The University of Southampton
University of Southampton Institutional Repository

Community ambulation after stroke: how important and obtainable is it an what measures appear predictive?

Record type: Article

OBJECTIVES: To assess how important community ambulation is to stroke survivors and to assess the relation between the level of community ambulation achieved and other aspects of mobility.
DESIGN: A multicenter observational survey.
SETTING: Community setting in New Zealand.
PARTICIPANTS: One hundred fifteen stroke survivors living at home were referred from physical therapy (PT) services at 3 regional hospitals at the time of discharge and were assessed within 1 week after returning home. Another 15 people with stroke who did not require further PT when discharged were assessed within 2 weeks after they returned home to provide insight into community ambulation status for those without mobility impairment, as recognized by health professionals.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Self-reported levels of community ambulation ascertained by questionnaire, gait velocity (m/min), Functional Ambulation Categories (FAC) score, and Rivermead Mobility Index (RMI) score.
RESULTS: Mean gait velocity for the participants was 53.9 m/min (95% confidence interval [CI], 52.3-61.1) mean treadmill distance was 165.5 m (95% CI, 141.6-189.5); median RMI score was 14; and median FAC score was 6. Mobility scores for the 15 people who did not require PT were within the normal range. Based on self-reported levels of ambulation, 19 (14.6%) participants were unable to leave the home unsupervised, 22 (16.9%) were walking as far as the letterbox, 10 (7.6%) were limited to walking within their immediate environment, and 79 (60.7%) could access shopping malls and/or places of interest. Participants with different levels of community ambulation showed a significant difference in gait velocity (P<.001). The ability to "get out and about" in the community was considered to be either essential or very important by 97 subjects (74.6%).
CONCLUSIONS: Community ambulation is a meaningful outcome after stroke. However, despite good mobility outcomes on standardized measures for this cohort of home-dwelling stroke survivors, nearly one third were not getting out unsupervised in the community. Furthermore, gait velocity may be a measure that discriminates between different categories of community ambulation. These findings may have implications for PT practice for people with mobility problems after stroke.

Full text not available from this repository.

Citation

Lord, Susan E., McPherson, Kathryn, McNaughton, Harry K., Rochester, Lynn and Weatherall, Mark (2004) Community ambulation after stroke: how important and obtainable is it an what measures appear predictive? Archives of Physical Medicine and Rehabilitation, 85, (2), 234 - 239. (doi:10.1016/j.apmr.2003.05.002).

More information

Published date: February 2004
Keywords: community, stroke

Identifiers

Local EPrints ID: 17958
URI: http://eprints.soton.ac.uk/id/eprint/17958
ISSN: 0003-9993
PURE UUID: 4cce009a-ca11-4205-bd99-f3d48312b7bd

Catalogue record

Date deposited: 23 Nov 2005
Last modified: 17 Jul 2017 16:37

Export record

Altmetrics

Contributors

Author: Susan E. Lord
Author: Kathryn McPherson
Author: Harry K. McNaughton
Author: Lynn Rochester
Author: Mark Weatherall

University divisions


Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×