NDLI: True cadence and step accumulation are not equivalent: the effect of intermittent claudication on free-living cadence.

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True cadence and step accumulation are not equivalent: the effect of intermittent claudication on free-living cadence.

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True cadence and step accumulation are not equivalent: the effect of intermittent claudication on free-living cadence.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Stansfield, B. Clarke, C. Dall, P. Godwin, J. Holdsworth, R. Granat, M.
Description	Author Affiliation: Stansfield B ( School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK. Electronic address: Ben.stansfield@gcu.ac.uk.); Clarke C ( Division of Population Health Sciences, University of Dundee, Dundee, UK. Electronic address: c.z.clarke@dundee.ac.uk.); Dall P ( School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK. Electronic address: philippa.dall@gcu.ac.uk.); Godwin J ( Institute of Applied Health Research, Glasgow Caledonian University, Glasgow, UK. Electronic address: jon.godwin@gcu.ac.uk.); Holdsworth R ( Consultant Vascular Surgeon, Forth Valley Royal Hospital, Larbert, UK. Electronic address: richard.holdsworth@nhs.net.); Granat M ( School of Health Sciences, University of Salford, Salford, UK. Electronic address: M.h.granat@salford.ac.uk.)
Abstract	'True cadence' is the rate of stepping during the period of stepping. 'Step accumulation' is the steps within an epoch of time (e.g. 1min). These terms have been used interchangeably in the literature. These outcomes are compared within a population with intermittent claudication (IC). Multiday, 24h stepping activity of those with IC (30) and controls (30) was measured objectively using the activPAL physical activity monitor. 'True cadence' and 'step accumulation' outcomes were calculated. Those with IC took fewer steps/d 6531±2712 than controls 8692±2945 (P=0.003). However, these steps were taken within approximately the same number of minute epochs (IC 301±100min/d; controls 300±70min/d, P=0.894) with only slightly lower true cadence (IC 69 (IQ 66,72) steps/min; controls 72 (IQ 68,76) steps/min, P=0.026), giving substantially lower step accumulation (IC 22 (IQ 19,24) steps/min; controls 30 (IQ 23,34) steps/min) (P<0.001). However, the true cadence of stepping within the blocks of the 1, 5, 20, 30 and 60min with the maximum number of steps accumulated was lower for those with IC than controls (P<0.05). Those with IC took 1300 steps fewer per day above a true cadence of 90 steps/min. True cadence and step accumulation outcomes were radically different for the outcomes examined. 'True cadence' and 'step accumulation' were not equivalent in those with IC or controls. The measurement of true cadence in the population of people with IC provides information about their stepping rate during the time they are stepping. True cadence should be used to correctly describe the rate of stepping as performed.
File Format	HTM / HTML
ISSN	09666362
Issue Number	2
Volume Number	41
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2015-02-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Research Support, Non-u.s. Gov't Discipline Orthopedics Humans Middle Aged Male Aged, 80 And Over Activities Of Daily Living Journal Article Physiopathology Intermittent Claudication Walking Exercise Female Physiology Aged
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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