Factors related to community ambulation in patients with chronic stroke

Background: The focus of gait rehabilitation for walking in real-life settings should vary according to different aspects of gait performance. Investigation of factors related to impairments specific to community ambulation or activity participation may be helpful in determining and targeting approp...

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Bibliographic Details
Published in:Topics in stroke rehabilitation 2015-02, Vol.22 (1), p.63-71
Main Authors: Lee, Kyoung Bo, Lim, Seong Hoon, Ko, Eun Hye, Kim, Yong Seong, Lee, Kang Sung, Hwang, Byong Yong
Format: Article
Language:English
Subjects:
Adult
Aged
Chronic Disease
chronic stroke
Cognition & reasoning
community ambulation
Cross-Sectional Studies
Discriminant analysis
Female
Gait Disorders, Neurologic - etiology
Gait Disorders, Neurologic - physiopathology
gait distance
gait speed
Humans
Male
Middle Aged
Mobility Limitation
Motor ability
Multivariate analysis
Stroke
Stroke - complications
Stroke - physiopathology
Variables
Walking
Walking - physiology
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Summary:Background: The focus of gait rehabilitation for walking in real-life settings should vary according to different aspects of gait performance. Investigation of factors related to impairments specific to community ambulation or activity participation may be helpful in determining and targeting appropriate treatment for gait rehabilitation. Objective To investigate the relationship between community ambulation and factors determining gait ability. Methods Forty-six outpatients with a previous stroke participated in a cross-sectional assessment. Community ambulation was assessed using a self-administered questionnaire. Outcome measures included impairments (strength, sensation, muscle tone, and balance) and ambulatory activity limitations (self-paced and maximum 10-m gait speed, 6-minute walking test, and concurrent manual/cognitive dual-task walking speed). Ability to increase speed and the dual-tasks cost were calculated. Multivariate analysis of variance and multiple regression analyses were used to determine differences in walking and identify important factors related to community ambulation. Results Pearson and Spearman analyses revealed that impairments (balance, r = .665; muscle strength, r = 0.653) and ambulatory activity limitation (gait speed, r = 0.684; walking distance, r = 0.654; ability to increase speed, r = 0.413) were significantly positively correlated with community ambulation level. Balance was an important factor in predicting increasing speed (P 
ISSN:1074-9357
1945-5119
DOI:10.1179/1074935714Z.0000000001