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Titre : | Changes in Balance and Walking From Stroke Rehabilitation to the Community: A Follow-Up Observational Study (2012) |
Auteurs : | Jannette Blennerhassett ; Wayne Dite ; Emily Ramage ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/10, 2012) |
Article en page(s) : | pp. 1782-1787 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation |
Mots-clés: | Accidental falls ; Outcome and process assessment (health care) ; Stroke ; Walking ; Chutes accidentelles ; Évaluation des résultats et des processus en soins de santé ; Marche à pied |
Résumé : |
Blennerhassett JM, Dite W, Ramage ER, Richmond ME. Changes in balance and walking from stroke rehabilitation to the community: a follow-up observational study. Objectives To investigate (1) whether clinical test scores at discharge predict falls or limited community mobility after discharge from inpatient stroke rehabilitation; and (2) how walking and dynamic standing balance change after discharge. Design Follow-up observational study between 6 and 36 months after discharge. Setting Rehabilitation setting. Participants Community-dwelling stroke survivors (N=30) who could walk unassisted when discharged from inpatient rehabilitation. Interventions Not applicable. Main Outcome Measures Six-minute walk test (6MWT), Four Square Step Test (FSST), Step Test (ST), Environmental Analysis of Mobility Questionnaire (EAMQ), Falls Efficacy ScaleInternational (FES-I), and self-reported falls. Results Follow-up occurred at a median of 14.5 months postdischarge. Significant improvements occurred between discharge and follow-up for the 6MWT (mean difference [MD]=110.1m; 95% confidence interval [CI], 70.8149.4; P<.001 st steps ci p=".03)," and fsst to despite this of participants reported falling. the group who fell had lower clinical test scores at discharge follow-up than nonfallers. specific cutoff for tests accurately classified falls history in participants. were on a failure or seconds complete fsst. performing under levels community mobility concern about falling was only higher those risk by> Conclusions The FSST, ST, and 6MWT scores at discharge had good falls prediction. People classified at risk of falls avoided more tasks in their home and community than those not classified at risk. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2812%2900259-6/abstract |