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Clinical and biomechanical factors which predict timed up and down stairs test performance in hemiparetic patients
- Source :
- Gait and Posture, Gait and Posture, Elsevier, 2013, 38 (3), pp.466-470. ⟨10.1016/j.gaitpost.2013.01.015⟩, Gait & Posture, Gait & Posture, 2013, 38 (3), pp.466-470. ⟨10.1016/j.gaitpost.2013.01.015⟩
- Publication Year :
- 2012
-
Abstract
- A B S T R A C T Background and purpose: The ability to ascend and descend a flight of stairs is considered as one of the best predictors of free-living activity and is correlated with domestic extrinsic activity in hemiparetic patients. However, the relationship between timed-stair performance and clinical and biomechanical parameters has never been studied this population. The aim of this study was to determine if performance on the Timed Up and Down Stairs (TUDS) test was related to clinical variables (maximal gait speed, strength and spasticity) and to biomechanical gait parameters (spatio-temporal, kinematic and kinetic gait parameters) in hemiparetic patients. Methods: Sixty hemiparetic patients performed the TUDS test, underwent 3D gait-analysis and a clinical assessment. Pearson’s correlations and two stepwise multiple linear regression analyses were carried out to identify the parameters which were the most highly correlated with TUDS test performance among the clinical variables and gait parameters on the paretic side. Results: Maximal walking speed on the 10-m walk test and strength of the ankle dorsiflexors were the clinical variables that were the most related to TUDS test performance (63% of variance explained). The percentage of single support phase on the paretic side was the biomechanical gait parameter which was the most related to TUDS test performance (58% of variance explained). Conclusion: The results of this study identified three parameters which predicted the performance to ascend and descend a flight of stairs as fast as possible in hemiparetic patients. Rehabilitation programs which aim to improve stair performance and independence in daily life activities should focus on these three parameters.
- Subjects :
- Adult
Male
030506 rehabilitation
medicine.medical_specialty
Time Factors
medicine.medical_treatment
[SDV]Life Sciences [q-bio]
Population
Biophysics
03 medical and health sciences
0302 clinical medicine
Gait (human)
Physical medicine and rehabilitation
Stairs
medicine
Humans
Orthopedics and Sports Medicine
Muscle Strength
education
Muscle, Skeletal
ComputingMilieux_MISCELLANEOUS
Gait Disorders, Neurologic
education.field_of_study
Leg
Rehabilitation
business.industry
Middle Aged
Explained variation
Biomechanical Phenomena
Preferred walking speed
Paresis
Stroke
medicine.anatomical_structure
Motor Skills
Gait analysis
Multivariate Analysis
Physical therapy
Exercise Test
Linear Models
Female
Ankle
0305 other medical science
business
human activities
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18792219 and 09666362
- Volume :
- 38
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Gaitposture
- Accession number :
- edsair.doi.dedup.....827ded38bdd67d5346a69f8d3bac1705