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Stroke Research and Treatment
Volume 2015, Article ID 484813, 28 pages
http://dx.doi.org/10.1155/2015/484813
Review Article

Protocol Variations and Six-Minute Walk Test Performance in Stroke Survivors: A Systematic Review with Meta-Analysis

1University of Newcastle, Callaghan, NSW 2308, Australia
2Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
3Hunter New England Local Health District, New Lambton Heights, NSW 2305, Australia

Received 30 September 2014; Revised 18 December 2014; Accepted 18 December 2014

Academic Editor: Graeme Hankey

Copyright © 2015 A. Dunn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. O. Kelly, S. L. Kilbreath, G. M. Davis, B. Zeman, and J. Raymond, “Cardiorespiratory fitness and walking ability in subacute stroke patients,” Archives of Physical Medicine and Rehabilitation, vol. 84, no. 12, pp. 1780–1785, 2003. View at Publisher · View at Google Scholar · View at Scopus
  2. D. L. Marsden, A. Dunn, R. Callister, C. R. Levi, and N. J. Spratt, “Characteristics of exercise training interventions to improve cardiorespiratory fitness after stroke: a systematic review with meta-analysis,” Neurorehabilitation and Neural Repair, vol. 27, no. 9, pp. 775–788, 2013. View at Publisher · View at Google Scholar · View at Scopus
  3. K. M. Michael, J. K. Allen, and R. F. Macko, “Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness,” Archives of Physical Medicine and Rehabilitation, vol. 86, no. 8, pp. 1552–1556, 2005. View at Publisher · View at Google Scholar · View at Scopus
  4. U. B. Flansbjer, A. M. Holmbäck, D. Downham, C. Patten, and J. Lexell, “Reliability of gait performance tests in men and women with hemiparesis after stroke,” Journal of Rehabilitation Medicine, vol. 37, no. 2, pp. 75–82, 2005. View at Publisher · View at Google Scholar · View at Scopus
  5. I. E. H. van Herk, J. H. Arendzen, and P. Rispens, “Ten-metre walk, with or without a turn?” Clinical Rehabilitation, vol. 12, no. 1, pp. 30–35, 1998. View at Publisher · View at Google Scholar · View at Scopus
  6. R. J. A. Butland, J. Pang, E. R. Gross, A. A. Woodcock, and D. M. Geddes, “Two-, six-, and 12-minute walking tests in respiratory disease,” British Medical Journal, vol. 284, no. 6329, pp. 1607–1608, 1982. View at Publisher · View at Google Scholar · View at Scopus
  7. C. R. McGavin, S. P. Gupta, and G. J. R. McHardy, “Twelve minute walking test for assessing disability in chronic bronchitis,” British Medical Journal, vol. 1, no. 6013, pp. 822–823, 1976. View at Publisher · View at Google Scholar · View at Scopus
  8. S. S. Ng, W. W. Tsang, T. H. Cheung, J. S. Chung, F. P. To, and P. C. Yu, “Walkway length, but not turning direction, determines the six-minute walk test distance in individuals with stroke,” Archives of Physical Medicine and Rehabilitation, vol. 92, no. 5, pp. 806–811, 2011. View at Publisher · View at Google Scholar · View at Scopus
  9. R. O. Crapo, R. Casaburi, A. L. Coates et al., “ATS statement: guidelines for the six-minute walk test,” The American Journal of Respiratory and Critical Care Medicine, vol. 166, no. 1, pp. 111–117, 2002. View at Publisher · View at Google Scholar · View at Scopus
  10. K. L. Hollands, M. A. Hollands, D. Zietz, A. M. Wing, C. Wright, and P. van Vliet, “Kinematics of turning 180° during the timed up and go in stroke survivors with and without falls history,” Neurorehabilitation and Neural Repair, vol. 24, no. 4, pp. 358–367, 2010. View at Publisher · View at Google Scholar · View at Scopus
  11. K. L. Hollands, P. van Vliet, D. Zietz, A. Wing, C. Wright, and M. A. Hollands, “Stroke-related differences in axial body segment coordination during preplanned and reactive changes in walking direction,” Experimental Brain Research, vol. 202, no. 3, pp. 591–604, 2010. View at Publisher · View at Google Scholar · View at Scopus
  12. P. S. Pohl, P. W. Duncan, S. Perera et al., “Influence of stroke-related impairments on performance in 6-minute walk test,” Journal of Rehabilitation Research and Development, vol. 39, no. 4, pp. 439–444, 2002. View at Google Scholar · View at Scopus
  13. D. F. Stroup, J. A. Berlin, S. C. Morton et al., “Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE) group,” The Journal of the American Medical Association, vol. 283, no. 15, pp. 2008–2012, 2000. View at Publisher · View at Google Scholar · View at Scopus
  14. World Health Organisation, WHO STEPS Stroke Manual: The WHO STEPwise Approach to Stroke Surveillance, World Health Organization, Geneva, Switzerland, 2006.
  15. L. Ada, C. M. Dean, J. M. Hall, J. Bampton, and S. Crompton, “A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial,” Archives of Physical Medicine and Rehabilitation, vol. 84, no. 10, pp. 1486–1491, 2003. View at Publisher · View at Google Scholar · View at Scopus
  16. L. Allet, B. Leemann, E. Guyen et al., “Effect of different walking aids on walking capacity of patients with poststroke hemiparesis,” Archives of Physical Medicine and Rehabilitation, vol. 90, no. 8, pp. 1408–1413, 2009. View at Publisher · View at Google Scholar · View at Scopus
  17. C. S. Batcho, G. Stoquart, and J.-L. Thonnard, “Brisk walking can promote functional recovery in chronic stroke patients,” Journal of Rehabilitation Medicine, vol. 45, no. 9, pp. 854–859, 2013. View at Publisher · View at Google Scholar · View at Scopus
  18. C. C. Bassile, C. Dean, B. Boden-Albala, and R. Sacco, “Obstacle training programme for individuals post stroke: feasibility study,” Clinical Rehabilitation, vol. 17, no. 2, pp. 130–136, 2003. View at Publisher · View at Google Scholar · View at Scopus
  19. S. A. Billinger, A. E. Mattlage, A. L. Ashenden, A. A. Lentz, G. Harter, and M. A. Rippee, “Aerobic exercise in subacute stroke improves cardiovascular health and physical performance,” Journal of Neurologic Physical Therapy, vol. 36, no. 4, pp. 159–165, 2012. View at Publisher · View at Google Scholar · View at Scopus
  20. J. Blennerhassett and W. Dite, “Additional task-related practice improves mobility and upper limb function early after stroke: a randomised controlled trial,” Australian Journal of Physiotherapy, vol. 50, no. 4, pp. 219–224, 2004. View at Publisher · View at Google Scholar · View at Scopus
  21. J. M. Blennerhassett, W. Dite, E. R. Ramage, and M. E. Richmond, “Changes in balance and walking from stroke rehabilitation to the community: a follow-up observational study,” Archives of Physical Medicine and Rehabilitation, vol. 93, no. 10, pp. 1782–1787, 2012. View at Publisher · View at Google Scholar · View at Scopus
  22. M. G. Bowden, A. L. Behrman, R. R. Neptune, C. M. Gregory, and S. A. Kautz, “Locomotor rehabilitation of individuals with chronic stroke: difference between responders and nonresponders,” Archives of Physical Medicine and Rehabilitation, vol. 94, no. 5, pp. 856–862, 2013. View at Publisher · View at Google Scholar · View at Scopus
  23. K. Brock, G. Haase, G. Rothacher, and S. Cotton, “Does physiotherapy based on the Bobath concept, in conjunction with a task practice, achieve greater improvement in walking ability in people with stroke compared to physiotherapy focused on structured task practice alone? A pilot randomized controlled trial,” Clinical Rehabilitation, vol. 25, no. 10, pp. 903–912, 2011. View at Publisher · View at Google Scholar · View at Scopus
  24. C. Brogårdh, U. B. Flansbjer, and J. Lexell, “No specific effect of whole-body vibration training in chronic stroke: a double-blind randomized controlled study,” Archives of Physical Medicine and Rehabilitation, vol. 93, no. 2, pp. 253–258, 2012. View at Publisher · View at Google Scholar · View at Scopus
  25. C. Brogårdh, U.-B. Flansbjer, and J. Lexell, “Self-reported walking ability in persons with chronic stroke and the relationship with gait performance tests,” Physical Medicine and Rehabilitation, vol. 4, no. 10, pp. 734–738, 2012. View at Publisher · View at Google Scholar · View at Scopus
  26. S.-D. Byun, T.-D. Jung, C.-H. Kim, and Y.-S. Lee, “Effects of the sliding rehabilitation machine on balance and gait in chronic stroke patients-a controlled clinical trial,” Clinical Rehabilitation, vol. 25, no. 5, pp. 408–415, 2011. View at Publisher · View at Google Scholar · View at Scopus
  27. S. Carda, M. Invernizzi, A. Baricich, and C. Cisari, “Casting, taping or stretching after botulinum toxin type A for spastic equinus foot: a single-blind randomized trial on adult stroke patients,” Clinical Rehabilitation, vol. 25, no. 12, pp. 1119–1127, 2011. View at Publisher · View at Google Scholar · View at Scopus
  28. S. Carda, M. Invernizzi, G. Cognolato, E. Piccoli, A. Baricich, and C. Cisari, “Efficacy of a hip flexion assist orthosis in adults with hemiparesis after stroke,” Physical Therapy, vol. 92, no. 5, pp. 734–739, 2012. View at Publisher · View at Google Scholar · View at Scopus
  29. S. L. Carroll, C. A. Greig, S. J. Lewis et al., “The use of pedometers in stroke survivors: are they feasible and how well do they detect steps?” Archives of Physical Medicine and Rehabilitation, vol. 93, no. 3, pp. 466–470, 2012. View at Publisher · View at Google Scholar · View at Scopus
  30. C. Carvalho, C. Willén, and K. S. Sunnerhagen, “Relationship between walking function and one-legged bicycling test in subjects in the later stage post-stroke,” Journal of Rehabilitation Medicine, vol. 40, no. 9, pp. 721–726, 2008. View at Publisher · View at Google Scholar · View at Scopus
  31. C. Carvalho, K. S. Sunnerhagen, and C. Willén, “Walking performance and muscle strength in the later stage poststroke: a nonlinear relationship,” Archives of Physical Medicine and Rehabilitation, vol. 94, no. 5, pp. 845–850, 2013. View at Publisher · View at Google Scholar · View at Scopus
  32. W. Chanruengvanich, S. Kasemkitwattana, C. Charoenyooth, S. Towanabut, and C. Pongurgsorn, “RCT: self-regulated exercise program in transient ischemic attack and minor stroke patients,” Thai Journal of Nursing Research, vol. 10, no. 3, pp. 165–179, 2006. View at Google Scholar
  33. T. D. Da Silva, R. D. Raimundo, C. Ferreira et al., “Comparison between the six-minute walk test and the six-minute step test in post stroke patients,” International Archives of Medicine, vol. 6, no. 1, article 31, 2013. View at Publisher · View at Google Scholar · View at Scopus
  34. J. J. Daly, K. Roenigk, J. Holcomb et al., “A randomized controlled trial of functional neuromuscular stimulation in chronic stroke subjects,” Stroke, vol. 37, no. 1, pp. 172–178, 2006. View at Publisher · View at Google Scholar · View at Scopus
  35. J. J. Daly, J. Zimbelman, K. L. Roenigk et al., “Recovery of coordinated gait: Randomized controlled stroke trial of functional electrical stimulation (FES) versus no FES, with weight-supported treadmill and over-ground training,” Neurorehabilitation and Neural Repair, vol. 25, no. 7, pp. 588–596, 2011. View at Publisher · View at Google Scholar · View at Scopus
  36. A. Danielsson, C. Willén, and K. S. Sunnerhagen, “Is walking endurance associated with activity and participation late after stroke?” Disability and Rehabilitation, vol. 33, no. 21-22, pp. 2053–2057, 2011. View at Publisher · View at Google Scholar · View at Scopus
  37. C. M. Dean, C. L. Richards, and F. Malouin, “Walking speed over 10 metres overestimates locomotor capacity after stroke,” Clinical Rehabilitation, vol. 15, no. 4, pp. 415–421, 2001. View at Publisher · View at Google Scholar · View at Scopus
  38. K. Donovan, S. E. Lord, H. K. McNaughton, and M. Weatherall, “Mobility beyond the clinic: the effect of environment on gait and its measurement in community-ambulant stroke survivors,” Clinical Rehabilitation, vol. 22, no. 6, pp. 556–563, 2008. View at Publisher · View at Google Scholar · View at Scopus
  39. P. Duncan, L. Richards, D. Wallace et al., “A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke,” Stroke, vol. 29, no. 10, pp. 2055–2060, 1998. View at Publisher · View at Google Scholar · View at Scopus
  40. P. W. Duncan, S. Studenski, L. Richards et al., “Randomized clinical trial of therapeutic exercise in subacute stroke,” Stroke, vol. 34, no. 9, pp. 2173–2180, 2003. View at Publisher · View at Google Scholar · View at Scopus
  41. P. W. Duncan, K. J. Sullivan, A. L. Behrman et al., “Body-weight—supported treadmill rehabilitation after stroke,” The New England Journal of Medicine, vol. 364, no. 21, pp. 2026–2036, 2011. View at Publisher · View at Google Scholar · View at Scopus
  42. J. J. Eng, K. S. Chu, A. S. Dawson, C. M. Kim, and K. E. Hepburn, “Functional walk tests in individuals with stroke: relation to perceived exertion and myocardial exertion,” Stroke, vol. 33, no. 3, pp. 756–761, 2002. View at Publisher · View at Google Scholar · View at Scopus
  43. J. J. Eng, A. S. Dawson, and K. S. Chu, “Submaximal exercise in persons with stroke: test-retest reliability and concurrent validity with maximal oxygen consumption,” Archives of Physical Medicine and Rehabilitation, vol. 85, no. 1, pp. 113–118, 2004. View at Publisher · View at Google Scholar · View at Scopus
  44. U.-B. Flansbjer, M. Miller, D. Downham, and J. Lexell, “Progressive resistance training after stroke: effects on muscle strength, muscle tone, gait performance and perceived participation,” Journal of Rehabilitation Medicine, vol. 40, no. 1, pp. 42–48, 2008. View at Publisher · View at Google Scholar · View at Scopus
  45. A. Forsberg and Y. Nilsagård, “Validity and reliability of the Swedish version of the activities-specific balance confidence scale in people with chronic stroke,” Physiotherapy Canada, vol. 65, no. 2, pp. 141–147, 2013. View at Publisher · View at Google Scholar · View at Scopus
  46. S. Fritz, D. Peters, A. Merlo, and J. Donley, “Active video-gaming effects on balance and mobility in individuals with chronic stroke: a randomized controlled trial,” Topics in Stroke Rehabilitation, vol. 20, no. 3, pp. 218–225, 2013. View at Publisher · View at Google Scholar · View at Scopus
  47. G. D. Fulk, J. L. Echternach, L. Nof, and S. O'Sullivan, “Clinometric properties of the six-minute walk test in individuals undergoing rehabilitation poststroke,” Physiotherapy Theory and Practice, vol. 24, no. 3, pp. 195–204, 2008. View at Publisher · View at Google Scholar · View at Scopus
  48. G. D. Fulk, C. Reynolds, S. Mondal, and J. E. Deutsch, “Predicting home and community walking activity in people with stroke,” Archives of Physical Medicine and Rehabilitation, vol. 91, no. 10, pp. 1582–1586, 2010. View at Publisher · View at Google Scholar · View at Scopus
  49. C. Geroin, A. Picelli, D. Munari, A. Waldner, C. Tomelleri, and N. Smania, “Combined transcranial direct current stimulation and robot-assisted gait training in patients with chronic stroke: a preliminary comparison,” Clinical Rehabilitation, vol. 25, no. 6, pp. 537–548, 2011. View at Publisher · View at Google Scholar · View at Scopus
  50. K. H. Gerrits, M. J. Beltman, P. A. Koppe et al., “Isometric muscle function of knee extensors and the relation with functional performance in patients with stroke,” Archives of Physical Medicine and Rehabilitation, vol. 90, no. 3, pp. 480–487, 2009. View at Publisher · View at Google Scholar · View at Scopus
  51. T. I. Gjellesvik, B. Brurok, J. Hoff, T. Tørhaug, and J. Helgerud, “Effect of high aerobic intensity interval treadmill walking in people with chronic stroke: a pilot study with one year follow-up,” Topics in Stroke Rehabilitation, vol. 19, no. 4, pp. 353–360, 2012. View at Publisher · View at Google Scholar · View at Scopus
  52. C. Globas, C. Becker, J. Cerny et al., “Chronic stroke survivors benefit from high-intensity aerobic treadmill exercise: a randomized control trial,” Neurorehabilitation and Neural Repair, vol. 26, no. 1, pp. 85–95, 2012. View at Publisher · View at Google Scholar · View at Scopus
  53. C. D. Gordon, R. Wilks, and A. McCaw-Binns, “Effect of aerobic exercise (walking) training on functional status and health-related quality of life in chronic stroke survivors: a randomized controlled trial,” Stroke, vol. 44, no. 4, pp. 1179–1181, 2013. View at Publisher · View at Google Scholar · View at Scopus
  54. J. Hidler, D. Nichols, M. Pelliccio et al., “Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke,” Neurorehabilitation and Neural Repair, vol. 23, no. 1, pp. 5–13, 2009. View at Publisher · View at Google Scholar · View at Scopus
  55. H. E. Hinson, S. L. Patterson, R. F. Macko, and A. P. Goldberg, “Reduced cardiovascular fitness and ambulatory function in black and white stroke survivors,” Ethnicity and Disease, vol. 17, no. 4, pp. 682–685, 2007. View at Google Scholar · View at Scopus
  56. C. L. Hoang, J.-Y. Salle, S. Mandigout, J. Hamonet, F. Macian-Montoro, and J.-C. Daviet, “Physical factors associated with fatigue after stroke: an exploratory study,” Topics in Stroke Rehabilitation, vol. 19, no. 5, pp. 369–376, 2012. View at Publisher · View at Google Scholar · View at Scopus
  57. T. G. Hornby, D. D. Campbell, J. H. Kahn, T. Demott, J. L. Moore, and H. R. Roth, “Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study,” Stroke, vol. 39, no. 6, pp. 1786–1792, 2008. View at Publisher · View at Google Scholar · View at Scopus
  58. S. Hwang, Y. Woo, K.-H. Kim, and K.-I. Ki, “Effects of falls experience on cognitive functions and physical activities in community-dwelling individuals with chronic stroke,” International Journal of Rehabilitation Research, vol. 36, no. 2, pp. 134–139, 2013. View at Publisher · View at Google Scholar · View at Scopus
  59. M. Iosa, G. Morone, A. Fusco et al., “Effects of walking endurance reduction on gait stability in patients with stroke,” Stroke Research and Treatment, vol. 2012, Article ID 810415, 6 pages, 2012. View at Publisher · View at Google Scholar · View at Scopus
  60. T. W. Janssen, J. M. Beltman, P. Elich et al., “Effects of electric stimulation-assisted cycling training in people with chronic stroke,” Archives of Physical Medicine and Rehabilitation, vol. 89, no. 3, pp. 463–469, 2008. View at Publisher · View at Google Scholar · View at Scopus
  61. H. Jin, Y. Jiang, Q. Wei, B. Wang, and G. Ma, “Intensive aerobic cycling training with lower limb weights in Chinese patients with chronic stroke: discordance between improved cardiovascular fitness and walking ability,” Disability and Rehabilitation, vol. 34, no. 19, pp. 1665–1671, 2012. View at Publisher · View at Google Scholar · View at Scopus
  62. H.-K. Kang, Y. Kim, Y. Chung, and S. Hwang, “Effects of treadmill training with optic flow on balance and gait in individuals following stroke: randomized controlled trials,” Clinical Rehabilitation, vol. 26, no. 3, pp. 246–255, 2012. View at Publisher · View at Google Scholar · View at Scopus
  63. C. P. Kelley, J. Childress, C. Boake, and E. A. Noser, “Over-ground and robotic-assisted locomotor training in adults with chronic stroke: a blinded randomized clinical trial,” Disability and Rehabilitation: Assistive Technology, vol. 8, no. 2, pp. 161–168, 2013. View at Publisher · View at Google Scholar · View at Scopus
  64. B. R. Kim, E. Y. Han, S. J. Joo, S. Y. Kim, and H. M. Yoon, “Cardiovascular fitness as a predictor of functional recovery in subacute stroke patients,” Disability and Rehabilitation, vol. 36, no. 3, pp. 227–231, 2014. View at Publisher · View at Google Scholar · View at Scopus
  65. P. Kluding and B. Gajewski, “Lower-extremity strength differences predict activity limitations in people with chronic stroke,” Physical Therapy, vol. 89, no. 1, pp. 73–81, 2009. View at Publisher · View at Google Scholar · View at Scopus
  66. P. M. Kluding, B. Y. Tseng, and S. A. Billinger, “Exercise and executive function in individuals with chronic stroke: a pilot study,” Journal of Neurologic Physical Therapy, vol. 35, no. 1, pp. 11–17, 2011. View at Publisher · View at Google Scholar · View at Scopus
  67. S. S. Kuys, S. G. Brauer, and L. Ada, “Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: a pilot randomized trial,” Clinical Rehabilitation, vol. 25, no. 4, pp. 316–326, 2011. View at Publisher · View at Google Scholar · View at Scopus
  68. J. M. Lam, C. Globas, J. Cerny et al., “Predictors of response to treadmill exercise in stroke survivors,” Neurorehabilitation and Neural Repair, vol. 24, no. 6, pp. 567–574, 2010. View at Publisher · View at Google Scholar · View at Scopus
  69. B. Langhammer, B. Lindmark, and J. Stanghelle, “The relation between gait velocity and static and dynamic balance in the early rehabilitation of patients with acute stroke,” Advances in Physiotherapy, vol. 8, no. 2, pp. 60–65, 2006. View at Publisher · View at Google Scholar · View at Scopus
  70. B. Langhammer, J. K. Stanghelle, and B. Lindmark, “Exercise and health-related quality of life during the first year following acute stroke. A randomized controlled trial,” Brain Injury, vol. 22, no. 2, pp. 135–145, 2008. View at Publisher · View at Google Scholar · View at Scopus
  71. B. Langhammer and J. K. Stanghelle, “Exercise on a treadmill or walking outdoors? A randomized controlled trial comparing effectiveness of two walking exercise programmes late after stroke,” Clinical Rehabilitation, vol. 24, no. 1, pp. 46–54, 2010. View at Publisher · View at Google Scholar · View at Scopus
  72. M.-J. Lee, S. L. Kilbreath, and K. M. Refshauge, “Movement detection at the ankle following stroke is poor,” The Australian Journal of Physiotherapy, vol. 51, no. 1, pp. 19–24, 2005. View at Publisher · View at Google Scholar · View at Scopus
  73. M. J. Lee, S. L. Kilbreath, M. F. Singh et al., “Comparison of effect of aerobic cycle training and progressive resistance training on walking ability after stroke: a randomized sham exercise-controlled study,” Journal of the American Geriatrics Society, vol. 56, no. 6, pp. 976–985, 2008. View at Publisher · View at Google Scholar · View at Scopus
  74. S. Lord, K. M. McPherson, H. K. McNaughton, L. Rochester, and M. Weatherall, “How feasible is the attainment of community ambulation after stroke? A pilot randomized controlled trial to evaluate community-based physiotherapy in subacute stroke,” Clinical Rehabilitation, vol. 22, no. 3, pp. 215–225, 2008. View at Publisher · View at Google Scholar · View at Scopus
  75. M. MacKay-Lyons, A. McDonald, J. Matheson, G. Eskes, and M.-A. Klus, “Dual effects of body-weight supported treadmill training on cardiovascular fitness and walking ability early after stroke: a randomized controlled trial,” Neurorehabilitation and Neural Repair, vol. 27, no. 7, pp. 644–653, 2013. View at Publisher · View at Google Scholar · View at Scopus
  76. R. F. Macko, F. M. Ivey, L. W. Forrester et al., “Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial,” Stroke, vol. 36, no. 10, pp. 2206–2211, 2005. View at Publisher · View at Google Scholar · View at Scopus
  77. R. F. Macko, F. Benvenuti, S. Stanhope et al., “Adaptive physical activity improves mobility function and quality of life in chronic hemiparesis,” Journal of Rehabilitation Research and Development, vol. 45, no. 2, pp. 323–328, 2008. View at Publisher · View at Google Scholar · View at Scopus
  78. N. Maeda, J. Kato, Y. Azuma et al., “Energy expenditure and walking ability in stroke patients: their improvement by ankle-foot orthoses,” Isokinetics and Exercise Science, vol. 17, no. 2, pp. 57–62, 2009. View at Publisher · View at Google Scholar · View at Scopus
  79. D. Marsden, R. Quinn, N. Pond et al., “A multidisciplinary group programme in rural settings for community-dwelling chronic stroke survivors and their carers: a pilot randomized controlled trial,” Clinical Rehabilitation, vol. 24, no. 4, pp. 328–341, 2010. View at Publisher · View at Google Scholar · View at Scopus
  80. N. E. Mayo, M. J. Mackay-Lyons, S. C. Scott, C. Moriello, and J. Brophy, “A randomized trial of two home-based exercise programmes to improve functional walking post-stroke,” Clinical Rehabilitation, vol. 27, no. 7, pp. 659–671, 2013. View at Publisher · View at Google Scholar · View at Scopus
  81. J. Mehrholz, K. Rutte, and M. Pohl, “Jump training is feasible for nearly ambulatory patients after stroke,” Clinical Rehabilitation, vol. 20, no. 5, pp. 406–412, 2006. View at Publisher · View at Google Scholar · View at Scopus
  82. J. Mehrholz, K. Wagner, K. Rutte, D. Meißner, and M. Pohl, “Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke,” Archives of Physical Medicine and Rehabilitation, vol. 88, no. 10, pp. 1314–1319, 2007. View at Publisher · View at Google Scholar · View at Scopus
  83. K. Michael, A. P. Goldberg, M. S. Treuth, J. Beans, P. Normandt, and R. F. MacKo, “Progressive adaptive physical activity in stroke improves balance, gait, and fitness: preliminary results,” Topics in Stroke Rehabilitation, vol. 16, no. 2, pp. 133–139, 2009. View at Publisher · View at Google Scholar · View at Scopus
  84. C. Miklitsch, C. Krewer, S. Freivogel, and D. Steube, “Effects of a predefined mini-trampoline training programme on balance, mobility and activities of daily living after stroke: a randomized controlled pilot study,” Clinical Rehabilitation, vol. 27, no. 10, pp. 939–947, 2013. View at Publisher · View at Google Scholar · View at Scopus
  85. C. Moriello, L. Finch, and N. E. Mayo, “Relationship between muscle strength and functional walking capacity among people with stroke,” Journal of Rehabilitation Research and Development, vol. 48, no. 3, pp. 267–275, 2011. View at Publisher · View at Google Scholar · View at Scopus
  86. S. Mudge, P. A. Barber, and N. S. Stott, “Circuit-based rehabilitation improves gait endurance but not usual walking activity in chronic stroke: a randomized controlled trial,” Archives of Physical Medicine and Rehabilitation, vol. 90, no. 12, pp. 1989–1996, 2009. View at Publisher · View at Google Scholar · View at Scopus
  87. S. Mudge and N. S. Stott, “Timed walking tests correlate with daily step activity in persons with stroke,” Archives of Physical Medicine and Rehabilitation, vol. 90, no. 2, pp. 296–301, 2009. View at Publisher · View at Google Scholar · View at Scopus
  88. M. A. Muren, M. Hütler, and J. Hooper, “Functional capacity and health-related quality of life in individuals post stroke,” Topics in Stroke Rehabilitation, vol. 15, no. 1, pp. 51–58, 2008. View at Publisher · View at Google Scholar · View at Scopus
  89. A. Murtezani, H. Hundozi, S. Gashi, T. Osmani, V. Krasniqi, and B. Rama, “Factors associated with reintegration to normal living after stroke,” Medicinski Arhiv, vol. 63, no. 4, pp. 216–219, 2009. View at Google Scholar · View at Scopus
  90. S. S. Ng and C. W. Hui-Chan, “The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke,” Archives of Physical Medicine and Rehabilitation, vol. 86, no. 8, pp. 1641–1647, 2005. View at Publisher · View at Google Scholar · View at Scopus
  91. S. S. M. Ng and C. W. Y. Hui-Chan, “Does the use of TENS increase the effectiveness of exercise for improving walking after stroke? A randomized controlled clinical trial,” Clinical Rehabilitation, vol. 23, no. 12, pp. 1093–1103, 2009. View at Publisher · View at Google Scholar · View at Scopus
  92. S. S. Ng and C. W. Hui-Chan, “Contribution of ankle dorsiflexor strength to walking endurance in people with spastic hemiplegia after stroke,” Archives of Physical Medicine and Rehabilitation, vol. 93, no. 6, pp. 1046–1051, 2012. View at Publisher · View at Google Scholar · View at Scopus
  93. K. J. Nolan, K. K. Savalia, A. H. Lequerica, and E. P. Elovic, “Objective assessment of functional ambulation in adults with hemiplegia using ankle foot orthotics after stroke,” PM and R, vol. 1, no. 6, pp. 524–529, 2009. View at Publisher · View at Google Scholar · View at Scopus
  94. O. A. Olawale, S. I. Jaja, C. N. Anigbogu, K. O. Appiah-Kubi, and D. Jones-Okai, “Exercise training improves walking function in an African group of stroke survivors: a randomized controlled trial,” Clinical Rehabilitation, vol. 25, no. 5, pp. 442–450, 2011. View at Publisher · View at Google Scholar · View at Scopus
  95. M. M. Ouellette, N. K. LeBrasseur, J. F. Bean et al., “High-intensity resistance training improves muscle strength, self-reported function, and disability in long-term stroke survivors,” Stroke, vol. 35, no. 6, pp. 1404–1409, 2004. View at Publisher · View at Google Scholar · View at Scopus
  96. J. C. Outermans, R. P. Van Peppen, H. Wittink, T. Takken, and G. Kwakkel, “Effects of a high-intensity task-oriented training on gait performance early after stroke: a pilot study,” Clinical Rehabilitation, vol. 24, no. 11, pp. 979–987, 2010. View at Publisher · View at Google Scholar · View at Scopus
  97. A. C. Ovando, S. M. Michaelsen, T. de Carvalho, and V. Herber, “Evaluation of cardiopulmonary fitness in individuals with hemiparesis after cerebrovascular accident,” Arquivos Brasileiros de Cardiologia, vol. 96, no. 2, pp. 140–146, 2011. View at Publisher · View at Google Scholar · View at Scopus
  98. M. Y. C. Pang, J. J. Eng, A. S. Dawson, H. A. McKay, and J. E. Harris, “A community-based fitness and mobility exercise program for older adults with chronic stroke: a randomized, controlled trial,” Journal of the American Geriatrics Society, vol. 53, no. 10, pp. 1667–1674, 2005. View at Publisher · View at Google Scholar · View at Scopus
  99. H.-J. Park, D.-W. Oh, S.-Y. Kim, and J.-D. Choi, “Effectiveness of community-based ambulation training for walking function of post-stroke hemiparesis: a randomized controlled pilot trial,” Clinical Rehabilitation, vol. 25, no. 5, pp. 451–459, 2011. View at Publisher · View at Google Scholar · View at Scopus
  100. S. L. Patterson, L. W. Forrester, M. M. Rodgers et al., “Determinants of walking function after stroke: differences by deficit severity,” Archives of Physical Medicine and Rehabilitation, vol. 88, no. 1, pp. 115–119, 2007. View at Publisher · View at Google Scholar · View at Scopus
  101. S. L. Patterson, M. M. Rodgers, R. F. Macko, and L. W. Forrester, “Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke: a preliminary report,” Journal of Rehabilitation Research and Development, vol. 45, no. 2, pp. 221–228, 2008. View at Publisher · View at Google Scholar · View at Scopus
  102. S. H. Peurala, I. M. Tarkka, K. Pitkänen, and J. Sivenius, “The effectiveness of body weight-supported gait training and floor walking in patients with chronic stroke,” Archives of Physical Medicine and Rehabilitation, vol. 86, no. 8, pp. 1557–1564, 2005. View at Publisher · View at Google Scholar · View at Scopus
  103. J. C. Polese, M. B. Pinheiro, C. D. C. M. Faria, R. R. Britto, V. F. Parreira, and L. F. Teixeira-Salmela, “Strength of the respiratory and lower limb muscles and functional capacity in chronic stroke survivors with different physical activity levels,” Brazilian Journal of Physical Therapy, vol. 17, no. 5, pp. 487–493, 2013. View at Publisher · View at Google Scholar · View at Scopus
  104. D. Pradon, N. Roche, L. Enette, and R. Zory, “Relationship between lower limb muscle strength and 6-minute walk test performance in stroke patients,” Journal of Rehabilitation Medicine, vol. 45, no. 1, pp. 105–108, 2013. View at Publisher · View at Google Scholar · View at Scopus
  105. M. H. Rabadi, P. L. Coar, M. Lukin, M. Lesser, and J. P. Blass, “Intensive nutritional supplements can improve outcomes in stroke rehabilitation,” Neurology, vol. 71, no. 23, pp. 1856–1861, 2008. View at Publisher · View at Google Scholar · View at Scopus
  106. D. Rand, J. J. Eng, P.-F. Tang, J.-S. Jeng, and C. Hung, “How active are people with stroke? Use of accelerometers to assess physical activity,” Stroke, vol. 40, no. 1, pp. 163–168, 2009. View at Publisher · View at Google Scholar · View at Scopus
  107. A. S. Ryan, A. Buscemi, L. Forrester, C. E. Hafer-Macko, and F. M. Ivey, “Atrophy and intramuscular fat in specific muscles of the thigh: Associated weakness and hyperinsulinemia in stroke survivors,” Neurorehabilitation and Neural Repair, vol. 25, no. 9, pp. 865–872, 2011. View at Publisher · View at Google Scholar · View at Scopus
  108. C. M. Ryan, M. Bayley, R. Green, B. J. Murray, and T. D. Bradley, “Influence of continuous positive airway pressure on outcomes of rehabilitation in stroke patients with obstructive sleep apnea,” Stroke, vol. 42, no. 4, pp. 1062–1067, 2011. View at Publisher · View at Google Scholar · View at Scopus
  109. N. M. Salbach, N. E. Mayo, S. Wood-Dauphinee, J. A. Hanley, C. L. Richards, and R. Côté, “A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial,” Clinical Rehabilitation, vol. 18, no. 5, pp. 509–519, 2004. View at Publisher · View at Google Scholar · View at Scopus
  110. N. M. Salbach, D. Brooks, J. Romano, L. Woon, and T. E. Dolmage, “Cardiorespiratory responses during the 6-minute walk and ramp cycle ergometer tests and their relationship to physical activity in stroke,” Neurorehabilitation and Neural Repair, vol. 28, no. 2, pp. 111–119, 2014. View at Publisher · View at Google Scholar · View at Scopus
  111. A. A. Schmid, M. Van Puymbroeck, P. A. Altenburger et al., “Balance and balance self-efficacy are associated with activity and participation after stroke: a cross-sectional study in people with chronic stroke,” Archives of Physical Medicine and Rehabilitation, vol. 93, no. 6, pp. 1101–1107, 2012. View at Publisher · View at Google Scholar · View at Scopus
  112. K. Severinsen, J. K. Jakobsen, K. Overgaard, and H. Andersen, “Normalized muscle strength, aerobic capacity, and walking performance in chronic stroke: a population-based study on the potential for endurance and resistance training,” Archives of Physical Medicine and Rehabilitation, vol. 92, no. 10, pp. 1663–1668, 2011. View at Publisher · View at Google Scholar · View at Scopus
  113. K. M. Sibley, A. Tang, D. Brooks, and W. E. McIlroy, “Effects of extended effortful activity on spatio-temporal parameters of gait in individuals with stroke,” Gait and Posture, vol. 27, no. 3, pp. 387–392, 2008. View at Publisher · View at Google Scholar · View at Scopus
  114. L. A. Simpson, W. C. Miller, and J. J. Eng, “Effect of stroke on fall rate, location and predictors: a prospective comparison of older adults with and without stroke,” PLoS ONE, vol. 6, no. 4, Article ID e19431, 2011. View at Publisher · View at Google Scholar · View at Scopus
  115. D. K. A. Singh, N. A. Mohd Nordin, N. A. A. Aziz, B. K. Lim, and L. C. Soh, “Effects of substituting a portion of standard physiotherapy time with virtual reality games among community-dwelling stroke survivors,” BMC Neurology, vol. 13, article 199, 2013. View at Publisher · View at Google Scholar · View at Scopus
  116. A. D. Stookey, M. G. McCusker, J. D. Sorkin et al., “Test-retest reliability of portable metabolic monitoring after disabling stroke,” Neurorehabilitation and Neural Repair, vol. 27, no. 9, pp. 872–877, 2013. View at Publisher · View at Google Scholar · View at Scopus
  117. A. D. Stookey, L. I. Katzel, G. Steinbrenner, M. Shaughnessy, and F. M. Ivey, “The short physical performance battery as a predictor of functional capacity after stroke,” Journal of Stroke and Cerebrovascular Diseases, vol. 23, no. 1, pp. 130–135, 2014. View at Publisher · View at Google Scholar · View at Scopus
  118. M. Stuart, F. Benvenuti, R. MacKo et al., “Community-based adaptive physical activity program for chronic stroke: feasibility, safety, and efficacy of the empoli model,” Neurorehabilitation and Neural Repair, vol. 23, no. 7, pp. 726–734, 2009. View at Publisher · View at Google Scholar · View at Scopus
  119. K. J. Sullivan, D. A. Brown, T. Klassen et al., “Effects of task-specific locomotor and strength training in adults who were ambulatory after stroke: results of the STEPS randomized clinical trial,” Physical Therapy, vol. 87, no. 12, pp. 1580–1602, 2007. View at Publisher · View at Google Scholar · View at Scopus
  120. A. Tang, K. M. Sibley, M. T. Bayley, W. E. McIlroy, and D. Brooks, “Do functional walk tests reflect cardiorespiratory fitness in sub-acute stroke?” Journal of NeuroEngineering and Rehabilitation, vol. 3, article 23, 2006. View at Publisher · View at Google Scholar · View at Scopus
  121. A. Tang, K. M. Sibley, S. G. Thomas et al., “Effects of an aerobic exercise program on aerobic capacity, spatiotemporal gait parameters, and functional capacity in subacute stroke,” Neurorehabilitation and Neural Repair, vol. 23, no. 4, pp. 398–406, 2009. View at Publisher · View at Google Scholar · View at Scopus
  122. D. Tanne, R. Tsabari, O. Chechk et al., “Improved exercise capacity in patients after minor ischemic stroke undergoing a supervised exercise training program,” Israel Medical Association Journal, vol. 10, no. 2, pp. 113–116, 2008. View at Google Scholar · View at Scopus
  123. A. Toledano-Zarhi, D. Tanne, E. Carmeli, and M. Katz-Leurer, “Feasibility, safety and efficacy of an early aerobic rehabilitation program for patients after minor ischemic stroke: a pilot randomized controlled trial,” NeuroRehabilitation, vol. 28, no. 2, pp. 85–90, 2011. View at Publisher · View at Google Scholar · View at Scopus
  124. B. Y. Tseng and P. Kluding, “The relationship between fatigue, aerobic fitness, and motor control in people with chronic stroke: a pilot study,” Journal of Geriatric Physical Therapy, vol. 32, no. 3, pp. 97–102, 2009. View at Publisher · View at Google Scholar · View at Scopus
  125. M. van Bloemendaal, A. M. Kokkeler, and I. G. van de Port, “The shuttle walk test: a new approach to functional walking capacity measurements for patients after stroke?” Archives of Physical Medicine and Rehabilitation, vol. 93, no. 1, pp. 163–166, 2012. View at Publisher · View at Google Scholar · View at Scopus
  126. I. G. L. van de Port, L. E. G. Wevers, E. Lindeman, and G. Kwakkel, “Effects of circuit training as alternative to usual physiotherapy after stroke: randomised controlled trial,” British Medical Journal, vol. 344, no. 7859, Article ID e2672, 2012. View at Publisher · View at Google Scholar · View at Scopus
  127. J. L. Verheijde, F. White, J. Tompkins et al., “Reliability, validity, and sensitivity to change of the lower extremity functional scale in individuals affected by stroke,” Physical Medicine and Rehabilitation, vol. 5, no. 12, pp. 1019–1025, 2013. View at Google Scholar
  128. R. Verma, K. Arya, R. K. Garg, and T. Singh, “Task-oriented circuit class training program with motor imagery for gait rehabilitation in poststroke patients: a randomized controlled trial,” Topics in Stroke Rehabilitation, vol. 18, supplement 1, pp. 620–632, 2011. View at Publisher · View at Google Scholar · View at Scopus
  129. K. P. Westlake and C. Patten, “Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke,” Journal of NeuroEngineering and Rehabilitation, vol. 6, no. 1, article 18, 2009. View at Publisher · View at Google Scholar · View at Scopus
  130. L. E. G. Wevers, G. Kwakkel, and I. G. L. van de Port, “Is outdoor use of the six-minute walk test with a global positioning system in stroke patients' own neighbourhoods reproducible and valid?” Journal of Rehabilitation Medicine, vol. 43, no. 11, pp. 1027–1031, 2011. View at Publisher · View at Google Scholar · View at Scopus
  131. J. H. White, B. L. Bynon, J. Marquez, A. Sweetapple, and M. Pollack, “Masterstroke: a pilot group stroke prevention program for community dwelling stroke survivors,” Disability and Rehabilitation, vol. 35, no. 11, pp. 931–938, 2013. View at Publisher · View at Google Scholar · View at Scopus
  132. K. Wing, J. V. Lynskey, and P. R. Bosch, “Whole-body intensive rehabilitation is feasible and effective in chronic stroke survivors: a retrospective data analysis,” Topics in Stroke Rehabilitation, vol. 15, no. 3, pp. 247–255, 2008. View at Publisher · View at Google Scholar · View at Scopus
  133. Y.-R. Yang, R.-Y. Wang, K.-H. Lin, M.-Y. Chu, and R.-C. Chan, “Task-oriented progressive resistance strength training improves muscle strength and functional performance in individuals with stroke,” Clinical Rehabilitation, vol. 20, no. 10, pp. 860–870, 2006. View at Publisher · View at Google Scholar · View at Scopus
  134. H.-C. Yang, C.-L. Lee, R. Lin et al., “Effect of biofeedback cycling training on functional recovery and walking ability of lower extremity in patients with stroke,” The Kaohsiung Journal of Medical Sciences, vol. 30, no. 1, pp. 35–42, 2014. View at Publisher · View at Google Scholar · View at Scopus
  135. J. Yiu, W. C. Miller, J. J. Eng, and Y. Liu, “Longitudinal analysis of balance confidence in individuals with stroke using a multilevel model for change,” Neurorehabilitation and Neural Repair, vol. 26, no. 8, pp. 999–1006, 2012. View at Publisher · View at Google Scholar · View at Scopus
  136. K. R. Zalewski and L. Dvorak, “Barriers to physical activity between adults with stroke and their care partners,” Topics in Stroke Rehabilitation, vol. 18, no. 1, pp. 666–675, 2011. View at Publisher · View at Google Scholar · View at Scopus
  137. A. M. E. E. Zedlitz, T. C. M. Rietveld, A. C. Geurts, and L. Fasotti, “Cognitive and graded activity training can alleviate persistent fatigue after stroke: a randomized, controlled trial,” Stroke, vol. 43, no. 4, pp. 1046–1051, 2012. View at Publisher · View at Google Scholar · View at Scopus
  138. C. Carvalho, K. S. Sunnerhagen, and C. Willén, “Walking speed and distance in different environments of subjects in the later stage post-stroke,” Physiotherapy Theory and Practice, vol. 26, no. 8, pp. 519–527, 2010. View at Publisher · View at Google Scholar · View at Scopus
  139. K. Holland, P. van Vliet, and T. Pelton, “Interventions for improving coordination of axial segments and lower limbs during walking following stroke,” Gait & Posture, vol. 35, no. 3, pp. 349–359, 2012. View at Google Scholar
  140. T. Lam and K. Luttmann, “Turning capacity in ambulatory individuals poststroke,” American Journal of Physical Medicine & Rehabilitation, vol. 88, no. 11, pp. 873–883, 2009. View at Publisher · View at Google Scholar · View at Scopus
  141. C. D. Faria, L. F. Teixeira-Salmela, and S. Nadeau, “Effects of the direction of turning on the Timed Up & Go test with stroke subjects,” Topics in Stroke Rehabilitation, vol. 16, no. 3, pp. 196–206, 2009. View at Publisher · View at Google Scholar · View at Scopus
  142. T. H. M. Heung and S. S. M. Ng, “Effect of seat height and turning direction on the timed up and go test scores of people after stroke,” Journal of Rehabilitation Medicine, vol. 41, no. 9, pp. 719–722, 2009. View at Publisher · View at Google Scholar · View at Scopus
  143. R. W. Bohannon, “Six-minute walk test: a meta-analysis of data from apparently healthy elders,” Topics in Geriatric Rehabilitation, vol. 23, no. 2, pp. 155–160, 2007. View at Publisher · View at Google Scholar · View at Scopus