Predicting Home and Community Walking Activity in People With Stroke |
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Authors: | George D Fulk Chelsea Reynolds Sumona Mondal Judith E Deutsch |
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Institution: | a Department of Physical Therapy, Clarkson University, Potsdam, NY b Department of Mathematics, Clarkson University, Potsdam, NY c Department of Rehabilitation and Movement Sciences, University of Medicine and Dentistry of New Jersey, Newark, NJ |
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Abstract: | Fulk GD, Reynolds C, Mondal S, Deutsch JE. Predicting home and community walking activity in people with stroke.ObjectiveTo determine the ability of the 6-minute walk test (6MWT) and other commonly used clinical outcome measures to predict home and community walking activity in high-functioning people with stroke.DesignCross-sectional.SettingOutpatient physical therapy clinic.ParticipantsParticipants (N=32) with chronic stroke (n=19; >6mo poststroke) with self-selected gait speed (GS) faster than .40m/s and age-matched healthy participants (n=13).InterventionsNot applicable.Main Outcome MeasuresIndependent variables: 6MWT, self-selected GS, Berg Balance Scale (BBS), lower extremity motor section of the Fugl-Meyer Assessment, and Stroke Impact Scale. Dependent variable: average steps taken per day during a 7-day period, measured using an accelerometer.Results6MWT, self-selected GS, and BBS were moderately related to home and community walking activity. The 6MWT was the only predictor of average steps taken per day; it explained 46% of the variance in steps per day.ConclusionsThe 6MWT is a useful outcome measure in higher functioning people with stroke to guide intervention and assess community walking activity. |
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Keywords: | Outcome assessment health care Rehabilitation Stroke Walking |
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