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Community ambulation after chronic stroke: A cross-sectional study
Janaine Cunha Polese1, Silvia Lanziotti Azevedo da Silva2, Carla Silva A Lacerda1
1Post Graduate Program of Health Sciences, Faculdade Ciências Médicas de Minas, Gerais, Belo Horizonte, Minas Gerais, Brazil.
Journal of Bodywork and Movement Therapies
|November 27, 2024
Summary
Mobility and assistive device use significantly predict community ambulation after stroke. Focusing on these factors can improve walking ability for stroke survivors.
Area of Science:
- Rehabilitation Medicine
- Neuroscience
- Gerontology
Background:
- Community ambulation is crucial for independence after stroke.
- Predictors of community ambulation post-stroke require further investigation.
- Gait ability, balance, strength, mobility, and depression are potential factors.
Purpose of the Study:
- To examine the association between gait ability, depression, balance, knee extensor strength, and mobility with community ambulation in chronic stroke survivors.
- To identify key factors influencing the ability to walk in the community post-stroke.
Main Methods:
- Cross-sectional study of 60 chronic stroke individuals (mean age 59).
- Assessed community ambulation via 10-m walk test (≥0.8 m/s).
- Evaluated predictors: gait ability (ABILOCO), depression (GDS-15), balance (Berg), knee strength, and mobility (Timed Up and Go).
Main Results:
- Mobility and assistive device use were significantly associated with community ambulation.
- Gait ability, balance, and knee extensor strength were also independently associated with community ambulation.
- Depression was not found to be independently associated with community ambulation in this cohort.
Conclusions:
- Mobility and assistive device use are critical factors for achieving community ambulation post-stroke.
- Rehabilitation strategies should consider both physical function (mobility) and environmental factors (assistive devices).
- Addressing mobility limitations and optimizing assistive device use can enhance community reintegration for stroke survivors.
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