Comparing stepping-in-place and gait ability in adults with and without hemiplegia

Ralph K. Garcia, Arthur J. Nelson, Wen Ling, Catherine Van Olden

Research output: Contribution to journalArticle

Abstract

Objective: To determine and compare select temporal-distance measures of stepping-in-place with gait ability in 2 age-matched groups. Design: Repeated measures, matched research design. Setting: Gait laboratory and hospital outpatient unit. Participants: Convenience sample recruited from within the community and the outpatient unit of a local rehabilitation hospital included 30 healthy adults (age range, 58.1 ± 10.8yr) and 30 age-matched adults with hemiplegia (age range, 58.6 ± 10.3yr), secondary to a cerebrovascular accident. Interventions: Subjects were videotaped in the sagittal plane performing stepping-in-place and while walking. Select temporal-distance measures obtained by manual calculations from the video recordings were determined for 3 20-second trials of each activity. Main Outcome Measures: Single limb support duration (SLSD) of the lower extremities (LEs) and step frequency during stepping-in-place and during gait. Results: A significant difference was found between the step frequency of each activity for the adults with hemiplegia (p < .05), but not for the healthy adults. A significant difference was also found between SLSD of the same LE across activities for each group (p < .05). SLSD of each LE during each individual activity, stepping-in-place, or gait, was not significantly different for the healthy adults, indicating LE symmetry; but it was significantly different for the adults with hemiplegia (p < .05), indicating LE asymmetry. Conclusions: Stepping-in-place incorporates reciprocal, rhythmic LE movement patterns similar to gait. And, although SLSD of the LEs was different between the activities in both groups, each group showed similar LE movement patterns during each individual activity. In addition, step frequency was consistent between the activities for the healthy adults. These results seem to indicate that the reciprocal, rhythmic LE movement patterns, which are invoked during gait, may also be invoked during stepping-in-place. However, further research is needed to enhance the data related to stepping-in-place and gait ability in clinical populations.

Original languageEnglish (US)
Pages (from-to)36-42
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume82
Issue number1
DOIs
StatePublished - 2001

Fingerprint

Hemiplegia
Gait
Lower Extremity
Extremities
Research Design
Outpatients
Video Recording
Hospital Units
Walking
Rehabilitation
Age Groups
Stroke
Outcome Assessment (Health Care)

Keywords

  • Gait
  • Hemiplegia
  • Leg
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Comparing stepping-in-place and gait ability in adults with and without hemiplegia. / Garcia, Ralph K.; Nelson, Arthur J.; Ling, Wen; Van Olden, Catherine.

In: Archives of Physical Medicine and Rehabilitation, Vol. 82, No. 1, 2001, p. 36-42.

Research output: Contribution to journalArticle

Garcia, Ralph K. ; Nelson, Arthur J. ; Ling, Wen ; Van Olden, Catherine. / Comparing stepping-in-place and gait ability in adults with and without hemiplegia. In: Archives of Physical Medicine and Rehabilitation. 2001 ; Vol. 82, No. 1. pp. 36-42.
@article{fe20f5efcb844a2ca380060ceb6be444,
title = "Comparing stepping-in-place and gait ability in adults with and without hemiplegia",
abstract = "Objective: To determine and compare select temporal-distance measures of stepping-in-place with gait ability in 2 age-matched groups. Design: Repeated measures, matched research design. Setting: Gait laboratory and hospital outpatient unit. Participants: Convenience sample recruited from within the community and the outpatient unit of a local rehabilitation hospital included 30 healthy adults (age range, 58.1 ± 10.8yr) and 30 age-matched adults with hemiplegia (age range, 58.6 ± 10.3yr), secondary to a cerebrovascular accident. Interventions: Subjects were videotaped in the sagittal plane performing stepping-in-place and while walking. Select temporal-distance measures obtained by manual calculations from the video recordings were determined for 3 20-second trials of each activity. Main Outcome Measures: Single limb support duration (SLSD) of the lower extremities (LEs) and step frequency during stepping-in-place and during gait. Results: A significant difference was found between the step frequency of each activity for the adults with hemiplegia (p < .05), but not for the healthy adults. A significant difference was also found between SLSD of the same LE across activities for each group (p < .05). SLSD of each LE during each individual activity, stepping-in-place, or gait, was not significantly different for the healthy adults, indicating LE symmetry; but it was significantly different for the adults with hemiplegia (p < .05), indicating LE asymmetry. Conclusions: Stepping-in-place incorporates reciprocal, rhythmic LE movement patterns similar to gait. And, although SLSD of the LEs was different between the activities in both groups, each group showed similar LE movement patterns during each individual activity. In addition, step frequency was consistent between the activities for the healthy adults. These results seem to indicate that the reciprocal, rhythmic LE movement patterns, which are invoked during gait, may also be invoked during stepping-in-place. However, further research is needed to enhance the data related to stepping-in-place and gait ability in clinical populations.",
keywords = "Gait, Hemiplegia, Leg, Rehabilitation",
author = "Garcia, {Ralph K.} and Nelson, {Arthur J.} and Wen Ling and {Van Olden}, Catherine",
year = "2001",
doi = "10.1053/apmr.2001.19012",
language = "English (US)",
volume = "82",
pages = "36--42",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Comparing stepping-in-place and gait ability in adults with and without hemiplegia

AU - Garcia, Ralph K.

AU - Nelson, Arthur J.

AU - Ling, Wen

AU - Van Olden, Catherine

PY - 2001

Y1 - 2001

N2 - Objective: To determine and compare select temporal-distance measures of stepping-in-place with gait ability in 2 age-matched groups. Design: Repeated measures, matched research design. Setting: Gait laboratory and hospital outpatient unit. Participants: Convenience sample recruited from within the community and the outpatient unit of a local rehabilitation hospital included 30 healthy adults (age range, 58.1 ± 10.8yr) and 30 age-matched adults with hemiplegia (age range, 58.6 ± 10.3yr), secondary to a cerebrovascular accident. Interventions: Subjects were videotaped in the sagittal plane performing stepping-in-place and while walking. Select temporal-distance measures obtained by manual calculations from the video recordings were determined for 3 20-second trials of each activity. Main Outcome Measures: Single limb support duration (SLSD) of the lower extremities (LEs) and step frequency during stepping-in-place and during gait. Results: A significant difference was found between the step frequency of each activity for the adults with hemiplegia (p < .05), but not for the healthy adults. A significant difference was also found between SLSD of the same LE across activities for each group (p < .05). SLSD of each LE during each individual activity, stepping-in-place, or gait, was not significantly different for the healthy adults, indicating LE symmetry; but it was significantly different for the adults with hemiplegia (p < .05), indicating LE asymmetry. Conclusions: Stepping-in-place incorporates reciprocal, rhythmic LE movement patterns similar to gait. And, although SLSD of the LEs was different between the activities in both groups, each group showed similar LE movement patterns during each individual activity. In addition, step frequency was consistent between the activities for the healthy adults. These results seem to indicate that the reciprocal, rhythmic LE movement patterns, which are invoked during gait, may also be invoked during stepping-in-place. However, further research is needed to enhance the data related to stepping-in-place and gait ability in clinical populations.

AB - Objective: To determine and compare select temporal-distance measures of stepping-in-place with gait ability in 2 age-matched groups. Design: Repeated measures, matched research design. Setting: Gait laboratory and hospital outpatient unit. Participants: Convenience sample recruited from within the community and the outpatient unit of a local rehabilitation hospital included 30 healthy adults (age range, 58.1 ± 10.8yr) and 30 age-matched adults with hemiplegia (age range, 58.6 ± 10.3yr), secondary to a cerebrovascular accident. Interventions: Subjects were videotaped in the sagittal plane performing stepping-in-place and while walking. Select temporal-distance measures obtained by manual calculations from the video recordings were determined for 3 20-second trials of each activity. Main Outcome Measures: Single limb support duration (SLSD) of the lower extremities (LEs) and step frequency during stepping-in-place and during gait. Results: A significant difference was found between the step frequency of each activity for the adults with hemiplegia (p < .05), but not for the healthy adults. A significant difference was also found between SLSD of the same LE across activities for each group (p < .05). SLSD of each LE during each individual activity, stepping-in-place, or gait, was not significantly different for the healthy adults, indicating LE symmetry; but it was significantly different for the adults with hemiplegia (p < .05), indicating LE asymmetry. Conclusions: Stepping-in-place incorporates reciprocal, rhythmic LE movement patterns similar to gait. And, although SLSD of the LEs was different between the activities in both groups, each group showed similar LE movement patterns during each individual activity. In addition, step frequency was consistent between the activities for the healthy adults. These results seem to indicate that the reciprocal, rhythmic LE movement patterns, which are invoked during gait, may also be invoked during stepping-in-place. However, further research is needed to enhance the data related to stepping-in-place and gait ability in clinical populations.

KW - Gait

KW - Hemiplegia

KW - Leg

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=0035170882&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035170882&partnerID=8YFLogxK

U2 - 10.1053/apmr.2001.19012

DO - 10.1053/apmr.2001.19012

M3 - Article

C2 - 11239284

AN - SCOPUS:0035170882

VL - 82

SP - 36

EP - 42

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 1

ER -