| Titre : | Balance and Balance Self-Efficacy Are Associated With Activity and Participation After Stroke: A Cross-Sectional Study in People With Chronic Stroke (2012) |
| Auteurs : | Arlène A. Schmid ; Marieke Van Puymbroeck ; Peter Altenburger ; et al. |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2012/6, 2012) |
| Article en page(s) : | pp. 1101-1107 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation |
| Mots-clés: | Motor activity ; Recovery of function ; Self efficacy ; Stroke ; Récupération fonctionnelle ; Auto-efficacité |
| Résumé : |
Objectives To (1) examine the relationships between multiple poststroke mobility variables (gait speed, walking capacity, balance, balance self-efficacy, and falls self-efficacy) and activity and participation; and (2) determine which poststroke mobility variables are independently associated with activity and participation. Design This is the primary analysis of a prospective cross-sectional study completed to understand the impact of mobility on activity and participation in people with chronic stroke. Setting University-based research laboratory, hospitals, and stroke support groups. Participants People (N=77) with stroke greater than 6 months ago were included in the study if they were referred to occupational or physical therapy for physical deficits as a result of the stroke, completed all stroke related inpatient rehabilitation, had residual functional disability, scored a ≥4 out of 6 on the short, 6-item Mini-Mental State Examination, and were between the ages of 50 and 85. Interventions Not applicable, this is a cross-sectional data collection of 1 timepoint. Main Outcome Measures We measured activity and participation with the validated International Classification of Functioning, Disability and Health Measure of Participation and Activities. Other variables included gait speed (10-meter walk), walking capacity (6-minute walk), balance (Berg Balance Scale), balance self-efficacy (Activities Specific Balance Confidence Scale), and falls self-efficacy (Modified Falls Efficacy Scale). Results Only balance self-efficacy was found to be independently associated with poststroke activity (β=−.430, P<.022 confidence interval to and participation p ci> Conclusions Among people with chronic stroke, balance self-efficacy, not physical aspects of gait, was independently associated with activity and participation. While gait training continues to be important, this study indicates a need to further evaluate and address the psychological factors of balance and falls self-efficacy to obtain the best stroke recovery. |
| Disponible en ligne : | Oui |
| En ligne : | http://www.archives-pmr.org/article/S0003-9993%2812%2900085-8/abstract |
Bibliothèques HE Vinci
