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Comparing spatiotemporal gait parameters between overground walking and self-paced treadmill walking in persons after stroke

Anke Van Bladel (UGent) , Roel De Ridder (UGent) , Tanneke Palmans (UGent) , Ruth Van der Looven (UGent) and Dirk Cambier (UGent)
(2023) DISABILITY AND REHABILITATION. 45(6). p.1016-1021
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Organization
Abstract
Purpose Since self-paced treadmills enable more natural gait patterns compared to fixed-speed treadmills we examined the use of a self-paced treadmill as a alternative for overground gait analysis in persons after stroke. Material and methods Twenty-five persons after stroke (10 males/15 females; 53 +/- 12.05 years; 40.72 +/- 42.94 months post-stroke) walked at self-selected speed overground (GAITRite, CIR Systems) and on a self-paced treadmill (GRAIL, Motek) in randomized order. Spatiotemporal parameters, variability and symmetry measures were compared using paired-sample t-tests or Wilcoxon Signed Rank tests. Concurrent validity was assessed using intraclass correlation coefficients and Bland-Altman plots. A regression model determined the contribution of the walking velocity to the changes in spatiotemporal parameters. Results The velocity on the treadmill was significant lower compared to overground (p < 0.001). This difference predicted the significant changes in other spatiotemporal parameters to varying degrees (27.7%-83.8%). Bland-Altman plots showed large percentage of bias and limits of agreement. Variability and symmetry measures were similar between conditions. Conclusions When considering gait analysis in persons after stroke a self-paced treadmill may be a valuable alternative for overground analysis. Although a slower walking velocity, and accompanying changes in other spatiotemporal parameters, should be taken into account compared to overground walking.
Keywords
Rehabilitation, Treadmill walking, self-paced, overground, stroke, clinical gait analysis, CHILDREN, AMBULATION, RECOVERY, SPEED

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MLA
Van Bladel, Anke, et al. “Comparing Spatiotemporal Gait Parameters between Overground Walking and Self-Paced Treadmill Walking in Persons after Stroke.” DISABILITY AND REHABILITATION, vol. 45, no. 6, 2023, pp. 1016–21, doi:10.1080/09638288.2022.2046875.
APA
Van Bladel, A., De Ridder, R., Palmans, T., Van der Looven, R., & Cambier, D. (2023). Comparing spatiotemporal gait parameters between overground walking and self-paced treadmill walking in persons after stroke. DISABILITY AND REHABILITATION, 45(6), 1016–1021. https://doi.org/10.1080/09638288.2022.2046875
Chicago author-date
Van Bladel, Anke, Roel De Ridder, Tanneke Palmans, Ruth Van der Looven, and Dirk Cambier. 2023. “Comparing Spatiotemporal Gait Parameters between Overground Walking and Self-Paced Treadmill Walking in Persons after Stroke.” DISABILITY AND REHABILITATION 45 (6): 1016–21. https://doi.org/10.1080/09638288.2022.2046875.
Chicago author-date (all authors)
Van Bladel, Anke, Roel De Ridder, Tanneke Palmans, Ruth Van der Looven, and Dirk Cambier. 2023. “Comparing Spatiotemporal Gait Parameters between Overground Walking and Self-Paced Treadmill Walking in Persons after Stroke.” DISABILITY AND REHABILITATION 45 (6): 1016–1021. doi:10.1080/09638288.2022.2046875.
Vancouver
1.
Van Bladel A, De Ridder R, Palmans T, Van der Looven R, Cambier D. Comparing spatiotemporal gait parameters between overground walking and self-paced treadmill walking in persons after stroke. DISABILITY AND REHABILITATION. 2023;45(6):1016–21.
IEEE
[1]
A. Van Bladel, R. De Ridder, T. Palmans, R. Van der Looven, and D. Cambier, “Comparing spatiotemporal gait parameters between overground walking and self-paced treadmill walking in persons after stroke,” DISABILITY AND REHABILITATION, vol. 45, no. 6, pp. 1016–1021, 2023.
@article{8748093,
  abstract     = {{Purpose Since self-paced treadmills enable more natural gait patterns compared to fixed-speed treadmills we examined the use of a self-paced treadmill as a alternative for overground gait analysis in persons after stroke. Material and methods Twenty-five persons after stroke (10 males/15 females; 53 +/- 12.05 years; 40.72 +/- 42.94 months post-stroke) walked at self-selected speed overground (GAITRite, CIR Systems) and on a self-paced treadmill (GRAIL, Motek) in randomized order. Spatiotemporal parameters, variability and symmetry measures were compared using paired-sample t-tests or Wilcoxon Signed Rank tests. Concurrent validity was assessed using intraclass correlation coefficients and Bland-Altman plots. A regression model determined the contribution of the walking velocity to the changes in spatiotemporal parameters. Results The velocity on the treadmill was significant lower compared to overground (p < 0.001). This difference predicted the significant changes in other spatiotemporal parameters to varying degrees (27.7%-83.8%). Bland-Altman plots showed large percentage of bias and limits of agreement. Variability and symmetry measures were similar between conditions. Conclusions When considering gait analysis in persons after stroke a self-paced treadmill may be a valuable alternative for overground analysis. Although a slower walking velocity, and accompanying changes in other spatiotemporal parameters, should be taken into account compared to overground walking.}},
  author       = {{Van Bladel, Anke and De Ridder, Roel and Palmans, Tanneke and Van der Looven, Ruth and Cambier, Dirk}},
  issn         = {{0963-8288}},
  journal      = {{DISABILITY AND REHABILITATION}},
  keywords     = {{Rehabilitation,Treadmill walking,self-paced,overground,stroke,clinical gait analysis,CHILDREN,AMBULATION,RECOVERY,SPEED}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{1016--1021}},
  title        = {{Comparing spatiotemporal gait parameters between overground walking and self-paced treadmill walking in persons after stroke}},
  url          = {{http://doi.org/10.1080/09638288.2022.2046875}},
  volume       = {{45}},
  year         = {{2023}},
}

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