| Title |
Improved gait adjustments after gait adaptability training are associated with reduced attentional demands in persons with stroke
|
|---|---|
| Published in |
Experimental Brain Research, December 2014
|
| DOI | 10.1007/s00221-014-4175-7 |
| Pubmed ID | |
| Authors |
Mariëlle W. van Ooijen, Anita Heeren, Katrijn Smulders, Alexander C. H. Geurts, Thomas W. J. Janssen, Peter J. Beek, Vivian Weerdesteyn, Melvyn Roerdink |
| Abstract |
After stroke, the ability to make step adjustments during walking is reduced and requires more attention, which may cause problems during community walking. The C-Mill is an innovative treadmill augmented with visual context (e.g., obstacles and stepping targets), which was designed specifically to practice gait adaptability. The objective of this study was to determine whether C-Mill gait adaptability training can help to improve gait adjustments and associated attentional demands. Sixteen community-ambulating persons in the chronic stage of stroke (age: 54.8 ± 10.8 years) received ten sessions of C-Mill training within 5-6 weeks. Prior to and after the intervention period, participants performed an obstacle-avoidance task with and without a secondary attention-demanding auditory Stroop task to assess their ability to make gait adjustments (i.e., obstacle-avoidance success rates) as well as the associated attentional demands (i.e., Stroop success rates, stratified for pre-crossing, crossing, and post-crossing strides). Obstacle-avoidance success rates improved after C-Mill training from 52.4 ± 16.3 % at pretest to 77.0 ± 16.4 % at posttest (p < 0.001). This improvement was accompanied by greater Stroop success rates during the obstacle-crossing stride only (pretest: 62.9 ± 24.9 %, posttest: 77.5 ± 20.4 %, p = 0.006). The observed improvements in obstacle-avoidance success rates and Stroop success rates were strongly correlated (r = 0.68, p = 0.015). The ability to make gait adjustments and the associated attentional demands can be successfully targeted in persons with stroke using C-Mill training, which suggests that its underlying assumptions regarding motor control are appropriate. This study lends support and guidance for designing a randomized controlled trial to further examine the potential of C-Mill training for improving safe community ambulation after stroke. |
X Demographics
The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Netherlands | 2 | 33% |
| Canada | 1 | 17% |
| United Kingdom | 1 | 17% |
| Unknown | 2 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 3 | 50% |
| Members of the public | 2 | 33% |
| Science communicators (journalists, bloggers, editors) | 1 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 204 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Croatia | 1 | <1% |
| United States | 1 | <1% |
| Sweden | 1 | <1% |
| Germany | 1 | <1% |
| Unknown | 200 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 35 | 17% |
| Student > Ph. D. Student | 29 | 14% |
| Student > Bachelor | 23 | 11% |
| Researcher | 17 | 8% |
| Student > Postgraduate | 12 | 6% |
| Other | 35 | 17% |
| Unknown | 53 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 33 | 16% |
| Nursing and Health Professions | 29 | 14% |
| Neuroscience | 20 | 10% |
| Sports and Recreations | 17 | 8% |
| Psychology | 16 | 8% |
| Other | 28 | 14% |
| Unknown | 61 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 April 2015.
All research outputs
#6,360,779
of 22,775,504 outputs
Outputs from Experimental Brain Research
#690
of 3,223 outputs
Outputs of similar age
#87,118
of 353,018 outputs
Outputs of similar age from Experimental Brain Research
#8
of 50 outputs
Altmetric has tracked 22,775,504 research outputs across all sources so far. This one has received more attention than most of these and is in the 71st percentile.
So far Altmetric has tracked 3,223 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.0. This one has done well, scoring higher than 78% of its peers.
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