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Title: One-Quarter of People Leave Inpatient Stroke Rehabilitation with Physical Capacity for Community Ambulation.
Austin Authors: Blennerhassett, Jannette M ;Levy, Cristina Emma;Mackintosh, Alexandra;Yong, Alyssa;McGinley, Jennifer L
Affiliation: Melbourne Health, Parkville Australia
Austin Health, Heidelberg, Victoria, Australia
United Physiotherapy Group. South Yarra, Australia
The University of Melbourne, Parkville, Australia
Issue Date: 2-Sep-2018
Date: 2018-09-02
Publication information: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association 2018; 27(12): 3404-3410
Abstract: Ability to walk in the community is important for independence and participation in life roles, but is difficult for many people following stroke. The purpose of this study was to determine the proportion of people with stroke with the physical capacity to be independent community ambulators at discharge from a publicly funded inpatient rehabilitation setting. Consecutive medical records were audited to collate walking outcome at discharge, and to clarify if people with stroke had potential to walk independently in the community as defined by 4 criteria: independence with stairs; ability to traverse slopes and inclines; walking speed of .8m/s or more; and walking distance 367 m or higher on 6-Minute Walk Test. While 80% of the 124 persons with stroke could walk indoors, only 27% could perform 4 essential skills needed to walk independently in the community at discharge from hospital. The proportion that met each criterion was 52% for stairs, 39% for slopes and inclines, 58% for speed, and 40% for distance. For the overall sample, mean (standard deviation) walking speed was .90 (.33) m/s, and distance for 6-Minute Walk Test was 349.6 (146.5) m. A retrospective review found that three quarters of stroke survivors lacked physical capacity for 4 skills required to walk independently in the community at the time of discharge from a public inpatient rehabilitation. Our findings recommend that people with stroke have access to outpatient physical rehabilitation to optimize walking outcome.
DOI: 10.1016/j.jstrokecerebrovasdis.2018.08.004
Journal: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
PubMed URL: 30185399
Type: Journal Article
Subjects: Stroke
activities of daily living
mobility limitation
walking environment
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