title: Association of performance of standing turns with physical impairments and walking ability in patients with hemiparetic stroke.
abstract: [Purpose] The effect of turn direction and relation between turn performance and walking ability in patients with hemiparetic stroke is not clear. The purpose of this study was to determine the effect of turn direction on the performance of standing turns and to examine the relations between turn performance and walking ability in patients with hemiparetic stroke. [Subject and Methods] The participants were 38 outpatients with chronic hemiparesis due to stroke. Turn performance was evaluated using the time and number of steps required to complete a 360° standing turn, and was evaluated for turns toward the paretic side and the non-paretic side. Walking ability was assessed using gait speed in the 10-m walk test, the Timed Up and Go test, and the Functional Ambulation Category. [Results] Thirty-six participants were analyzed, and the time needed for turns and number of steps were similar for turns to the paretic and non-paretic sides. The time needed for turns was correlated walking ability. A turn time of 10.0 s distinguished FAC 5 (independent ambulation in the community) from FAC ≤4 with a sensitivity of 0.94 and specificity of 0.85. [Conclusion] The performance of standing turns was not affected by the turning direction and was closely correlated with walking ability.
authors: Geriatrics Research Institute and Hospital, Japan ; Gunma University Graduate School of Health Sciences, Japan.
authors: Masaki
authors: M
authors: Kobayashi
authors: Geriatrics Research Institute and Hospital, Japan.
authors: Kumiko
authors: K
authors: Takahashi
authors: Geriatrics Research Institute and Hospital, Japan.
authors: Miyuki
authors: M
authors: Sato
authors: Gunma University Graduate School of Health Sciences, Japan.
authors: Shigeru
authors: S
authors: Usuda
keywords: Standing turn; Stroke; Walking
references: Phys Ther. 1986 Oct;66(10):1530-9
references: 3763704
references: Am J Phys Med. 1987 Apr;66(2):77-90
references: 3578493
references: Am J Phys Med Rehabil. 2009 Nov;88(11):873-83; quiz 884-6, 946
references: 19893383
references: Gait Posture. 2007 Feb;25(2):289-94
references: 16730441
references: Stroke. 1995 Jun;26(6):982-9
references: 7762050
references: PLoS One. 2011 Apr 29;6(4):e19431
references: 21559367
references: Exp Brain Res. 2012 Oct;222(1-2):65-75
references: 22842923
references: Neurorehabil Neural Repair. 2010 May;24(4):358-67
references: 19822720
references: J Am Geriatr Soc. 1994 Jul;42(7):774-8
references: 8014355
references: Gait Posture. 2003 Aug;18(1):23-8
references: 12855297
references: J Am Geriatr Soc. 1986 Feb;34(2):119-26
references: 3944402
references: Arch Phys Med Rehabil. 1986 Aug;67(8):550-3
references: 3741082
references: Neurorehabil Neural Repair. 2009 Mar-Apr;23(3):256-66
references: 19060133
references: Phys Ther. 2005 Feb;85(2):150-8
references: 15679466
references: Arch Phys Med Rehabil. 1983 Dec;64(12):583-7
references: 6661021
references: J Am Geriatr Soc. 1991 Feb;39(2):142-8
references: 1991946
references: Cerebellum. 2013 Aug;12(4):460-8
references: 23307659
references: Clin Rehabil. 2006 May;20(5):451-8
references: 16774097
references: Lancet. 2013 Jan 5;381(9860):47-54
references: 23083889
references: Phys Ther. 1999 Dec;79(12):1122-33
references: 10630281
references: Gait Posture. 2012 Jul;36(3):541-5
references: 22743028
references: J Rehabil Med. 2009 Sep;41(9):719-22
references: 19774304
references: Top Stroke Rehabil. 2009 May-Jun;16(3):196-206
references: 19632964
references: Neurorehabil Neural Repair. 2007 Jan-Feb;21(1):62-7
references: 17172555
references: J Rehabil Res Dev. 2000 Jan-Feb;37(1):65-72
references: 10847573