1QptS1VaQwXxbyRTYHijFzu5258_7RNmfXaBYttazrst0FXlUqLeJVAvget70PwuNAb79bG7zQDPUjUSz1I1INEDVInianpy2H6dp7kvLYcrCXg4gCYYE278KazLrxwnLGillAn7uuew-Ti2aHXwTrsLDbOo4266d37Oa7ftNvWdS5tXOEOw7Lf-i5Z1kwHrkFPh3MP14Y6DYRCiP8HuqOO</recordid><startdate>20090201</startdate><enddate>20090201</enddate><creator>Mudge, Suzie, MHSc</creator><creator>Stott, N. Susan, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090201</creationdate><title>Timed Walking Tests Correlate With Daily Step Activity In Persons With Stroke</title><author>Mudge, Suzie, MHSc ; Stott, N. Susan, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-2f75cec9ec07420171711ae0d466274dc38d270be325e9006c595aa234bd7d4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Disability Evaluation</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Motor activity</topic><topic>Neurology</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Reproducibility of Results</topic><topic>Stroke</topic><topic>Stroke - physiopathology</topic><topic>Stroke Rehabilitation</topic><topic>Time Factors</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mudge, Suzie, MHSc</creatorcontrib><creatorcontrib>Stott, N. Susan, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mudge, Suzie, MHSc</au><au>Stott, N. Susan, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Timed Walking Tests Correlate With Daily Step Activity In Persons With Stroke</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>90</volume><issue>2</issue><spage>296</spage><epage>301</epage><pages>296-301</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Mudge S, Stott NS. Timed walking tests correlate with daily step activity in persons with stroke. Objectives To examine the relationship among 4 clinical measures of walking ability and the outputs of the StepWatch Activity Monitor in participants with stroke. Design Correlational study. Setting Clinic and participants' usual environments. Participants Fifty participants more than 6 months after stroke were recruited. All participants were able to walk independently, but with some residual difficulty. Interventions Not applicable. Main Outcome Measures Rivermead Mobility Index (RMI), Rivermead Motor Assessment (RMA), six-minute walk test (6MWT), ten-meter walk test (10MWT), StepWatch outputs (based on daily step counts and stepping rates). Results The correlations between the RMA and all StepWatch outputs were low ( ρ =0.36–0.48; P &lt;.05), as were most for the RMI (ρ=0.31–0.52; P &lt;.05). The 10MWT and 6MWT had moderate to high correlations (ρ=0.51–0.73; P &lt;.01) with most StepWatch outputs. Multiple regression showed that the 6MWT was the only significant predictor for most StepWatch outputs, accounting for between 38% and 54% of the variance. Age and the RMI were further significant predictors of 1 and 2 outputs, respectively. Conclusions The 6MWT has the strongest relationship with the StepWatch outputs and may be a better test than the 10MWT to predict usual walking performance. 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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Disability Evaluation
Diseases of the osteoarticular system
Female
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Motor activity
Neurology
Physical Medicine and Rehabilitation
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Recovery of Function
Rehabilitation
Reproducibility of Results
Stroke
Stroke - physiopathology
Stroke Rehabilitation
Time Factors
Vascular diseases and vascular malformations of the nervous system
Walking
title Timed Walking Tests Correlate With Daily Step Activity In Persons With Stroke
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