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The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors
Published on: May 2, 2021
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Factors associated with community ambulation in chronic stroke
Sarah Durcan1, Evelyn Flavin1, Frances Horgan2
1a Stroke Rehabilitation Team, Baggot Street Community Hospital , Dublin , Ireland and.
Disability and Rehabilitation
|April 10, 2015
Summary
Balance self-efficacy is key for stroke survivors to walk independently in the community. Improving this confidence may enhance community ambulation after stroke.
Area of Science:
- Neurorehabilitation
- Stroke Recovery
- Biomechanics
Background:
- Loss of independent community ambulation is a major disability after stroke.
- Understanding factors influencing community ambulation is crucial for effective rehabilitation.
Purpose of the Study:
- To investigate personal and post-stroke factors associated with community ambulation.
- To identify predictors of independent community ambulation 1-3 years post-stroke.
Main Methods:
- Cross-sectional study of 40 community-dwelling stroke patients (1-3 years post-stroke).
- Utilized various measures including the Community Ambulation Questionnaire, 10-M Walk Test, Timed Up and Go, and balance/fatigue/anxiety/depression scales.
Main Results:
- Age, medication count, and walking aid use were associated with community ambulation.
- Gait speed, walking balance, and balance self-efficacy significantly correlated with community ambulation.
- Balance self-efficacy was the sole independent predictor of community ambulation post-stroke.
Conclusions:
- Balance self-efficacy is a significant determinant of independent community ambulation in chronic stroke.
- Rehabilitation should integrate strategies to enhance balance self-efficacy, not just physical aspects like gait speed.
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