Nancy M. Salbach, MSc, Nancy E

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Presentation transcript:

Responsiveness and predictability of gait speed and other disability measures in acute stroke Nancy M. Salbach, MSc, Nancy E. Mayo, PhD, Johanne Higgins, MSc, Sara Ahmed, MSc, Lois E. Finch, MSc, Carol L. Richards, PhD Archives of Physical Medicine and Rehabilitation Volume 82, Issue 9, Pages 1204-1212 (September 2001) DOI: 10.1053/apmr.2001.24907 Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 1 Ranking of gait speed tests by responsiveness indices: t statistic (paired); RE, relative efficiency; SRM, standardized response mean; ES, effect size (n = 50). Similarity of rankings was statistically significant (Friedman's test, p = .0009). Archives of Physical Medicine and Rehabilitation 2001 82, 1204-1212DOI: (10.1053/apmr.2001.24907) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 2 The association between baseline performance and change in comfortable gait speed on the 5mWT. The lines y = −.113m/s and y = .172m/s represent the limits of repeated measurement error (“noise”) for gait speed in stroke.51 Archives of Physical Medicine and Rehabilitation 2001 82, 1204-1212DOI: (10.1053/apmr.2001.24907) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 3 Responsiveness of measures in subjects who initially walked at slow (n = 10), moderate (n = 25), or fast (n = 15) speeds on the 5mWT at a comfortable pace. SRMs for the TUG were calculated in subjects able to perform the test. No calculation was possible for the “slow” group because 9 of 10 subjects were unable to perform the TUG. Archives of Physical Medicine and Rehabilitation 2001 82, 1204-1212DOI: (10.1053/apmr.2001.24907) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 4 The probability of being discharged to an inpatient rehabilitation center given a baseline comfortable gait speed on the 5mWT of > cutoff value (solid line) or ≤ cutoff value (dotted line) (n = 48). Archives of Physical Medicine and Rehabilitation 2001 82, 1204-1212DOI: (10.1053/apmr.2001.24907) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions