TY  - JOUR
PY  - 2020//
TI  - Canes may not improve spatiotemporal parameters of walking after stroke: a systematic review of cross-sectional within-group experimental studies
JO  - Disability and rehabilitation
A1  - Avelino, Patrick R.
A1  - Nascimento, Lucas R.
A1  - Menezes, Kênia K. P.
A1  - Ada, Louise
A1  - Teixeira-Salmela, Luci F.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE: To examine whether using a cane would improve spatiotemporal parameters of walking, i.e., speed, stride length, cadence, and symmetry after stroke.     MATERIAL AND METHODS: Searches were conducted in eight databases. The experimental condition was walking with a cane. Four outcomes were of interest: walking speed, stride length, cadence, and symmetry.     RESULTS: Twelve studies were included. <br><br>RESULTS from nine studies suggested that individuals with stroke walked 0.01 m/s (SD 0.06) slower with a single-point cane, compared with no cane. Two studies suggested a reduction in cadence (MD-5 steps/min, SD2) and an increase in stride length (MD 0.08 m, SD 0.01). Three studies suggested that individuals walked 0.06 m/s (SD 0.07) slower with a four-point cane, compared with no cane. Four studies suggested that individuals walked 0.06 m/s (SD 0.04) faster with a single- point cane compared with a four-point cane. <br><br>RESULTS regarding other outcomes were inconclusive.     CONCLUSIONS: Results showed no worthwhile improvements in spatiotemporal parameters of walking with a single-point cane and a slight reduction with a four-point cane, compared with no cane. Individuals walked slightly faster with a single-point cane compared with a four-point cane, but the evidence is insufficient to support this superiority. IMPLICATIONS FOR REHABILITATION A single-point cane may not improve spatiotemporal parameters of walking after stroke. Walking with a four-point cane may slightly decrease spatiotemporal parameters of walking. Canes may be prescribed without the fear of negatively impairing walking kinematics.<p />  <p>Language: en</p>
LA  - en
SN  - 0963-8288
UR  - http://dx.doi.org/10.1080/09638288.2020.1808088
ID  - ref1
ER  -