Spatiotemporal Gait Parameters That Predict Gait Function Based on Timed Up and Go Test Performance in the Hemiplegic Stroke Patients
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초록
The purpose of this study was to determine which spatiotemporal gait parameters obtained during hemiplegic walking could be a predictive factor for the Timed Up and Go test (TUG). Two hundreds nine subjects who had suffered a stroke were recruited for this study. They were participated in two assessments; the TUG test and gait analysis. The relationship between the TUG test and spatiotemporal parameters was analyzed using Pearson’s correlation coefficients. In addition, to predict the spatiotemporal gait parameters that correlated most with the TUG scores, we used multiple linear regression analyses (stepwise method). The results show that the normalized velocity was strongly correlated with the TUG performance (r=-.72, p<.001). Additionally, single support percentage (SSP), double support percentage (DSP), step time difference (STD), and step length difference (SLD) significantly were correlated with the TUG test. Normalized velocity, STD, DSP of affected side, and SSP of non-affected side explained 53%, 8%, 3%, 2%, of variance in the TUG test respectively. In conclusion, an increase in gait velocity and a decrease in STD would be effective indicators of improvement on the functional mobility in the stroke rehabilitation.
Abstract
The purpose of this study was to determine which spatiotemporal gait parameters obtained during hemiplegic walking could be a predictive factor for the Timed Up and Go test (TUG). Two hundreds nine subjects who had suffered a stroke were recruited for this study. They were participated in two assessments; the TUG test and gait analysis. The relationship between the TUG test and spatiotemporal parameters was analyzed using Pearson’s correlation coefficients. In addition, to predict the spatiotemporal gait parameters that correlated most with the TUG scores, we used multiple linear regression analyses (stepwise method). The results show that the normalized velocity was strongly correlated with the TUG performance (r=-.72, p<.001). Additionally, single support percentage (SSP), double support percentage (DSP), step time difference (STD), and step length difference (SLD) significantly were correlated with the TUG test. Normalized velocity, STD, DSP of affected side, and SSP of non-affected side explained 53%, 8%, 3%, 2%, of variance in the TUG test respectively. In conclusion, an increase in gait velocity and a decrease in STD would be effective indicators of improvement on the functional mobility in the stroke rehabilitation.
참고문헌 (18)
- Alzahrani MA, "Ability to negotiate stairs predicts free-living physical activity in community-dwelling people with stroke: An observational study", Aust J Physiother, 55(4), pp.277~281 (2009)
- 안승헌, "뇌졸중 환자의 균형과 기능 수행 및 보행 검사를 위한 평가도구의 비교 : BBS, TUG, Fugl-Meyer, MAS-G, C·MGS, MBI", 한국전문물리치료학회지, 14(3), pp.64~71 (2007), 한국전문물리치료학회
- Dettmann MA, "Relationships among walking performance, postural stability, and functional assessments of the hemiplegic patient", Am J Phys Med, 66(2), pp.77~90 (1987)
- Dewar ME, "Temporal asymmetry as a gait quality indicator", Med Biol Eng Comput, 18(5), pp.689~693 (1980)
- Dickstein R, "Rehabilitation of gait speed after stroke: A critical review of intervention approaches", Neurorehabil Neural Repair, 22(6), pp.649~660 (2008)
- Faria CD, "Effects of the direction of turning on the timed up & go test with stroke subjects", Top Stroke Rehabil, 16(3), pp.196~206 (2009)
- Folstein MF, "“Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res, 12(3), pp.189~198 (1975)
- Knorr S, "Validity of the community balance and mobility scale in community- dwelling persons after stroke", Arch Phys Med Rehabil, 91(6), pp.890~896 (2010)
- Menz HB, "Reliability of the GAITRite walkway system for the quantification of temporo-spatial parameters of gait in young and older people", Gait Posture, 20(1), pp.20~25 (2004)
- Ng SS, "The timed up & go test: Its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke", Arch Phys Med Rehabil, 86(8), pp.1641~1647 (2005)
- Oken O, "Spatio-temporal and kinematic asymmetry ratio in subgroups of patients with stroke", Eur J Phys Rehabil Med, 44(2), pp.127~132 (2008)
- Patterson KK, "Evaluation of gait symmetry after stroke: A comparison of current methods and recommendations for standardization", Gait Posture, 31(2), pp.241~246 (2010)
- Patterson KK, "Gait asymmetry in community-ambulating stroke survivors", Arch Phys Med Rehabil, 89(2), pp.304~310 (2008)
- Podsiadlo D, "The timed “up & go”: A test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
- Rinaldi LA, "Spatio-temporal parameters and intralimb coordination patterns describing hemiparetic locomotion at controlled speed", J Neuroeng Rehabil, 10(1), pp.53~ (2013)
- Schmid A, "Improvements in speed-based gait classifications are meaningful", Stroke, 38(7), pp.2096~2100 (2007)
- Stokic DS, "Agreement between temporospatial gait parameters of an electronic walkway and a motion capture system in healthy and chronic stroke populations", Am J Phys Med Rehabil, 88(6), pp.437~444 (2009)
- Wilkinson PR, "A long-term follow-up of stroke patients", Stroke, 28(3), pp.507~512 (1997)