Reference Values of Outdoor Activities of Stroke Patients Discharged to Home: Investigation of Physical Factors at Discharge

Yoshida, Keishi; Kondo, Shu; Masuda, Yuri; Shimao, Satoru; Hamaoka, Katsumi

doi:10.1589/rika.33.323

Cited by 2 publications

(5 citation statements)

References 9 publications

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“…This pilot study suggested that 6MWD is an accurate assessment parameter for stroke rehabilitation, particularly when assessing stroke patients undergoing balanced walking recovery. These data are similar to the results of previous studies 7, [9][10][11][12] .…”

Section: Discussionsupporting

confidence: 93%

“…Therefore, 6MWD may be a good assessment parameter for stroke rehabilitation, particularly in assessing stroke patients recovering their balance. As in previous studies, long-distance walking and high walking speeds are required for stroke patients to live in the community 12,25) . Fig.…”

Section: Discussionmentioning

confidence: 68%

“…Several recent studies have reported the characteristics of 6MWD, which had the highest ability to predict post-discharge outdoor activities, with a cut-off value of 358.5 m. Thus, the rehabilitation of stroke patients should target a 6MWD of 350 m or longer to enable comfortable outdoor activities after discharge 12) . 6MWD was strongly associated with the function of the affected lower limb and balance than with subjective fatigue in stroke patients in a convalescent rehabilitation ward 21) .…”

Section: Discussionmentioning

confidence: 99%

“…Recently, studies have compared the characteristics of MWS and 6MWD in assessing walking ability 7,12) . Fulk et al 7) found that although both the 6MWD and CWS are strongly related to community walking activity, only 6MWD is a significant predictor.…”

Section: Introductionmentioning

confidence: 99%

“…Fulk et al 7) found that although both the 6MWD and CWS are strongly related to community walking activity, only 6MWD is a significant predictor. Another study has suggested that 6MWD has better sensitivity and specificity than CWS for determining balance 12,13) . Moreover, although CWS can predict home and community ambulators, the cut-off values commonly used to discriminate between home and community ambulators may overestimate actual walking activity 7) .…”

Section: Introductionmentioning

confidence: 99%

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Effect of hybrid assistive limb treatment on maximal walking speed and six-minute walking distance during stroke rehabilitation: a pilot study

2021

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In stroke rehabilitation, gait assessment measures the maximal walking speed and six-minute walking distance, both of which have not been thoroughly investigated as determinants of walking ability. Here, we assessed the methods for evaluating these gait parameters using clinical data on hybrid assistive limb treatment compared with conventional training. [Participants and Methods] In total, 20 stroke patients (hybrid assistive limb group, n=9; conventional group, n=11) participated in this randomized controlled trial. For 12 sessions (three times per week in 4 weeks), the hybrid assistive limb and conventional groups performed gait treatment with hybrid assistive limb and conventional gait training, respectively. Short physical performance battery and walking ability (maximal walking speed and six-minute walking distance) were evaluated pre-and post-intervention. Subsequently, the patients were divided further into two groups: low-and high-balance score groups. [Results] Maximum walking speed and six-minute walking distance were significantly associated, with a positive relationship observed postintervention. The high-balance score group showed a significant improvement in the six-minute walking distance compared to the low-balance score group. However, no significant improvement in maximum walking speed was observed between both groups. [Conclusion] Due to its sensitivity in detecting differences in balance, six-minute walking distance may be a useful assessment parameter for stroke rehabilitation, particularly in the recovery of physiological walking ability.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of hybrid assistive limb treatment on maximal walking speed and six-minute walking distance during stroke rehabilitation: a pilot study

2021

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A Scoping Review of Prognosis Prediction Studies Focusing on Activity and Participation Among Patients with Stroke in Japan

Kobayashi,

Maruyama,

Hirose

et al. 2024

Asian J OT

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Objective: A comprehensive overview of prognosis prediction studies on activity and participation among stroke survivors in Japan is currently lacking. This scoping review aimed to identify outcome measures, study characteristics, gaps, and issues in prognosis prediction studies focusing on activity and participation among patients with stroke in Japan. The study sought to provide guidance for future research. Methods: The PubMed and Ichushi-web databases were searched. Two reviewers independently selected studies according to set inclusion and exclusion criteria. After study selection, author names, publication year, aims, study type, study design, study scale, setting, sample size, outcomes, main analysis methods, and main findings were extracted, categorized, and summarized. Results: Eighty-three articles were finally included. The most frequently covered outcomes were activity of daily living (ADL) scores, such as the Functional Independence Measure (34 studies, 39.5%), followed by walking (26 studies, 30.2%). On the other hand, only few studies covered outcomes related to instrumental ADL and social activities, such as return to work and driving resumption. Although the number of studies has been increasing in recent years, 85.5% of the studies were conducted at single centers. Furthermore, only approximately 15% of the studies examined the validity of prediction models and indicators using a validation group. Conclusions: In the future, prognosis prediction studies focusing on multiple aspects of activity and participation, such as instrumental ADL and social activities are required in Japan. Equally important is the generation of high-quality evidence, a goal achievable by promoting multicenter studies and validating existing predictive models and indicators.

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Reference Values of Outdoor Activities of Stroke Patients Discharged to Home: Investigation of Physical Factors at Discharge

Cited by 2 publications

References 9 publications

Effect of hybrid assistive limb treatment on maximal walking speed and six-minute walking distance during stroke rehabilitation: a pilot study

Effect of hybrid assistive limb treatment on maximal walking speed and six-minute walking distance during stroke rehabilitation: a pilot study

A Scoping Review of Prognosis Prediction Studies Focusing on Activity and Participation Among Patients with Stroke in Japan

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