| Titre : | The provision of a cane provides greater benefit to community-dwelling people after stroke with a baseline walking speed between 0.4 and 0.8 metres/second: an experimental study (2016) |
| Auteurs : | Lucas Rodrigues Nascimento ; Louise Ada ; Luci Fuscaldi Teixeira-Salmela |
| Type de document : | Article |
| Dans : | Physiotherapy (2016/4, 2016) |
| Article en page(s) : | pp. 351-356 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation |
| Mots-clés: | Stroke ; Gait ; Démarche ; Self-Help Devices ; Dispositifs d'assistance au mouvement |
| Résumé : |
Objective To investigate the effect of the provision of a cane on walking ability in ambulatory people with chronic stroke. Design Experimental study. Setting Clinics within the community. Participants Twenty-four people on average 6 years after a stroke, who were not regular users of walking sticks. Participants were categorized as slow (0.8 metres/second) on the basis of their baseline walking ability. Experimental conditions Walking with and without a cane. Main outcome measures Walking ability was measured using the 10-m Walk Test and reported as speed (metres/second), step length (metres), and cadence (steps/minute). Results Overall, the provision of a cane produced no significant change in speed (0.05 metres/second, 95% CI −0.01 to 0.11) or cadence (−3 steps/minute; 95% CI −8 to 3), but a small increase in step length (0.04 metres, 95% CI 0.03 to 0.06). For the intermediate walkers, the cane increased speed by 0.18 metres/second (95% CI 0.11 to 0.24), step length by 0.07 metres (95% CI 0.05 to 0.09), but not cadence. The provision of a cane to the intermediate walkers also produced 0.27 metres/second (95% CI 0.18 to 0.36) more increase in speed compared with the fast walkers, and 0.12 metres/second (95% CI 0.03 to 0.21) more increase compared with the slow walkers. Conclusion The provision of a cane produced most benefit to a subgroup of intermediate walkers in a group of community-dwelling people with chronic stroke whose walking had stabilized, without detriment to quality of walking. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940615038274 |
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