Life-Space Mobility and Relevant Factors in Community-dwelling Individuals with Stroke in Japan: A Cross-sectional Study

Abstract

Objective: Individuals with stroke frequently experience mobility deficits and limited community reintegration. This study aimed to investigate life-space mobility and relevant factors in community-living individuals with stroke. Methods: This was a cross-sectional study of 46 community-dwelling individuals with chronic stroke in Japan (mean age 72.7 ± 7.4 years; mean time post-stroke 63.6 ± 43.3 months; 26 men/20 women). We measured life-space mobility using a Japanese translation of the Life-Space Assessment. The following factors that might affect life-space mobility were assessed: the ability to perform activities of daily living, physical performance, fear of falling, and cognitive function. Results: A total of 41 participants (89.1%) had restricted life-space mobility (Life-Space Assessment score <60 points). A multiple linear regression analysis showed that limitations in activities of daily living, walking speed, and Falls Efficacy Scale-International scores were independently related to Life-Space Assessment scores. This model explained 51.3% of the variance in Life-Space Assessment scores. Conclusions: Most individuals with stroke had restricted life-space mobility. Life-space mobility was associated with the ability to perform activities of daily living, walking speed, and fear of falling. These findings could contribute to the development of rehabilitation interventions for regaining life-space mobility in individuals with stroke.

Preliminary analysis of reliability and validity of the Life Space Questionnaire as a real-world mobility measure for people with lower limb loss: A technical note

“…2 Life space measures may relate more closely with constructs such as self-efficacy, personal control beliefs, or community integration. 15,16 Simple to administer, LSQ captures a construct not assessed by functional measures of mobility such as gait metrics and PEQ. 2 Functional mobility and walking speed assess perceived or performance-based individual mobility, not the accessed life space.…”

Validity of measures for life space mobility and physical activity in older adults with lower-limb amputation

“…Moreover, a moderate correlation between the LSA and walking speed was reported for community-dwelling older adults with stroke. 13 This finding may be explained in part by the nature of these measures. 5,11,21,22 Simply put, the LSA measures the extent of community mobility performance, such as walking, within the spatial environment.…”

“…It has been shown to correlate with physical performance, 11 activities of daily living, walking speed, and fear of falling in the older adult population. 13 Measuring physical activity is also important because physical activity decreases the risk of developing cardiovascular disease, falls, muscular weakness, and mortality in older adults. 14,15 Physical activity can be measured with self-report questionnaires, such as the Physical Activity Scale for the Elderly (PASE), 16 or tools that provide objective measures such as accelerometers.…”

Fatores associados à mobilidade espaço de vida pós-AVC: estudo transversal

“…Levando em consideração outros aspectos da participação, mais estudos acerca da mobilidade espaço de vida se fazem necessários 7 . O espaço de vida de pacientes pós-AVC por meio da LSA, já foi estudado em outros países 12 A Life Space Assessment (LSA) foi aplicada para conhecer o nível de mobilidade, a frequência e a necessidade de ajuda para os deslocamentos desde o quarto onde dorme até o sair da cidade 16 . A escala mede a mobilidade do Espaço de Vida nas 4 semanas anteriores à aplicação do questionário por meio de cinco níveis de Espaço de Vida.…”

“…Este instrumento é baseado na distância percorrida, frequência semanal e independência de deslocamento, não importando, dessa forma, como esse deslocamento é realizado, portanto, a pon-tuação geral da LSA documenta a mobilidade não apenas para a distância e frequência do movimento, mas também para qualquer assistência necessária para uma pessoa que se move para cada um dos níveis definidos 6,12 . A pontuação total da LSA varia de 0 a 120, com pontuações mais altas indicando maior mobilidade 16 .…”