Persson Hanna C, Selander Helena
a Research Group Rehabilitation Medicine, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden.
b Mobilitetscenter , Gothenburg , Sweden.
Top Stroke Rehabil. 2018 Apr;25(3):180-185. doi: 10.1080/10749357.2017.1419619. Epub 2018 Jan 15.
Background People after stroke may have residual problems with mobility that can affect their independence and mode of transport. However, there is limited knowledge about transport mobility several years after stroke. Objective The objective was to survey the outdoor mobility and transportation in an urban setting five years post-stroke. Method This cross-sectional study was based on a mail survey focusing on long-term consequences after stroke. The survey comprises a set of self-evaluated questionnaires and was sent to 457 persons, of whom 281 responded (61.5%). From the survey, items regarding transportation and mobility were selected and analyzed. Results A high level of mobility function was reported with regard to outdoor mobility and different modes of transport. However, one-fifth still reported problems with outdoor mobility and mode of transport. Some perceived barriers were reported, predominantly mobility aspects such as transfer to/from, and getting on/off specific transportation mode/s. The respondents reported some communication problems and cognitive impairments, but these were not reported as prominent barriers when using public transport. A total of 67% were active drivers and were more often men (p = 0.002), younger (p ≤ 0.001), and were less dependent at discharge from the acute hospital (p ≤ 0.001). Conclusions Five years post-stroke, mobility problems were the dominant barrier reported when using transport modes. Individualized transport training is needed during rehabilitation to increase possibility to participate. Infrastructure and transportation planning should focus on older, women, and people with impairments to be able to facilitate the use of public transport and mobility.
中风后的患者可能存在行动能力方面的残留问题，这会影响他们的独立性和出行方式。然而，对于中风数年之后的交通出行能力，人们了解有限。
目的是调查中风后五年城市环境中的户外出行和交通情况。
这项横断面研究基于一项针对中风后长期后果的邮件调查。该调查包括一系列自我评估问卷，共发送给457人，其中281人回复（61.5%）。从调查中选取并分析了与交通和出行相关的项目。
在户外出行和不同交通方式方面，报告显示出行功能水平较高。然而，仍有五分之一的人报告在户外出行和交通方式上存在问题。报告了一些感知到的障碍，主要是行动方面的，如上下特定交通方式的换乘。受访者报告了一些沟通问题和认知障碍，但在使用公共交通时，这些并未被报告为突出障碍。共有67%的人是活跃驾驶者，且男性更多（p = 0.002），年龄更小（p≤0.001），急性医院出院时的依赖程度更低（p≤0.001）。
中风后五年，出行问题是使用交通方式时报告的主要障碍。康复期间需要进行个性化的交通训练以增加参与的可能性。基础设施和交通规划应关注老年人、女性和有障碍的人群，以便于公共交通的使用和出行。
