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Community mobility after stroke: a systematic review.

Steven Wesselhoff1, Timothy A Hanke2, Christian C Evans2

  • 1a In-patient Rehabilitation Unit , University of Colorado Health Memorial Hospital , Colorado Springs , CO , USA.

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|January 12, 2018
PubMed
Summary
This summary is machine-generated.

Stroke survivors often experience impaired community mobility (CM) due to long-term impairments. Rehabilitation focusing on motor skills, balance, and daily activities may improve CM, but better outcome measures are needed.

Keywords:
Strokecerebrovascular accidentcommunity mobilitycommunity reintegrationparticipationphysical therapystroke outcome measures

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Public Health

Background:

  • Stroke is a primary cause of long-term disability.
  • Survivors frequently face physical or cognitive impairments impacting community mobility (CM).

Purpose of the Study:

  • To assess the extent of community mobility achievement in chronic stroke survivors.
  • To compare community mobility in stroke survivors against normative or non-neurologically impaired groups.

Main Methods:

  • Searched multiple databases (MEDLINE, CINAHL, PubMed, etc.) for studies using validated CM outcome measures.
  • Included studies with chronic stroke survivors (>3 months post-stroke) and specific study designs.
  • 14 studies met inclusion criteria after screening and quality appraisal.

Main Results:

  • Stroke survivors demonstrated significantly impaired community mobility, scoring 30-83% of normative or non-stroke subjects.
  • Community mobility showed only slight improvement over time post-stroke.
  • Factors influencing CM included age, education, well-being, motor function, ADL independence, balance, endurance, and driving status.

Conclusions:

  • Stroke survivors often experience a significant reduction in community mobility compared to individuals without neurological injury.
  • Rehabilitation should target motor function, coordination, ADL independence, balance, and endurance to enhance CM.
  • There is a need for outcome measures specifically designed to assess community mobility in stroke survivors.