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Göteborgs universitets publikationer

Walking endurance, activity and participation late after stroke

Författare och institution:
Anna Danielsson (Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering)
Publicerad i:
World Physical Therapy 2011. 16th International WCPT Congress, 20-23 june 2011, Amsterdam, Holland, s. 87
Konferensbidrag, refereegranskat
Sammanfattning (abstract):
Purpose: The aim was to investigate if self-reported activity and participation were associated with objectively measured walking endurance late after stroke. Relevance: Walking is an essential part of many daily activities. The relationship between measures used in physiotherapy and a persons´s self-perceived activity and participation has not been much investigated. Participants: A group of nine woman and 22 men with a stroke diagnosis were reqruited from a rehabilitation unit where they had formerly taken part in rehabilitation interventions. Time since stroke was 7-10 years and the mean age was 59.7 years at the time for the study. Methods: Walking endurance was measured by the 6-minute walk test (6MWT) and the longest distance of two walks was chosen for further analysis. In an interview self-reported physical activity was investigated by the Physical Activity Scale for the Elderly. By the Stroke Impact Scale each person´s level of perceived difficulties in daily activities, mobility and social participation were reported. On the Stroke Impact Scale, the domains Activities of daily living, Mobility and Participation were included in further analyses. Analysis: Linear regression was used for analysis of relationships between 6MWT and self-reported activity and participation respectively. Four models were analysed where Physical activity, Activities of daily living, Mobility and Participation respectively were the dependent variables and the independent variable was the 6MWT distance. The explanatory level of each model to the variation in the dependent variable was expressed by the adjusted R-square values. Results: A regression model including Activities of daily living and 6MWT explained 44%, Mobility and 6MWT explained 25% of the variation in activity and a model including physical activity level and 6MWT explained 21% of the variation in activity. Regarding participation the explanatory level of the model of Participation and 6MWT was 30%. Conclusions: Walking endurance measured by the six-minute walk test was found to be partly associated with self-reported levels of physical activity as well as perceived difficulties in activity and participation, in a group investigated several years after stroke onset. Implications: Since walking endurance could explain activity and participation measures to a fairly large extent, it may be of importance to include exercises focused on walking endurance in physiotherapy interventions after stroke. The person´s self-perceived difficulties in activity and participation should be considered in planning of physiotherapy interventions.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
Hälsovetenskaper ->
Stroke, walking, activity, participation
Postens nummer:
Posten skapad:
2011-11-15 14:23

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