Community ambulation after stroke: How important and obtainable is it and what measures appear predictive?
Community ambulation after stroke: How important and obtainable is it and what measures appear predictive?
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DOI：
10.1016/j.apmr.2003.05.002
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发表时间：
2004-02-01
影响因子：
4.3
通讯作者：
Weatherall, M
中科院分区：
文献类型：
--
作者：
Lord, SE;McPherson, K;Weatherall, M
目的：评估社区康复对卒中幸存者的重要性，并评估社区康复水平与其他方面的活动性之间的关系。设计：多中心观察性调查。设置：新西兰社区设置。参与者：115名住在家中的中风幸存者接受了物理治疗（PT）出院时在3家地区医院接受服务，并在回家后1周内进行评估。另外15名出院时不需要进一步PT的卒中患者在回家后2周内进行评估，以了解健康专业人员认可的无行动障碍的患者的社区康复状况。干预措施：不适用。主要结果指标：通过问卷调查、步态速度（m/min）、功能性步行分类（FAC）评分确定的自我报告社区步行水平，结果：受试者的平均步态速度为53.9 m/ min（95%置信区间[CI]，52.3-61.1）;平均跑台距离为165.5 m（95% CI，141.6-189.5）;中位RMI评分为14;中位FAC评分为6。15名不需要PT的人的移动性评分在正常范围内。根据自我报告的Ambassador水平，19名（14.6%）参与者无法在无人监督的情况下离开家，22名（16.9%）步行到信箱，10名（7.6%）仅限于在其周围环境中行走，79名（60.7%）可以进入购物中心和/或景点。不同社区卫生服务水平的受试者的步态速度差异有统计学意义（P
Objectives: To assess how important community ambulation is to stroke survivors and to assess the relation between the level of community ambulation achieved and other aspects of mobility.Design: A multicenter observational survey.Setting: Community setting in New Zealand.Participants: One hundred fifteen stroke survivors living at home were referred from physical therapy (PT) services at 3 regional hospitals at the time of discharge and were assessed within 1 week after returning home. Another 15 people with stroke who did not require further PT when discharged were assessed within 2 weeks after they returned home to provide insight into community ambulation status for those without mobility impairment, as recognized by health professionals.Interventions: Not applicable.Main Outcome Measures: Self-reported levels of community ambulation ascertained by questionnaire, gait velocity (m/min), Functional Ambulation Categories (FAC) score, and Rivermead Mobility Index (RMI) score.Results: Mean gait velocity for the participants was 53.9m/ min (95% confidence interval [CI], 52.3-61.1); mean treadmill distance was 165.5m (95% CI, 141.6-189.5); median RMI score was 14; and median FAC score was 6. Mobility scores for the 15 people who did not require PT were within the normal range. Based on self-reported levels of ambulation, 19 (14.6%) participants were unable to leave the home Unsupervised, 22 (16.9%) were walking as far as the letterbox, 10 (7.6%) were limited to walking within their immediate environment, and 79 (60.7%) could access shopping malls and/or places of interest. Participants with different levels of community ambulation showed a significant difference in gait velocity (P