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Göteborgs universitets publikationer

Perception of walking and walking capacity late after stroke

Författare och institution:
Anna Danielsson (Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering); Carin Willén (Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering); Katharina S Sunnerhagen (Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering)
Publicerad i:
5th World Congress of the International Society of Physical and Rehabilitation Medicine June 13-17 2009, Istanbul, Turkey,
Konferensbidrag, refereegranskat
Sammanfattning (abstract):
OBJECTIVE: The aim was to investigate the perception of walking ability and compare this to actual walking capacity. MATERIALS-METHODS: Persons who had completed a stroke rehabilitation programme 7-10 years previously were invited to participate. The Modified Rankin Scale was used for classification; Stroke Impact Scale and a Walking Habit Score were used in an interview on walking difficulties and walking habits, respectively. The Six-Minute Walk test (6MW) and the leg section of the Fugl-Meyer Sensorimotor Assessment (FMA, maximum score 34)) were performed in subjects who were able to come to the clinic. The relationships between variables were analysed with Spearman’s Rank correlation (rs) and gamma coefficients. RESULTS: Twelve woman and 24 men with a mean age of 60 years were included. Median time since stroke onset was 9 years.The Modified Rankin Scale scored median 3 (2-4). Three of the subjects used a wheelchair for transport, 19 used a walking aid and 9 wore an ankle foot orthosis. The clinical tests were performed in 31 subjects, their FMA score was median 29 and their mean 6MW distance was 344 m. Seventy percent perceived walking difficulties, 85% answered that they could walk unassisted in the near surroundings and 65% reported that they walked 500m. The 6MW distance was highly associated with the FMA motor score; rs 0.80 (p<0.001). The correlation between 6MW and perceived difficulties was rs 0.65 (p<0.001). There was a moderate correlation, gamma coefficient 0.60 (p<0.01), between 6MW and reported ability to walk 500m. CONCLUSION: The walking capacity may be reduced and stroke subjects perceive walking problems even many years after stroke onset. Persons well adapted to their situation seem to have an adequate opinion on their capacity. The findings support that self-reports on walking ability may be sufficient at follow-up after stroke
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
stroke, walking, outcome assessment
Postens nummer:
Posten skapad:
2009-09-21 11:56
Posten ändrad:
2013-02-04 19:57

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