Article
Orthopedics
Kanika Bansal, David J. Clark, Emily J. Fox, Dorian K. Rose
Summary: This study found that poststroke forward walking speed is positively related to backward walking speed, but this relationship is influenced by individual perceived falls efficacy. People with lower falls efficacy can predict backward walking speed from forward walking speed, whereas as falls efficacy increases, backward walking speed becomes a separate construct from forward walking speed.
Article
Clinical Neurology
Sue Peters, Shannon B. Lim, Mark T. Bayley, Krista Best, Louise A. Connell, Helene Corriveau, Sarah J. Donkers, Sean P. Dukelow, Tara D. Klassen, Marie-Helene Milot, Brodie M. Sakakibara, Lisa Sheehy, Hubert Wong, Jennifer Yao, Janice J. Eng
Summary: Clinical practice guidelines recommend structured, progressive protocols to improve walking after stroke. However, implementation is slow, highlighting the need for an implementation trial to enable the adoption of the protocol as standard care in stroke units.
INTERNATIONAL JOURNAL OF STROKE
(2023)
Article
Clinical Neurology
Sue Peters, Keith R. Lohse, Tara D. Klassen, Teresa Liu-Ambrose, Sean P. Dukelow, Mark T. Bayley, Michael D. Hill, Sepideh Pooyania, Jennifer Yao, Janice J. Eng
Summary: Cognitive deficits are common poststroke and cognitive rehabilitation is often used to improve them. This study aimed to determine whether a higher dose of exercise during inpatient rehabilitation can improve cognitive outcomes over a 1-year period poststroke.
FRONTIERS IN NEUROLOGY
(2023)
Review
Rehabilitation
Mariah Balinski, Sangeetha Madhavan
Summary: The purpose of this systematic review was to determine the number of treadmill training sessions needed to make a meaningful change in gait speed for chronic stroke survivors. The study found that at least 30 treadmill sessions (preferably within 10 weeks, with each session lasting at least 40 minutes) are necessary to achieve a meaningful change in gait speed.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2022)
Article
Engineering, Industrial
Aditi Gupta, Damian G. Kelty-Stephen, Madhur Mangalam, Ryan J. McKindles, Leia Stirling
Summary: This study aimed to evaluate the effect of visual and tactile-visual dual-task on gait performance. The results showed that gait characteristics are influenced by walking speed and dual-task modality, and are more sensitive to changes in speed than the presence of a dual task.
APPLIED ERGONOMICS
(2023)
Article
Rehabilitation
Allison Miller, Ryan T. Pohlig, Tamara Wright, Hyosub E. Kim, Darcy S. Reisman
Summary: This study identified latent classes of survivors of chronic stroke using a mixture model and found significant differences in walking ability, psychosocial factors, environment, and cognition among these classes. The results indicated that real-world walking activity in survivors of stroke is influenced by multiple factors including walking ability, self-efficacy, cognitive function, and socioeconomic environment.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Review
Orthopedics
Lucas R. Nascimento, Rafaela J. S. Rocha, Augusto Boening, Gabriel P. Ferreira, Mikaella C. Perovano
Summary: A systematic review found that home-based exercises are as effective as equivalent doses of centre-based exercises for improving walking speed and balance after stroke. The effects of these two types of exercise remained comparable beyond the intervention period.
JOURNAL OF PHYSIOTHERAPY
(2022)
Article
Rehabilitation
Ligia Brancalion Catapani, Tamyris Padovani dos Santos, Giovana Cristina Toffano, Hugo Celso Dutra Souza, Joao Eduardo de Araujo
Summary: The study found that aerobic exercise can improve gait endurance and speed in individuals who have had a stroke, especially those with left-brain injury and lower baseline scores. Through a 12-week aerobic exercise program, significant improvements were observed in these individuals.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2021)
Article
Engineering, Biomedical
T. Scone, M. Saadat, H. Barton, A. Rastegarpanah
Summary: This pilot study utilized the Linear Fit Method to compare the gait of stroke survivors with a healthy baseline in terms of walking speed. The results showed significant linear relationships between walking speed and the variations in the hemiparetic gait pattern. As walking speed increased, certain aspects of the gait pattern became more similar to the healthy comparison, while others remained different. These findings demonstrate how joint kinematics can be used to identify and quantify effective compensatory hemiparetic gait patterns.
Article
Biophysics
Thiago R. T. Santos, Vanessa L. Araujo, Anne Khuu, Sangjun Lee, Cara L. Lewis, Thales R. Souza, Kenneth G. Holt, Sergio T. Fonseca
Summary: This study found that fast walking may require non-uniform changes in dynamic stiffness among lower limb joints, with the knee and hip increasing their stiffness at fast speeds. Gender only influenced ankle stiffness, with males having greater stiffness than females.
JOURNAL OF BIOMECHANICS
(2021)
Article
Rehabilitation
Natalie A. Fini, Julie Bernhardt, Anne E. Holland
Summary: The study found that physical activity levels were low among stroke survivors, especially in those with gait speeds <= 0.8 m/s. Age, gait speed, cognition were significant factors influencing moderate-vigorous physical activity, and employment status also played a role in step count.
DISABILITY AND REHABILITATION
(2021)
Article
Clinical Neurology
Sue Peters, Tara Klassen, Amy Schneeberg, Sean Dukelow, Mark Bayley, Michael Hill, Sepideh Pooyania, Jennifer Yao, Janice Eng
Summary: Higher intensity exercise therapy after stroke can lead to improved long-term walking outcomes. By modeling data from a successful multi-site RCT, targets for exercise prescription and progression were developed for patients with varying levels of walking impairment. These models, based on step number and aerobic minute progression, can help guide future studies and facilitate routine measurement of therapeutic intensity.
NEUROREHABILITATION AND NEURAL REPAIR
(2022)
Article
Neurosciences
Laura A. Prosser, Heather L. Atkinson, James M. Alfano, Sudha K. Kessler, Rebecca B. Ichord
Summary: This study investigates the influence of walking speed on spatiotemporal and symmetry measures of gait in children with hemiplegia. The results show that walking speed significantly affects step length and temporal measures, while wearing shoes also has an impact on step length and stance time. Regardless of footwear, the paretic side demonstrates slower step and swing times, and faster stance and single support times.
Article
Rehabilitation
Caroline M. Stretton, Suzie Mudge, Nicola M. Kayes, Kathryn M. McPherson
Summary: Understanding the personal experiences of stroke survivors in real-world walking is crucial for tailoring interventions to meet their specific needs. This study found that real-world walking provided opportunities for freedom, progress, and hope for recovery, but also presented challenges and negative emotions. Stroke survivors used everyday routines, planning skills, and confidence-building experiences to overcome obstacles and achieve their walking goals. They also relied on social resources and connections. Successful progress in real-world walking enhanced confidence, hope, and psychological well-being.
DISABILITY AND REHABILITATION
(2022)
Article
Health Care Sciences & Services
Kiyoshi Yoshioka, Tatsunori Watanabe, Norikazu Maruyama, Mizuki Yoshioka, Keita Iino, Kimikazu Honda, Koshiro Hayashida
Summary: Gait asymmetry is common and a major risk factor for falls after stroke, especially in chronic stroke patients. However, health insurance often does not cover rehabilitation for chronic stroke patients. This study found that individually supervised exercise therapy can improve gait ability, including temporal asymmetry, in chronic stroke patients.
Article
Clinical Neurology
Ying Xian, Laine Thomas, Li Liang, Jerome J. Federspiel, Laura E. Webb, Cheryl D. Bushnell, Pamela W. Duncan, Lee H. Schwamm, Joel Stein, Gregg C. Fonarow, Helen Hoenig, Cris Montalvo, Mary G. George, Barbara J. Lutz, Eric D. Peterson, Janet Prvu Bettger
Letter
Medicine, General & Internal
Pamela W. Duncan
JAMA INTERNAL MEDICINE
(2017)
Article
Cardiac & Cardiovascular Systems
Gordon R. Reeves, David J. Whellan, Christopher M. O'Connor, Pamela Duncan, Joel D. Eggebeen, Timothy M. Morgan, Leigh Ann Hewston, Amy Pastva, Mahesh J. Patel, Dalane W. Kitzman
JACC-HEART FAILURE
(2017)
Editorial Material
Clinical Neurology
Pamela W. Duncan, Julie Bernhardt
Letter
Emergency Medicine
Wayne D. Rosamond, Anna M. Kucharska-Newton, Sara B. Jones, Matthew A. Psioda, Barbara J. Lutz, Anna M. Johnson, Sylvia W. Coleman, Samantha R. Schilsky, Mehul D. Patel, Pamela W. Duncan
ACADEMIC EMERGENCY MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
M. Benjamin Nelson, Olivia N. Gilbert, Pamela W. Duncan, Dalane W. Kitzman, Gordon R. Reeves, David J. Whellan, Robert J. Mentz, Haiying Chen, Leigh Ann Hewston, Karen M. Taylor, Amy M. Pastva
Summary: The study demonstrates that adherence to a rehabilitation intervention plan is significantly associated with improved patient-centered and clinical event outcomes in older, frail patients with acute decompensated heart failure.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Cardiac & Cardiovascular Systems
David Whellan, Melissa M. M. McCarey, Haiying Chen, M. Benjamin Nelson, Amy M. M. Pastva, Pamela Duncan, Robert J. J. Mentz, Dalane W. W. Kitzman, Gordon Reeves, Shelby D. D. Reed
Summary: In older patients hospitalized for acute decompensated heart failure, quality of life improves in the first month after discharge. The quality of life benefit of a post-discharge physical rehabilitation intervention is detected early with large significant improvements at 3 months achieved primarily through improvement in short physical performance battery.
CIRCULATION-HEART FAILURE
(2022)
Article
Clinical Neurology
Steven C. Cramer, Lode G. Richards, Julie Bernhardt, Pamela Duncan
Summary: Cognition is a fundamental aspect of human existence and brain function. Stroke often leads to cognitive deficits, which can significantly impact poststroke functional recovery. Recent advancements in understanding cognitive functions in healthy individuals hold promise for improving our understanding and treatment of poststroke cognitive impairments. This article provides five reviews on commonly observed cognitive syndromes after stroke, including neglect, aphasia, apraxia, loss of executive function, and memory disorders. These reviews discuss key questions and gaps in knowledge, emphasizing the need for improved measurement tools, insights into the pathophysiology of symptom onset and recovery mechanisms, and validated biomarkers. Overall, these state-of-the-art summaries facilitate progress towards better understanding and management of poststroke cognitive impairments.
Article
Health Care Sciences & Services
Stephanie J. Sohl, Pamela W. Duncan, Elyse Thakur, Nicole Puccinelli-Ortega, John M. Salsman, Greg Russell, Boris C. Pasche, Stacy Wentworth, David P. Miller Jr, Lynne Wagner, Umit Topaloglu
Summary: We developed an electronic tool for colorectal cancer follow-up care planning by incorporating inputs from health care professionals and patients. The study consisted of three phases: design elements, generation of care plans, and optimization of usability. The results showed that the tool has the potential to simplify the implementation of personalized care planning and provide resources to support self-management.
JMIR FORMATIVE RESEARCH
(2023)
Editorial Material
Clinical Neurology
Julie Bernhardt, Pamela W. Duncan, Elizabeth A. Lynch
Article
Cardiac & Cardiovascular Systems
Olivia N. Gilbert, Robert J. Mentz, Alain G. Bertoni, Dalane W. Kitzman, David J. Whellan, Gordon R. Reeves, Pamela W. Duncan, Michael Benjamin Nelson, Vanessa Blumer, Haiying Chen, Shelby D. Reed, Bharathi Upadhya, Christopher M. O'Connor, Amy M. Pastva
Summary: This study found that a 3-month rehabilitation intervention improved physical function and health-related quality of life in both older Black and White patients with acute decompensated heart failure, without significant differences between the two racial groups. However, the association between intervention and reduced all-cause rehospitalizations was stronger in White patients compared to Black patients, suggesting the need for further research.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Clinical Neurology
Pamela W. Duncan, Cheryl D. Bushnell, Wayne D. Rosamond, Sara B. Jones Berkeley, Sabina B. Gesell, Ralph B. D'Agostino, Walter T. Ambrosius, Blair Barton-Percival, Janet Prvu Bettger, Sylvia W. Coleman, Doyle M. Cummings, Janet K. Freburger, Jacqueline Halladay, Anna M. Johnson, Anna M. Kucharska-Newton, Gladys Lundy-Lamm, Barbara J. Lutz, Laurie H. Mettam, Amy M. Pastva, Mysha E. Sissine, Betsy Vetter
Article
Rehabilitation
David B. Matchar, Pamela W. Duncan, Christopher T. Lien, Marcus Eng Hock Ong, Mina Lee, Fei Gao, Rita Sim, Kirsten Eom
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2017)
Article
Cardiac & Cardiovascular Systems
Gordon R. Reeves, David J. Whellan, Pamela Duncan, Christopher M. O'Connor, Amy M. Pastva, Joel D. Eggebeen, Leigh Ann Hewston, Timothy M. Morgan, Shelby D. Reed, W. Jack Rejeski, Robert J. Mentz, Paul B. Rosenberg, Dalane W. Kitzman
AMERICAN HEART JOURNAL
(2017)
Article
Medicine, Research & Experimental
Sabina B. Gesell, Karen Potvin Klein, Jacqueline Halladay, Janet Prvu Bettger, Janet Freburger, Doyle M. Cummings, Barbara J. Lutz, Sylvia Coleman, Cheryl Bushnell, Wayne Rosamond, Pamela W. Duncan
JOURNAL OF CLINICAL AND TRANSLATIONAL SCIENCE
(2017)