Journal of rehabilitation medicine · 2020
Gait improvement in adults with hemiparesis using a rolling cane: A cross-over trial.
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Deltombe Thierry, Leeuwerck Mie, Jamart Jacques, Frederick Anne, Dellicour Geoffroy
Аннотация
OBJECTIVE: To assess the changes in gait parameters in adults with hemiparesis using a rolling cane (quadripod cane with small wheels; Wheeleo®) compared with a classical quadripod cane.
DESIGN: A prospective, multicentric, cross-over randomized trial.
PARTICIPANTS: Thirty-two ambulatory adults with hemiparesis.
METHODS: Participants were assessed using a quadripod cane and a rolling cane. Outcome measures were changes in: walking speed during a 10-m walk test and a 6-min walk test; frequency of 2-step gait; physiological cost index; number of therapist interventions to control the balance; perceived exertion; and participant satisfaction.
RESULTS: The following outcomes were improved with the use of a rolling cane: walking speed during a 10-m walk test at comfortable (+22%: p<0.001) and maximal (+30: p<0.001) speeds; walking speed (+50%: p<0.001) and distance (+49%: p<?0.001) during a 6-min walk test; and the frequency of 2-step gait. The physiological cost index, perceived exertion, and number of therapist interventions to control the balance remained unchanged. Participant satisfaction improved.
CONCLUSION: A rolling cane, Wheeleo®, increases walking speed in adults with hemiparesis without additional risk of falls.
DESIGN: A prospective, multicentric, cross-over randomized trial.
PARTICIPANTS: Thirty-two ambulatory adults with hemiparesis.
METHODS: Participants were assessed using a quadripod cane and a rolling cane. Outcome measures were changes in: walking speed during a 10-m walk test and a 6-min walk test; frequency of 2-step gait; physiological cost index; number of therapist interventions to control the balance; perceived exertion; and participant satisfaction.
RESULTS: The following outcomes were improved with the use of a rolling cane: walking speed during a 10-m walk test at comfortable (+22%: p<0.001) and maximal (+30: p<0.001) speeds; walking speed (+50%: p<0.001) and distance (+49%: p<?0.001) during a 6-min walk test; and the frequency of 2-step gait. The physiological cost index, perceived exertion, and number of therapist interventions to control the balance remained unchanged. Participant satisfaction improved.
CONCLUSION: A rolling cane, Wheeleo®, increases walking speed in adults with hemiparesis without additional risk of falls.