Gait recovery after hemiplegic stroke.

We prospectively evaluated gait recovery in 197 elderly subjects after hemiplegic stroke by measuring serial walking speed. Fifty-seven per cent of subjects (113/197) could not walk without human assistance on day 7 post-stroke. About 40% of this group achieved gait independence at months 1, 2, 3, and 4 post-stroke. In contrast, about 95% of those walking on day 7 maintained gait independence 1, 2, 3, and 4 months post-stroke. Using multiple logistic regression, the best predictors of independent ambulation among the 113 subjects not walking on day 7 were age, line bisection error, and leg power.

[1]  T. Olsen,et al.  Arm and leg paresis as outcome predictors in stroke rehabilitation. , 1990, Stroke.

[2]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[3]  K. M. Gill,et al.  Clinical Gait Assessment in the Neurologically Impaired , 1984 .

[4]  M. Gardner,et al.  Confidence intervals rather than P values: estimation rather than hypothesis testing. , 1986, British medical journal.

[5]  R L Hewer,et al.  Predicting Barthel ADL score at 6 months after an acute stroke. , 1983, Archives of physical medicine and rehabilitation.

[6]  C. Gowland,et al.  Hemiplegic gait: analysis of temporal variables. , 1983, Archives of physical medicine and rehabilitation.

[7]  J Bamford,et al.  The natural history of lacunar infarction: the Oxfordshire Community Stroke Project. , 1987, Stroke.

[8]  P. Friedman,et al.  A prospective trial of serial gait speed as a measure of rehabilitation in the elderly. , 1988, Age and ageing.

[9]  A Ashburn,et al.  Assessment of gait disability in hemiplegics. Hemiplegic gait. , 1979, Scandinavian journal of rehabilitation medicine.

[10]  N B Lincoln,et al.  An investigation of factors affecting progress of patients on a stroke unit. , 1989, Journal of neurology, neurosurgery, and psychiatry.

[11]  O. Edholm,et al.  Studies of gait and mobility in the elderly. , 1981, Age and ageing.

[12]  R L Hewer,et al.  Functional abilities after stroke: measurement, natural history and prognosis , 2012, Journal of Neurology, Neurosurgery & Psychiatry.

[13]  Richard W. Bohannon.  Selected determinants of ambulatory capacity in patients with hemiplegia , 1989 .

[14]  J. Feigenson,et al.  Factors Influencing Outcome and Length of Stay in a Stroke Rehabilitation Unit: Part 2. Comparison of 318 Screened and 248 Unscreened Patients , 1977, Stroke.

[15]  R W Bohannon,et al.  Gait performance of hemiparetic stroke patients: selected variables. , 1987, Archives of physical medicine and rehabilitation.

[16]  D. Ma,et al.  Relationships among walking performance, postural stability, and functional assessments of the hemiplegic patient. , 1987 .

[17]  J Mizrahi,et al.  Variation of time-distance parameters of the stride as related to clinical gait improvement in hemiplegics. , 1982, Scandinavian journal of rehabilitation medicine.

[18]  M. Reding,et al.  Rehabilitation outcome following initial unilateral hemispheric stroke. Life table analysis approach. , 1988, Stroke.

[19]  Friedman Pj.  Spatial neglect in acute stroke: the line bisection test. , 1990 .

[20]  K. Asplund,et al.  A non-intensive stroke unit reduces functional disability and the need for long-term hospitalization. , 1985, Stroke.

[21]  D. Wade,et al.  Walking after stroke. Measurement and recovery over the first 3 months. , 2020, Scandinavian journal of rehabilitation medicine.

[22]  G Gifford,et al.  A gait analysis system in clinical practice. , 1983, Journal of biomedical engineering.