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Sideways walk test: Reliability and association with lower limb motor function after stroke.

Shamay S M Ng1, Bobby K C Lau, Gilbert T C Law

  • 1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong (SAR), China. Shamay.Ng@inet.polyu.edu.hk, rssng@inet.polyu.edu.hk, Shamay.Ng@polyu.edu.hk.

Journal of Rehabilitation Medicine
|August 27, 2016
PubMed
Summary

The sideways walk test reliably measures walking ability in stroke survivors. This easy test correlates with motor function, strength, and balance, aiding in clinical assessment.

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Area of Science:

  • Rehabilitation science
  • Neurology
  • Biomedical engineering

Background:

  • Stroke frequently impairs functional mobility, necessitating reliable assessment tools.
  • Sideways walking ability is crucial for daily activities and community ambulation post-stroke.
  • Current assessments may not fully capture the nuances of sideways gait in stroke survivors.

Purpose of the Study:

  • To evaluate the reliability and validity of the sideways walk test in individuals with stroke.
  • To determine cut-off values and minimal detectable changes for the sideways walk test.
  • To explore correlations between sideways walk test performance and stroke-specific impairment measures.

Main Methods:

  • A cross-sectional study involving 29 stroke survivors and 32 healthy controls.
  • The sideways walk test was administered alongside established measures of motor function, strength, balance, and mobility.
  • Reliability (intra-rater, inter-rater, test-retest) and correlations were statistically analyzed.

Main Results:

  • The sideways walk test demonstrated good to excellent reliability for both time and step count.
  • Significant correlations were found between sideways walk test measures and motor control, lower limb strength, balance, and functional mobility.
  • Optimal cut-off values were identified as 10.74 seconds and 8.83 steps to differentiate stroke survivors from controls.

Conclusions:

  • The sideways walk test is a reliable and user-friendly clinical tool for assessing sideways walking ability in chronic stroke.
  • It provides valuable insights into functional mobility deficits associated with stroke.
  • The identified cut-off values and minimal detectable changes enhance its clinical utility for tracking recovery.