This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Bayat, R. Articles by Lamontagne, A. Search for Related Content PubMed PubMed Citation Articles by Bayat, R. Articles by Lamontagne, A. Social Bookmarking                   What's this?

Speed and Temporal-Distance Adaptations during Treadmill and Overground Walking Following Stroke

School of Physical and Occupational Therapy, McGill University, Montréal, Québec, Jewish Rehabilitation Hospital, Research Centre (site of Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain [CRIR]), Chomedey, Laval, Québec

Hugues Barbeau

School of Physical and Occupational Therapy, McGill University, Montréal, Québec, Jewish Rehabilitation Hospital, Research Centre (site of Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain [CRIR]), Chomedey, Laval, Québec

Anouk Lamontagne

School of Physical and Occupational Therapy, McGill University, Montréal, Québec, Jewish Rehabilitation Hospital, Research Centre (site of Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain [CRIR]), Chomedey, Laval, Québec, anouk.lamontagne{at}mcgill.ca

Objective. To compare the maximum gait speed of stroke subjects attained during treadmill and overground in stroke subjects and to identify the temporal-distance determinants of the maximal gait speed. Methods. Ten individuals with hemiparetic gait deficits and whose walking speeds ranged between 0.24 m/s and 0.82 m/s participated. Five healthy age-matched controls were also tested to provide comparative data for the gait speed transfer between the 2 modes of locomotion. Following a brief habituation process to walking on the treadmill, subjects were tested while walking at comfortable and maximal speeds on the treadmill and overground, in a random order. Main Outcome Measure. Self-selected comfortable and maximum gait speed and temporal-distance factors were acquired using a 6-camera Vicon^TM motion analysis system and compared between treadmill and overground walking at a similar speed. Results. Overground walking resulted in higher maximal speeds (P < 0.001), greater stride lengths (P < 0.001), and a lower cadence (P < 0.02), as compared to tread-mill. The comfortable gait speed and the maximum stride length proved to be strong determinants for the maximal speed on both modes of locomotion (P < 0.01), but the maximum cadence was correlated to maximum speed only for overground locomotion (P < 0.05). Conclusions. Stroke subjects walked slower on the treadmill as compared to overground. They also used a different strategy to increase gait speed, relying mostly on increasing the stride length during treadmill ambulation.

Key Words: Hemiparesis • locomotion • rehabilitation • treadmill

Neurorehabilitation and Neural Repair, Vol. 19, No. 2, 115-124 (2005)
DOI: 10.1177/1545968305275286


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				S. S Kuys, S. G Brauer, L. Ada, and T. G Russell Immediate effect of treadmill walking practice versus overground walking practice on overground walking pattern in ambulatory stroke patients: an experimental study Clinical Rehabilitation, October 1, 2008; 22(10-11): 931 - 939. [Abstract] [PDF]

				M. Roerdink, C. J. Lamoth, G. Kwakkel, P. C. van Wieringen, and P. J Beek Gait Coordination After Stroke: Benefits of Acoustically Paced Treadmill Walking Physical Therapy, August 1, 2007; 87(8): 1009 - 1022. [Abstract] [Full Text] [PDF]

				A. Lamontagne, C. Paquette, and J. Fung Stroke Affects the Coordination of Gaze and Posture During Preplanned Turns While Walking Neurorehabil Neural Repair, January 1, 2007; 21(1): 62 - 67. [Abstract] [PDF]