Walking ability of independent ambulatory patients with stroke
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Published:
Apr 4, 2014
Keywords:
Hemiplegia Community participation Walking Endurance Rehabilitation
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Abstract
Introduction Walking speed and distance walk are important factors for ability of community ambulation of patients with stroke. To walk in a community efficiently, the patients need a speed at least 0.80 m/s and a minimum distance in 6 minutes of 368 m. This study assessed walking ability of 42 independent ambulatory patients with stroke as measured using walking speed and distance walk. The findings would reflect walking ability and community participation of these patients.
Methods Subjects with stroke who were able to walk independently with or without a walking device were assessed the 10-meter walk test and 6-minute walk test.
Results Subjects could walk at a comfortable speed of 0.46±0.24 m/s, fastest speed of 0.59±0.33 m/s, and longest distance in 6 minutes of 142.90±82.23 m.
Conclusions Walking ability of the independent ambulatory subjects with stroke was obviously lower than that required as a minimum level for community ambulation. Thus, physical therapist should improve levels of walking in order that individuals with stroke can walk outside homes and participate in a community.
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1.
Chuadthong J, Thaweewannakij T, Manimmanakorn N, Siritaratiwat W, Amatachaya S. Walking ability of independent ambulatory patients with stroke. Thai J Phys Ther [internet]. 2014 Apr. 4 [cited 2026 Jan. 4];36(1):12-8. available from: https://he02.tci-thaijo.org/index.php/tjpt/article/view/149008
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Research Articles
References
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12. Kosak M, Smith T. Comparison of the 2-, 6-, and 12-minute walk tests in patients with stroke. J Rehabil Res Dev 2005; 42: 103-7.
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14. Waters RL, Mulroy S. The energy expenditure of normal and pathologic gait. Gait Posture 1999; 9: 207-31.
15. Pang MY, Eng JJ. Determinants of improvement in walking capacity among individuals with chronic stroke following a multi-dimensional exercise program. J Rehabil Med 2008; 40: 284-90.
16. Lernier-Frankiel M, Vargas S, Brown M, Krusell L, Schoneberger W. Functional community ambulation: what are your criteria? Clin Manag Phys Ther 1986; 6: 12-5.
17. Hill K, Ellis P, Bernhardt J, Maggs P, Hull S. Balance and mobility outcomes for stroke patients: a comprehensive audit. Aust J Physiother 1997; 43: 173-80.
2. Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, et al. Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke 2005; 36: e100-43.
3. Lord SE, McPherson K, McNaughton HK, Rochester L, Weatherall M. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil 2004; 85: 234-9.
4. Perry J, Garrett M, Gronley JK, Mulroy SJ. Classification of walking handicap in the stroke population. Stroke 1995; 26: 982-9.
5. Van de Port IG, Kwakkel G, Lindeman E. Community ambulation in patients with chronic stroke: how is it related to gait speed? J Rehabil Med 2008; 40: 23-7.
6. Robinett CS, Vondran MA. Functional ambulation velocity and distance requirements in rural and urban communities: a clinical report. Phys Ther 1988; 68: 1371-3.
7. Bijleveld-Uitman M, van de Port I, Kwakkel G. Is gait speed or walking distance a better predictor for community walking after stroke? J Rehabil Med 2013; 45: 535-40.
8. Fearon P, Langhorne P. Services for reducing duration of hospital care for acute stroke patients. Cochrane Database Syst Rev 2012; 9: 1-97.
9. Van Iersel MB, Munneke M, Esselink RA, Benraad CE, Olde Rikkert MG. Gait velocity and the timed-up-and-go test were sensitive to changes in mobility in frail elderly patients. J Clin Epidemiol 2008; 61: 186-91.
10. Flansbjer UB, Holmback AM, Downham D, Patten C, Lexell J. Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med 2005; 37: 75-82.
11. Eng JJ, Chu KS, Dawson AS, Kim CM, Hepburn KE. Functional walk tests in individuals with stroke: relation to perceived exertion and myocardial exertion. Stroke 2002; 33: 756-61.
12. Kosak M, Smith T. Comparison of the 2-, 6-, and 12-minute walk tests in patients with stroke. J Rehabil Res Dev 2005; 42: 103-7.
13. Lord SE, Rochester L. Measurement of community ambulation after stroke: current status and future developments. Stroke 2005; 36: 1457-61.
14. Waters RL, Mulroy S. The energy expenditure of normal and pathologic gait. Gait Posture 1999; 9: 207-31.
15. Pang MY, Eng JJ. Determinants of improvement in walking capacity among individuals with chronic stroke following a multi-dimensional exercise program. J Rehabil Med 2008; 40: 284-90.
16. Lernier-Frankiel M, Vargas S, Brown M, Krusell L, Schoneberger W. Functional community ambulation: what are your criteria? Clin Manag Phys Ther 1986; 6: 12-5.
17. Hill K, Ellis P, Bernhardt J, Maggs P, Hull S. Balance and mobility outcomes for stroke patients: a comprehensive audit. Aust J Physiother 1997; 43: 173-80.
