Test-retest reliability of portable metabolic monitoring after disabling stroke.

Abstract:

PURPOSE:Impaired economy of gait, prevalent in chronic stroke secondary to residual gait deficits, is associated with intolerance for performing activities of daily living. Gait economy/efficiency is traditionally assessed by determining the rate of oxygen consumption during submaximal treadmill walking. However, the mechanics and energetics of treadmill versus overground walking are very different in stroke survivors with ambulatory deficits. Clearly, overground cardiopulmonary measures are needed to accurately profile movement economy after stroke. An obstacle to obtaining such measures after stroke has been the absence of reliable portable metabolic monitoring equipment. The purpose of this study was to establish the test-retest reliability of a portable metabolic monitoring device during overground walking in hemiparetic stroke survivors. METHODS:Twenty-three chronic hemiparetic stroke survivors underwent two 6-minute walk tests while wearing a COSMED K4b(2) portable metabolic measurement system. Intraclass correlations coefficients (ICC) were calculated for both cardiopulmonary parameters and distance covered to determine test-retest reliability. An ICC of ≥ 0.85 was considered reliable. RESULTS:ICCs for relative Vo2 (0.90), absolute Vo2 (0.93), Vco2 (0.93), and minute ventilation (0.95) demonstrated high reliability, but not for heart rate (0.76) or respiratory exchange ratio (0.64). There was no significant difference in the distance each participant walked between the first and second tests, eliminating distance as a potential confounder of our analyses (ICC = 0.99). CONCLUSIONS:Our results strongly support the reliability of the K4b(2) for quantifying overground gait efficiency after stroke. Use of this device may enable researchers to study how varying poststroke rehabilitation interventions affect this central measure of health and function.

authors

Stookey AD,McCusker MG,Sorkin JD,Katzel LI,Shaughnessy M,Macko RF,Ivey FM

doi

10.1177/1545968313497103

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

872-7

issue

9

eissn

1545-9683

issn

1552-6844

pii

1545968313497103

journal_volume

27

pub_type

杂志文章
  • Psychometric properties of the HRQOLISP-40: a novel, shortened multiculturally valid holistic stroke measure.

    abstract:BACKGROUND:A recent review showed that no existing instrument measured the entire spectrum of health-related quality of life (HRQOL) in stroke patients. However, the HRQOL in stroke patients (HRQOLISP) questionnaire is valid and exceptionally comprehensive. Founded on a holistic model of human life, it comprises both p...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,多中心研究

    doi:10.1177/1545968310369113

    authors: Ojo Owolabi M

    更新日期:2010-11-01 00:00:00

  • Agreed Definitions and a Shared Vision for New Standards in Stroke Recovery Research: The Stroke Recovery and Rehabilitation Roundtable Taskforce.

    abstract::The first Stroke Recovery and Rehabilitation Roundtable established a game changing set of new standards for stroke recovery research. Common language and definitions were required to develop an agreed framework spanning the four working groups: translation of basic science, biomarkers of stroke recovery, measurement ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968317732668

    authors: Bernhardt J,Hayward KS,Kwakkel G,Ward NS,Wolf SL,Borschmann K,Krakauer JW,Boyd LA,Carmichael ST,Corbett D,Cramer SC

    更新日期:2017-09-01 00:00:00

  • Boosting Cognition With Music in Patients With Disorders of Consciousness.

    abstract:BACKGROUND:Music listening conveys beneficial effects on cognitive processes in both normal and pathologic cerebral functioning. Surprisingly, no quantitative study has evaluated the potential effects of music on cognition and consciousness in patients with disorders of consciousness. OBJECTIVE:The aim of the present ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968314565464

    authors: Castro M,Tillmann B,Luauté J,Corneyllie A,Dailler F,André-Obadia N,Perrin F

    更新日期:2015-09-01 00:00:00

  • Levodopa Facilitates Prefrontal Cortex Activation During Dual Task Walking in Parkinson Disease.

    abstract::Background. Although dopaminergic medication improves dual task walking in people with Parkinson disease (PD), the underlying neural mechanisms are not yet fully understood. As prefrontal cognitive resources are involved in dual task walking, evaluation of the prefrontal cortex (PFC) is required. Objective. To investi...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968320924430

    authors: Orcioli-Silva D,Vitório R,Nóbrega-Sousa P,da Conceição NR,Beretta VS,Lirani-Silva E,Gobbi LTB

    更新日期:2020-07-01 00:00:00

  • Compensation or Recovery? Altered Kinetics and Neuromuscular Synergies Following High-Intensity Stepping Training Poststroke.

    abstract:BACKGROUND:High-intensity, variable stepping training can improve walking speed in individuals poststroke, although neuromuscular strategies used to achieve faster speeds are unclear. We evaluated changes in joint kinetics and neuromuscular coordination following such training; movement strategies consistent with intac...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968318817825

    authors: Ardestani MM,Kinnaird CR,Henderson CE,Hornby TG

    更新日期:2019-01-01 00:00:00

  • Assessing the motor status score: a scale for the evaluation of upper limb motor outcomes in patients after stroke.

    abstract::The Motor Status Scale (MSS) measures shoulder, elbow (maximum score = 40), wrist, hand, and finger movements (maximum score = 42), and expands the measurement of upper extremity impairment and disability provided by the Fugl-Meyer (FM) score. This work examines the interrater reliability and criterion validity of the...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 临床试验,杂志文章

    doi:10.1177/154596830201600306

    authors: Ferraro M,Demaio JH,Krol J,Trudell C,Rannekleiv K,Edelstein L,Christos P,Aisen M,England J,Fasoli S,Krebs HI,Hogan N,Volpe BT

    更新日期:2002-09-01 00:00:00

  • Does functional electrical stimulation for foot drop strengthen corticospinal connections?

    abstract:BACKGROUND:Long-term use of a foot-drop stimulator applying functional electrical stimulation (FES) to the common peroneal nerve improves walking performance even when the stimulator is off. This "therapeutic" effect might result from neuroplastic changes. OBJECTIVE:To determine the effect of long-term use of a foot-d...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 临床试验,杂志文章

    doi:10.1177/1545968309349939

    authors: Everaert DG,Thompson AK,Chong SL,Stein RB

    更新日期:2010-02-01 00:00:00

  • Reassessment of the incidence of complex regional pain syndrome type 1 following stroke.

    abstract::Previous literature has suggested that reflex sympathetic dystrophy, also known as complex regional pain syndrome (CRPS) type 1, is a relatively common finding after a stroke. However, much of this data was obtained before patients routinely received early intensive inpatient rehabilitation. The purpose of this study ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/154596830001400107

    authors: Petchkrua W,Weiss DJ,Patel RR

    更新日期:2000-01-01 00:00:00

  • Botulinum Toxin Conditioning Enhances Motor Axon Regeneration in Mouse and Human Preclinical Models.

    abstract:BACKGROUND:Peripheral axon regeneration is improved when the nerve lesion under consideration has recently been preceded by another nerve injury. This is known as the conditioning lesion effect (CLE). While the CLE is one of the most robust and well characterized means to enhance motor axon regeneration in experimental...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968318790020

    authors: Franz CK,Puritz A,Jordan LA,Chow J,Ortega JA,Kiskinis E,Heckman CJ

    更新日期:2018-08-01 00:00:00

  • Severe degeneration of peripheral motor axons after spinal cord injury: a European multicenter study in 345 patients.

    abstract:OBJECTIVE:There are indications that perilesional and remote peripheral motor axons may degenerate after spinal cord injury (SCI). The authors investigated the magnitude and dependence on severity of SCI of this degeneration as well as whether motor axons so affected can recover. METHODS:The function of the peripheral...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,多中心研究

    doi:10.1177/1545968310368534

    authors: Van De Meent H,Hosman AJ,Hendriks J,Zwarts M,EM-SCI Study Group.,Schubert M

    更新日期:2010-09-01 00:00:00

  • Targeted aiming movements are compromised in nonaffected limb of persons with stroke.

    abstract:BACKGROUND:Research has shown that movement impairments following stroke are typically associated with the limb contralateral to the side of the stroke. Prior studies identified ipsilateral motor declines across a variety of tasks. OBJECTIVE:Two experiments were conducted to better understand the ipsilateral contribut...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968306297872

    authors: Ketcham CJ,Rodriguez TM,Zihlman KA

    更新日期:2007-09-01 00:00:00

  • Factors contributing to motor impairment and recovery after stroke.

    abstract::The goal of the present study was to examine factors affecting motor impairment and recovery in a primate model of cortical infarction. Microelectrode stimulation techniques were used to delineate the hand representation in the primary motor cortex (M1). Microinfarcts affecting approximately 30% of the hand representa...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/154596830001400406

    authors: Heddings AA,Friel KM,Plautz EJ,Barbay S,Nudo RJ

    更新日期:2000-01-01 00:00:00

  • Changes in activity after a complete spinal cord injury as measured by the Spinal Cord Independence Measure II (SCIM II).

    abstract:BACKGROUND:The assessment of rehabilitation efficacy in spinal cord injury (SCI) should be based on a combination of neurological and functional outcome measures. The Spinal Cord Independence Measure II (SCIM II) is an independence scale that was specifically developed for subjects with SCI. However, little is known ab...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,多中心研究

    doi:10.1177/1545968307306240

    authors: Wirth B,van Hedel HJ,Kometer B,Dietz V,Curt A

    更新日期:2008-03-01 00:00:00

  • Repeated Concussions Impair Behavioral and Neurophysiological Changes in the Motor Learning System.

    abstract::Background. Concussions affect nearly 3 million people a year and are the leading cause of traumatic brain injury-related emergency department visits among youth. Evidence shows neuromotor regions are sensitive to concussive events and that motor symptoms may be the earliest clinical manifestations of neurodegenerativ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968320943578

    authors: Cantarero G,Choynowski J,St Pierre M,Anaya M,Statton M,Stokes W,Capaldi V,Chib V,Celnik P

    更新日期:2020-09-01 00:00:00

  • Combined analysis of cortical (EEG) and nerve stump signals improves robotic hand control.

    abstract:BACKGROUND:Interfacing an amputee's upper-extremity stump nerves to control a robotic hand requires training of the individual and algorithms to process interactions between cortical and peripheral signals. OBJECTIVE:To evaluate for the first time whether EEG-driven analysis of peripheral neural signals as an amputee ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968311408919

    authors: Tombini M,Rigosa J,Zappasodi F,Porcaro C,Citi L,Carpaneto J,Rossini PM,Micera S

    更新日期:2012-03-01 00:00:00

  • Neuropathic Pain in Taxane-Induced Peripheral Neuropathy: Evidence for Exercise in Treatment.

    abstract::One in 2 Canadians is expected to acquire cancer in their lifetime. Many cancers, including breast, ovarian, and lung cancer, are treated using taxane chemotherapy with curative intent. A major adverse effect with the use of taxane chemotherapeutic agents is taxane-induced peripheral neuropathy (TIPN). Both positive (...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,评审

    doi:10.1177/1545968319860486

    authors: Andersen Hammond E,Pitz M,Shay B

    更新日期:2019-10-01 00:00:00

  • Improving Accelerometry-Based Measurement of Functional Use of the Upper Extremity After Stroke: Machine Learning Versus Counts Threshold Method.

    abstract:BACKGROUND:Wrist-worn accelerometry provides objective monitoring of upper-extremity functional use, such as reaching tasks, but also detects nonfunctional movements, leading to ambiguity in monitoring results. OBJECTIVE:Compare machine learning algorithms with standard methods (counts ratio) to improve accuracy in de...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968320962483

    authors: Lum PS,Shu L,Bochniewicz EM,Tran T,Chang LC,Barth J,Dromerick AW

    更新日期:2020-12-01 00:00:00

  • Atrophy and intramuscular fat in specific muscles of the thigh: associated weakness and hyperinsulinemia in stroke survivors.

    abstract:PURPOSE:Sarcopenia and increased fat infiltration in muscle may play a role in the functional impairment and high risk for diabetes in stroke. Our purpose was to compare muscle volume and muscle attenuation across 6 muscles of the paretic and nonparetic thigh and examine the relationships between intramuscular fat and ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968311408920

    authors: Ryan AS,Buscemi A,Forrester L,Hafer-Macko CE,Ivey FM

    更新日期:2011-11-01 00:00:00

  • Upper limb robot-assisted therapy in cerebral palsy: a single-blind randomized controlled trial.

    abstract:BACKGROUND:Several pilot studies have evoked interest in robot-assisted therapy (RAT) in children with cerebral palsy (CP). OBJECTIVE:To assess the effectiveness of RAT in children with CP through a single-blind randomized controlled trial. PATIENTS AND METHODS:Sixteen children with CP were randomized into 2 groups. ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968314541172

    authors: Gilliaux M,Renders A,Dispa D,Holvoet D,Sapin J,Dehez B,Detrembleur C,Lejeune TM,Stoquart G

    更新日期:2015-02-01 00:00:00

  • Admission ambulation velocity predicts length of stay and discharge disposition following stroke in an acute rehabilitation hospital.

    abstract:BACKGROUND AND PURPOSE:Poststroke functional outcome and discharge disposition are influenced by age, lesion location and size, severity of neurological insult, prior functional ability, and social support. The effect of admission ambulation velocity on length of stay and discharge disposition has not been previously r...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968304272762

    authors: Rabadi MH,Blau A

    更新日期:2005-03-01 00:00:00

  • Reliability and Responsiveness of Upper Limb Motor Assessments for Children With Central Neuromotor Disorders: A Systematic Review.

    abstract:BACKGROUND:To investigate the effectiveness of upper limb rehabilitation, sound measures of upper limb function, capacity, and performance are paramount. OBJECTIVES:This systematic review investigates reliability and responsiveness of upper limb measurement tools used in pediatric neurorehabilitation. METHODS:A 2-tie...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,评审

    doi:10.1177/1545968315583723

    authors: Gerber CN,Labruyère R,van Hedel HJ

    更新日期:2016-01-01 00:00:00

  • Amount of exercise in the first week after stroke predicts walking speed and unassisted walking.

    abstract:BACKGROUND:Predicting walking outcomes poststroke is a challenge for clinicians. OBJECTIVE:To identify the extent to which exercise dose (repetitions of leg movements) in the first week of a comprehensive stroke unit stay predicts discharge mobility. METHODS:A cohort study was conducted on 200 consecutive people admi...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968312439628

    authors: Scrivener K,Sherrington C,Schurr K

    更新日期:2012-10-01 00:00:00

  • Pushing the Rehabilitation Boundaries: Hand Motor Impairment Can Be Reduced in Chronic Stroke.

    abstract::Background. Stroke is one of the most common causes of physical disability worldwide. The majority of survivors experience impairment of movement, often with lasting deficits affecting hand dexterity. To date, conventional rehabilitation primarily focuses on training compensatory maneuvers emphasizing goal completion ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968320939563

    authors: Mawase F,Cherry-Allen K,Xu J,Anaya M,Uehara S,Celnik P

    更新日期:2020-08-01 00:00:00

  • Kinematics of turning 180 degrees during the timed up and go in stroke survivors with and without falls history.

    abstract:BACKGROUND:Community-dwelling, chronic stroke survivors are at risk of falling during turning and are more likely to sustain a hip fracture when they fall. OBJECTIVE:This study quantifies kinematic differences between stroke survivors (mean +/- SD: 38.3 +/- 31.3 months post-stroke, 59.9 +/- 10.1 years of age), with (n...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968309348508

    authors: Hollands KL,Hollands MA,Zietz D,Wing AM,Wright C,van Vliet P

    更新日期:2010-05-01 00:00:00

  • Physiological responses to two wheelchair-racing exercise protocols.

    abstract:OBJECTIVE:This study investigated the blood lactate accumulation during two wheelchair-racing protocols. During exercise, energy is required, which causes metabolism to increase and blood lactate to accumulate. Proper training can reduce the amount of blood lactate accumulation and increase tolerance to blood lactate a...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/154596830101500306

    authors: Cooper RA,Baldini FD,Boninger ML,Cooper R

    更新日期:2001-01-01 00:00:00

  • Anodal tDCS Combined With Radial Nerve Stimulation Promotes Hand Motor Recovery in the Acute Phase After Ischemic Stroke.

    abstract:BACKGROUND AND OBJECTIVE:The question of the best therapeutic window in which noninvasive brain stimulation (NIBS) could potentiate the plastic changes for motor recovery after a stroke is still unresolved. Most of the previous NIBS studies included patients in the chronic phase of recovery and very few in the subacute...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968314565465

    authors: Sattler V,Acket B,Raposo N,Albucher JF,Thalamas C,Loubinoux I,Chollet F,Simonetta-Moreau M

    更新日期:2015-09-01 00:00:00

  • Movement Quality: A Novel Biomarker Based on Principles of Neuroscience.

    abstract::A major problem in neurorehabilitation is the lack of objective outcomes to measure movement quality. Movement quality features, such as coordination and stability, are essential for everyday motor actions. These features allow reacting to continuously changing environment or to resist external perturbations. Neurolog...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968320969936

    authors: Solnik S,Furmanek MP,Piscitelli D

    更新日期:2020-12-01 00:00:00

  • Training memory self-efficacy in the chronic stage after stroke: a randomized controlled trial.

    abstract:BACKGROUND:Stroke patients with a low memory self-efficacy (MSE) report more memory complaints than patients with a high MSE. OBJECTIVE:The aim of this study was to examine the effect of a memory-training program on MSE in the chronic phase after stroke and to identify which patients benefit most from the MSE training...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968312455222

    authors: Aben L,Heijenbrok-Kal MH,van Loon EM,Groet E,Ponds RW,Busschbach JJ,Ribbers GM

    更新日期:2013-02-01 00:00:00

  • Neuromechanical Differences Between Successful and Failed Sit-to-Stand Movements and Response to Rehabilitation Early After Stroke.

    abstract:BACKGROUND:Recovery of the sit-to-stand (StS) movement early after stroke could be improved by targeting physical therapy at the underlying movement deficits in those people likely to respond. AIM:To compare the movement characteristics of successful and failed StS movements in people early after stroke and identify w...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/1545968319846119

    authors: Kerr A,Clark A,Pomeroy VM

    更新日期:2019-05-01 00:00:00

  • Sensorimotor and Physiological Indicators of Impairment in Mild Traumatic Brain Injury: A Meta-Analysis.

    abstract:OBJECTIVE:To systematically review the literature with meta-analysis to determine whether persistence of sensorimotor or physiological impairment exists between 4 weeks to 6 months post mild traumatic brain injury (mTBI), and assign level of evidence to findings. METHOD:The databases PubMed, pscyINFO, SPORTdiscus, Med...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,meta分析

    doi:10.1177/1545968318760728

    authors: Galea OA,Cottrell MA,Treleaven JM,O'Leary SP

    更新日期:2018-02-01 00:00:00