Fast gait speed and self-perceived balance as valid predictors and discriminators of independent community walking at 6 months post-stroke – a preliminary study

Rosa, Marlene Cristina Neves; Marques, Alda; Demain, Sara; Metcalf, Cheryl

doi:10.3109/09638288.2014.911969

Cited by 34 publications

(39 citation statements)

References 36 publications

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“…Community ambulation levels This method was presented by Rosa et al [20] concerning the difficulties experienced in outdoor ambulation after stroke, which is a self-reporting questionnaire that allows the participants to describe their level of community ambulation ability. The questionnaire has 5 dimensions as follows [20]: (1) have no difficulty in walking in the community and do not require physical assistance or supervision; (2) mild difficulty in walking in the community, requiring supervision to walk far away from home; (3) moderate difficulty, needing supervision to walk near and far away from the home; (4) severe difficulty in walking in the community, always requiring physical assistance from another person; and (5) does not walk outside of the home.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…The questionnaire has 5 dimensions as follows [20]: (1) have no difficulty in walking in the community and do not require physical assistance or supervision; (2) mild difficulty in walking in the community, requiring supervision to walk far away from home; (3) moderate difficulty, needing supervision to walk near and far away from the home; (4) severe difficulty in walking in the community, always requiring physical assistance from another person; and (5) does not walk outside of the home. Subjects who responded to level 1 were divided up into "Independent Community Ambulation (ICA)".…”

Section: Outcome Measuresmentioning

confidence: 99%

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Discriminative validity of the timed up and go test for community ambulation in persons with chronic stroke

Park

Lim

2017

PTRS

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Objective:The timed up and go (TUG) test is method used to determine the functional mobility of persons with stroke. Its reliability, validity, reaction rate, fall prediction, and psychological characteristics concerning ambulation ability have been validated. However, the relationship between TUG performance and community ambulation ability is unclear. The purpose of this study was to investigate whether the TUG performance time could indicate community ambulation levels (CAL) differentially in persons with chronic stroke. Design: Cross-sectional study. Methods: Eighty-seven stroke patients had participated in this study. Based on the self-reporting survey results on the difficulties experienced when walking outdoors, the subjects were divided into the independent community ambulation (ICA) group (n=35) and the dependent community ambulation group (n=52). Based on the area under the curve (AUC), the discrimination validity of the TUG performance time was calculated for classifying CAL. The Binomial Logistic Regression Model was utilized to produce the likelihood ratio of selected TUG cut-off values for the distinguishing of community ambulation ability. Results: The selected TUG cut-off values and the area under the curve were <14.87 seconds (AUC=0.871, 95% confidence interval=0.797-0.945), representing a mid-level accuracy. Concerning the likelihood ratio of the selected TUG cut-off value, it was found that the group with TUG performance times shorter than 14.87 seconds showed a 2.889 times higher probability of ICA than those with a TUG score of 14.87 seconds or longer (p<0.05). Conclusions:The TUG can be viewed as an assessment tool that is capable of classifying CAL.

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Section: Outcome Measuresmentioning

confidence: 99%

Section: Outcome Measuresmentioning

confidence: 99%

Discriminative validity of the timed up and go test for community ambulation in persons with chronic stroke

Park

Lim

2017

PTRS

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“…Previous studies have found that outcome measures such as lower-limb muscular strength, [1][2][3] balance, [4][5][6][7][8] walking speed, [9][10][11][12][13][14] and cognitive function 15,16) are related to walking independence in elderly persons and in patients with stroke disease. However, outcome measures related to walking independence in patients with medical diseases have not been reported.…”

Section: Introductionmentioning

confidence: 99%

Examination of Simple Outcome Measures and Cut-off Values Related to Walking Independence of Inpatients with Medical Diseases in Acute Care Hospitals

Yamauchi

Morishita

Mabuchi

et al. 2017

PRM

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Objective:The objective of the current study was to identify simple outcome measures to predict walking independence in inpatients with medical diseases in acute care hospitals and to identify the cut-off values of the relevant measures. Methods: Two hundred inpatients aged 20 years or above who had a medical disease were enrolled in this cross-sectional study. The subjects' walking independence, physical characteristics, cognitive status, and blood test data were examined. Logistic regression analysis was performed, and cut-off values were calculated. Results: The identified outcome measures and their respective cut-off values were as follows: the straight leg raising (SLR) repetition count, 27; the one-leg standing time (OLST), 3.6 s; and the orientation score of the mini-mental state examination (MMSE), 9/10. Conclusions: Our study findings suggest that the SLR repetition count, OLST, and the MMSE orientation score are simple outcome measures related to walking independence in inpatients with medical diseases in acute care hospitals.

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“…Further, a majority report limitations even during the chronic phase of their recovery (Barclay et al, 2014;Rosa et al, 2014;van der Zee et al, 2013;Robinson et al, 2011b). Older adults with mobility limitations demonstrate a reduced frequency of community trips per day and have a tendency to avoid community environments (Lord et al, 2010;Shumway-Cook et al, 2005a;Shumway-Cook et al, 2002).…”

Section: Distancementioning

confidence: 99%

“…A number of factors within any of the ICF domains are associated with reduced ambulation activity and community ambulation after stroke (Rosa et al, 2014;Robinson et al, 2013;Rosenberg et al, 2013;Alzahrani et al, 2012;Danielsson et al, 2011;Robinson et al, 2011a;Robinson et al, 2011b;Fulk et al, 2010;Lord et al, 2004;Shumway-Cook et al, 2002). Yet few studies have prospectively investigated a combination of factors within multiple domains of the ICF on free-living ambulation outcomes across the subacute phase of stroke.…”

Section: Factors Affecting Ambulation After Strokementioning

confidence: 99%

Ambulation recovery after stroke

Mahendran¹

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Most stroke survivors regard successful independent ambulation important. However, ambulation recovery is limited following stroke. Historically, limited availability of objective tools and measures to characterise free-living ambulation recovery has restricted investigation of this outcome after survivors return home. However, commercially available devices, including accelerometers and portable global positioning systems, are now available. Thus, this thesis aimed to characterise free-living ambulation recovery over the first six months after stroke survivors returned home from hospital and determine what factors at discharge contributed to ambulation recovery across this time.The first study of this thesis investigated the concurrent validity and retest reliability of accelerometers (ActivPAL TM and Sensewear Pro 2 Armband) and global positioning systems (GPS) (Garmin forerunner 405CX) to measure free-living ambulation after stroke. Measures of step counts, time spent walking, energy expenditure, distance and location were taken during walking tasks that impose demands similar to those encountered when walking in the community as well as free-living community ambulation over four days. This study determined that the ActivPAL TM was valid and reliable for measuring ambulation after stroke. The GPS was valid and reliable for all measures except distance, whereas the Sensewear Pro 2 Armband recorded with high error during all walking tests.The second study aimed to characterise ambulation activity after stroke across the first six months following discharge from hospital and investigate how ambulation activity changed across this time period. Free-living ambulation activity was measured over four days using the ActivPAL TM accelerometer at one, three and six months after stroke survivors left hospital. Measures of volume (daily step counts and time spent walking, sitting/lying, standing and upright), frequency (total number of ambulation bouts; number of bouts and total time spent in short, medium and long duration ambulation bouts) and intensity (number of bouts and total time per day spent in low, moderate and high intensity ambulation bouts) of ambulation activity were collected. This study highlighted that volume of ambulation activity was low across the first six months following hospital discharge, with a majority of ambulation bouts short and low in intensity. Stroke survivors rarely engaged in long duration and high intensity ambulation bouts across the first six months.Daily volume of ambulation activity increased from one month to both three and six months after iv discharge from hospital through an increase in medium duration and moderate intensity ambulation only.The third study aimed to determine what factors at discharge were related to and predicted ambulation activity outcomes over the first six months following hospital discharge in stroke.Factors including age, fatigue, mood, executive function, gait speed, gait endurance, perceived stroke recovery, pre-stroke physical activity, ambulat...

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Fast gait speed and self-perceived balance as valid predictors and discriminators of independent community walking at 6 months post-stroke – a preliminary study

Abstract: Fast speed and self-perceived balance appear to be important characteristics of ICW at 6 months and may be useful early predictors of the potential for patients to achieve this. Further research is needed to ensure the precision of these functional cut-offs.

Cited by 34 publications

References 36 publications

Discriminative validity of the timed up and go test for community ambulation in persons with chronic stroke

Discriminative validity of the timed up and go test for community ambulation in persons with chronic stroke

Examination of Simple Outcome Measures and Cut-off Values Related to Walking Independence of Inpatients with Medical Diseases in Acute Care Hospitals

Ambulation recovery after stroke

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