Is walking faster or walking farther more important to persons with chronic stroke?

被引:54
作者
Combs, Stephanie A. [1 ]
van Puymbroeck, Marieke [2 ]
Altenburger, Peter A. [3 ]
Miller, Kristine K. [3 ]
Dierks, Tracy A. [3 ]
Schmid, Arlene A. [4 ,5 ,6 ,7 ,8 ]
机构
[1] Univ Indianapolis, Krannert Sch Phys Therapy, Indianapolis, IN 46227 USA
[2] Indiana Univ, Dept Recreat Pk & Tourism Studies, Bloomington, IN USA
[3] Indiana Univ, Sch Hlth & Rehabil Sci, Dept Phys Therapy, Indianapolis, IN 46204 USA
[4] Richard L Roudebush Vet Adm Med Ctr, Hlth Serv Res & Dev HSR&D Ctr Implementing Eviden, Indianapolis, IN 46202 USA
[5] VA HSR&D Stroke Qual Enhancement Res Initiat QUER, Indianapolis, IN USA
[6] Indiana Univ, Sch Hlth & Rehabil Sci, Dept Occupat Therapy, Indianapolis, IN 46204 USA
[7] Indiana Univ, Ctr Aging Res, Indianapolis, IN 46204 USA
[8] Regenstrief Inst Inc, Indianapolis, IN USA
关键词
Gait endurance; stroke; walking; MODIFIED RANKIN SCALE; COMMUNITY AMBULATION; OLDER-ADULTS; GAIT SPEED; REHABILITATION; POSTSTROKE; CLASSIFICATION; RELIABILITY; SUPPORT; TRIAL;
D O I
10.3109/09638288.2012.717575
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose: The purposes of this mixed-methods study were to (1) investigate whether walking faster or walking farther was more important for getting "out and about" to persons with chronic stroke and (2) explore explanations for walking preferences. Method: A convenience sample of 77 adults with chronic stroke completed questionnaires and walking outcomes in one visit. Participants were asked whether walking faster or farther was more important to them for getting "out and about", and differences between response groups (faster vs. farther) were evaluated. Participants also described their preference for walking faster or farther. Qualitative responses were analyzed using content analysis. Results: The majority of participants (76%; n = 58) reported walking farther was more important, while 18% (n = 14) reported walking faster was more important. Statistically significant differences were not found between response groups for any variable. Primary themes identified from participant preferences for walking faster included: (1) faster speed equals better walking ability and (2) getting places faster/quicker. Primary themes from preferences for walking farther included: (1) engaging in activity and participation within home and community; (2) walking farther at a slower pace; and (3) fatigue with walking. Conclusions: Individual preferences for walking faster versus walking farther by persons with chronic stroke should be considered by clinicians when making decisions for rehabilitation.
引用
收藏
页码:860 / 867
页数:8
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