Accelerometric assessment of different dimensions of natural walking during the first year after stroke: Recovery of amount, distribution, quality and speed of walking
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OBJECTIVES: To describe the course of walking behaviour over a period of 1 year after stroke, using accelerometry, and to compare 1-year data with those from a healthy group. DESIGN: One-year follow-up cohort study. SUBJECTS: Twenty-three stroke patients and 20 age-matched healthy subjects. METHODS: Accelerometer assessments were made in the participants' daily environment for 8 h/day during the 1st (T1), 12th (T2) and 48th (T3) weeks after stroke, and at one time-point in healthy subjects. Primary outcomes were: percentage of time walking and upright (amount); mean duration and number of walking periods (distribution); step regularity and gait symmetry (quality); and walking speed. RESULTS: Time walking, time upright, and number of walking bouts increased during T1 and T2 (p < 0.01) and then levelled off (p > 0.30). Mean duration of walking periods showed no significant improvements (p > 0.30) during all phases. Step regularity, gait symmetry and gait speed showed a tendency to increase consistently from T1 to T3. At T3, amount and distribution variables reached the level of the healthy group, but significant differences remained (p < 0.02) in step regularity and gait speed. CONCLUSION: In this cohort, different outcomes of walking behaviour showed different patterns and levels of recovery, which supports the multi-dimensional character of gait.
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The amount of time spent walking, standing, and number of walking bouts were sensitive to change over a 12-week period after stroke.
“The amount of time spend walking, standing, and number of walking bouts were also shown to be sensitive to change over a 12-week period after stroke [60].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [60]
In stroke, sedentary or upright and walking behaviour measures have been shown to be sensitive to longitudinal changes.
“and sedentary or upright and walking behaviour measures have been shown to be sensitive to longitudinal changes [55, 60, 62].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [60]
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Cites
Classificação Internacional de Funcionalidade (CIF)
Battistella, L. R., & de Brito, C. M. M. (2002) · Acta Fisiátrica · doi:10.5935/0104-7795.20020003 · Cited by 4,470 · see citing works
Recovery of walking function in stroke patients: The copenhagen stroke study
Jørgensen, H. S., Nakayama, H., Raaschou, H. O., & Olsen, T. S. (1995) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(95)80038-7 · Cited by 1,165 · see citing works
Understanding the pattern of functional recovery after stroke: Facts and theories
Kwakkel, G., Kollen, B., & Lindeman, E. (2004) · Restorative Neurology and Neuroscience · doi:10.3233/rnn-2004-00282 · Cited by 727 · see citing works
Estimation of gait cycle characteristics by trunk accelerometry
Moe‐Nilssen, R., & Helbostad, J. L. (2003) · Journal of Biomechanics · doi:10.1016/s0021-9290(03)00233-1 · Cited by 641 · see citing works
Methods for gait event detection and analysis in ambulatory systems
Rüterbories, J., Spaich, E. G., Larsen, B. T., & Andersen, O. K. (2010) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2010.03.007 · Cited by 350 · see citing works
Methods for objective measure, quantification and analysis of sedentary behaviour and inactivity
Chastin, S. F. M., & Granat, M. H. (2010) · Gait & Posture · doi:10.1016/j.gaitpost.2009.09.002 · Cited by 323 · see citing works
Self-citationMeasuring daily behavior using ambulatory accelerometry: The Activity Monitor
Bussmann, J. B. J., Martens, W. L. J., Tulen, J. H. M., Schasfoort, F. C., van den Berg-Emons, R. J. G., & Stam, H. J. (2001) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03195388 · Cited by 315 · see citing works
Self-citationBowden, M. G., Balasubramanian, C. K., Behrman, A. L., & Kautz, S. A. (2008) · Neurorehabilitation and neural repair · doi:10.1177/1545968308318837 · Cited by 306 · see citing works
Monitoring of Physical Activity after Stroke: A Systematic Review of Accelerometry-Based Measures
Gebruers, N., Vanroy, C., Truijen, S., Engelborghs, S., & De Deyn, P. P. (2010) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.10.025 · Cited by 293 · see citing works
Patterson, K. K., Gage, W. H., Brooks, D., et al. (2010) · Neurorehabilitation and neural repair · doi:10.1177/1545968310372091 · Cited by 209 · see citing works
Community ambulation in patients with chronic stroke: how is it related to gait speed?
van de Port, I. G. L., Kwakkel, G., & Lindeman, E. (2008) · Acta Dermato Venereologica · doi:10.2340/16501977-0114 · Cited by 208 · see citing works
Tieges, Z., Mead, G., Allerhand, M., Duncan, F., van Wijck, F., Fitzsimons, C., Greig, C., & Chastin, S. (2015) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2014.08.015 · Cited by 198 · see citing works
Self-citationPhysical Activity in Hospitalised Stroke Patients
West, T., & Bernhardt, J. (2011) · Stroke Research and Treatment · doi:10.1155/2012/813765 · Cited by 187 · see citing works
Accelerometry-Based Activity Spectrum in Persons With Chronic Physical Conditions
van den Berg-Emons, R. J. G., Bussmann, J. B. J., & Stam, H. J. (2010) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2010.08.018 · Cited by 166 · see citing works
Self-citationMudge, S., Barber, P. A., & Stott, N. S. (2009) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.07.015 · Cited by 156 · see citing works
Automatic Detection of Temporal Gait Parameters in Poststroke Individuals
Lopez‐Meyer, P., Fulk, G. D., & Sazonov, E. E. (2011) · IEEE Transactions on Information Technology in Biomedicine · doi:10.1109/titb.2011.2112773 · Cited by 148 · see citing works
Exploring patterns of daily physical and sedentary behaviour in community-dwelling older adults
Lord, S., CHASTIN, S. F. M., McInnes, L., Little, L., Briggs, P., & Rochester, L. (2011) · Age and Ageing · doi:10.1093/ageing/afq166 · Cited by 146 · see citing works
Self-citationQuantification of physical activities by means of ambulatory accelerometry: A validation study
Bussmann, J. B. J., Tulen, J. H. M., van Herel, E. C. G., & Stam, H. J. (1998) · Psychophysiology · doi:10.1017/s0048577298971153 · Cited by 142 · see citing works
Self-citationBussmann, J. B. J., van de Laar, M. Y., Neeleman, P. M., & Stam, J. H. (1998) · Pain · doi:10.1016/s0304-3959(97)00161-9 · Cited by 134 · see citing works
Self-citationBussmann, H., Reuvekamp, P. J., Veltink, P. H., Martens, W. L. J., & Stam, H. J. (1998) · Physical Therapy · doi:10.1093/ptj/78.9.989 · Cited by 120 · see citing works
Self-citationBreaks in Sedentary Time: Beneficial associations with metabolic risk
Shephard, R. J. (2010) · Yearbook of Sports Medicine · doi:10.1016/s0162-0908(09)79483-8 · Cited by 112 · see citing works
Michael, K., Goldberg, A. P., Treuth, M. S., Beans, J., Normandt, P., & Macko, R. F. (2009) · Topics in Stroke Rehabilitation · doi:10.1310/tsr1602-133 · Cited by 100 · see citing works
VALIDITY OF AMBULATORY ACCELEROMETRY TO QUANTIFY PHYSICAL ACTIVITY IN HEART FAILURE
van den Berg-Emons, R. J. G. (2000) · Scandinavian Journal of Rehabilitation Medicine · doi:10.1080/003655000750060940 · Cited by 88 · see citing works
Test—retest reliability of the StepWatch Activity Monitor outputs in individuals with chronic stroke
Mudge, S., & Stott, N. S. (2008) · Clinical Rehabilitation · doi:10.1177/0269215508092822 · Cited by 77 · see citing works
Resnick, B. M., Michael, K., Shaughnessy, M., Nahm, E.-S., Kopunek, S., Sorkin, J. D., Orwig, D., Goldberg, A., & Macko, R. F. (2008) · Journal of Physical Activity and Health · doi:10.1123/jpah.5.2.308 · Cited by 71 · see citing works
Recovery of the Sit-to-Stand Movement After Stroke: A Longitudinal Cohort Study
Janssen, W. G. M., Bussmann, J. B. J., Selles, R. W., Koudstaal, P. J., Ribbers, G. M., & Stam, H. J. (2010) · Neurorehabilitation and neural repair · doi:10.1177/1545968310363584 · Cited by 64 · see citing works
Self-citationAre patients 1 year post-stroke active enough to improve their physical health?
Baert, I., Feys, H., Daly, D. J., Troosters, T., & Vanlandewijck, Y. (2011) · Disability and Rehabilitation · doi:10.3109/09638288.2011.613513 · Cited by 64 · see citing works
Askim, T., Bernhardt, J., Churilov, L., Fredriksen, K., & Indredavik, B. (2013) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-1137 · Cited by 64 · see citing works
Measuring physical strain during ambulation with accelerometry
HARTGERINK, J. B. J. B. O., van der Woude, L. H. V., & Stam, H. J. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200008000-00015 · Cited by 46 · see citing works
Self-citationRaja, B., Neptune, R. R., & Kautz, S. A. (2012) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2011.02.0018 · Cited by 32 · see citing works
Bussmann, J. B. J., van den Berg-Emons, H. J. G., Angulo, S. M., Stijnen, T., & Stam, H. J. (2003) · European Journal of Applied Physiology · doi:10.1007/s00421-003-0916-1 · Cited by 29 · see citing works
Self-citationVariation and achievement of ambulatory activity among patients with chronic stroke
Frazer, S. W. T., Hellebrand, W., & Keijsers, N. (2013) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-1195 · Cited by 16 · see citing works
Predicting Improvement in Gait After Stroke: A Longitudinal Prospective Study
Blass, J. P. (2007) · Yearbook of Neurology and Neurosurgery · doi:10.1016/s0513-5117(08)70117-0 · Cited by 14 · see citing works
Reduced Ambulatory Activity after Stroke: The Role of Balance, Gait, and Cardiovascular Fitness
Thieme, H. (2005) · physioscience · doi:10.1055/s-2005-858725 · Cited by 7 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [5]5. Manns PJ, Baldwin E. Ambulatory activity of stroke survivors: measurement options for dose, intensity, and variability of activity. Stroke 2009; 40: 864-867.
- [11]11. Prajapati SK, Gage WH, Brooks D, Black SE, McIlroy WE. A novel approach to ambulatory monitoring: investigation into the quantity and control of everyday walking in patients with subacute stroke. Neurorehabil Neural Repair 2011; 25: 6-14.
- [12]12. Shaughnessy M, Michael KM, Sorkin JD, Macko RF. Steps after stroke: capturing ambulatory recovery. Stroke 2005; 36: 1305-1307.
- [26]26. Bussmann JBJ. Feasibility of ambulatory measurement of prosthetic gait in the early phase of rehabilitation. Ambulatory monitoring of mobility-related activities in rehabilitation medicine [PhD thesis]. Eburon: Delft, The Netherlands; 2008, p. 171-189.
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Johansson, D., Malmgren, K., & Alt Murphy, M. (2018) · Journal of Neurology · doi:10.1007/s00415-018-8786-y · Cited by 188 · see citing works
- Authors
- Sánchez, M., Bussmann, J., Janssen, W., Horemans, H., Chastin, S., Heijenbrok, M., & Stam, H.
- Affiliations
- Universidad de Sevilla (ES)
- Erasmus MC (NL)
- Glasgow Caledonian University (GB)
- Corresponding author
- Sánchez, M
- Venue
- Journal of Rehabilitation Medicine
- Published
- 2015
- Volume
- 47
- Issue
- 8
- Pages
- 714-721
- ISSN
- 1650-1977 (ISSN-L)
- OpenAlex
- W2415109850
- Cited by
- 37
- References
- 34
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 8 · 2018: 6 · 2017: 4 · 2016: 3
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline (acceptedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, cc-by-nc)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- ResearchOnline (Glasgow Caledonian University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- stroke, walking behavior, gait recovery, accelerometry, gait symmetry, walking speed, walking bouts, gait quality, stroke rehabilitation
- MeSH terms
- Activities of Daily Living, Aged, Female, Humans, Male, Middle Aged, Prospective Studies, Cohort Studies, Walking, Stroke, Accelerometry
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