보행 거리와 시간 측정 방식이 5미터 및 10미터 보행 검사 결과에 미치는 영향

Purpose: This study aimed to investigate the comparability and consistency of walking speed measurements obtained usingdifferent testing protocols in individuals with subacute stroke. Specifically, it aimed to compare walking speeds measured usingthe flying start method over 5 m, 8 m, and 10 m segments of a walkway, with speeds measured by both static start and flying startmethods across a full 10 m walkway using the 10 m Walk Test (10mWT). By examining these variations, the study sought todetermine the methodological impact of starting technique and walkway length on gait assessment outcomes in clinical settings. Methods: A retrospective observational study analyzed walking speeds in individuals with subacute stroke using the flying startmethod, which incorporated a 2 m acceleration zone and a 2 m deceleration zone across 5 m, 8 m, and 10 m walkway distances. Both comfortable walking speed (CWS) and fast walking speed (FWS) were recorded. Additionally, CWS and FWS valuesobtained from the static start method over the entire 10 m walkway were compared with those obtained from the flying start method,including the acceleration and deceleration zones. Results: There were no significant differences in CWS and FWS across different walkway distances (5 m, 8 m, and 10 m),indicating that walkway distance did not affect walking speed. In CWS, the flying start (0.69㎧) was significantly faster by 0.05㎧compared to the static start (0.63㎧) (p = .018). Similarly, in FWS, the flying start (0.79㎧) was significantly faster by 0.07㎧compared to the static start (0.72㎧) (p = .009). Conclusion: Walkway distance (5 m, 8 m, and 10 m) did not significantly affect CWS or FWS. However, the staticstart method over the full 10 m walkway had a significant influence on 10MWT outcomes compared to the flying start method, which included acceleration and deceleration zones. When space is limited, a 5mWT using the flying start methodcan be proposed as a practical alternative protocol to the 10MWT.