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Updated: May 2, 2026

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults

Published on: November 7, 2014

Spatial-temporal gait variability poststroke: variations in measurement and implications for measuring change.

Amanda E Chisholm¹, Shelley Makepeace², Elizabeth L Inness¹

¹Toronto Rehabilitation Institute, Toronto, Ontario, Canada; Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada.

Archives of Physical Medicine and Rehabilitation

|March 4, 2014

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Gait variability measures, including standard deviation (SD), coefficient of variation (CV), and median absolute deviation (MAD), showed similar responsiveness to cognitive tasks and stroke recovery. These findings suggest potential for clinical utility in stroke rehabilitation.

Area of Science:

Neuroscience
Rehabilitation Medicine
Biomechanical Engineering

Background:

Gait variability is a sensitive indicator of neurological impairment after stroke.
Understanding the responsiveness of different gait variability measures is crucial for effective rehabilitation strategies.

Purpose of the Study:

To assess the responsiveness of spatial-temporal gait parameters using three variability measures: standard deviation (SD), coefficient of variation (CV), and median absolute deviation (MAD) in stroke survivors.
To compare the sensitivity of these measures to changes induced by a concurrent cognitive task and during inpatient rehabilitation.

Main Methods:

Retrospective chart review of 74 stroke survivors undergoing inpatient rehabilitation.
Calculation of spatial-temporal gait variability for step length, step width, stance time, swing time, and double support time.

Keywords:

Hemiplegic gait Rehabilitation Stroke

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Last Updated: May 2, 2026

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults

Published on: November 7, 2014

Asymmetric Walkway: A Novel Behavioral Assay for Studying Asymmetric Locomotion

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Published on: January 15, 2016

Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients

Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients

Published on: March 11, 2021

Comparison of gait variability under conditions with and without a cognitive task, and between admission and discharge from rehabilitation.

Main Results:

Gait variability measures (SD, CV, MAD) generally increased with a cognitive task and decreased from admission to discharge.
These changes were not statistically significant when gait velocity changes were accounted for.
Effect sizes were comparable across variability estimators, with SD showing a trend for temporal parameters and CV for step length.

Conclusions:

Gait variability estimators exhibit comparable responsiveness to cognitive load and improvements in walking post-stroke.
Further research should explore the clinical utility of these measures for guiding stroke therapy and training protocols.