Tashiro Hideyuki, Isho Takuya, Takeda Takanori, Nakamura Takahito, Kozuka Naoki, Hoshi Fumihiko
Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, Hokkaido, Japan.
Graduate School of Health Sciences, Sapporo Medical University, Hokkaido, Japan.
Prog Rehabil Med. 2019 Sep 3;4:20190014. doi: 10.2490/prm.20190014. eCollection 2019.
Individuals with stroke frequently experience mobility deficits and limited community reintegration. This study aimed to investigate life-space mobility and relevant factors in community-living individuals with stroke.
This was a cross-sectional study of 46 community-dwelling individuals with chronic stroke in Japan (mean age 72.7 ± 7.4 years; mean time post-stroke 63.6 ± 43.3 months; 26 men/20 women). We measured life-space mobility using a Japanese translation of the Life-Space Assessment. The following factors that might affect life-space mobility were assessed: the ability to perform activities of daily living, physical performance, fear of falling, and cognitive function.
A total of 41 participants (89.1%) had restricted life-space mobility (Life-Space Assessment score <60 points). A multiple linear regression analysis showed that limitations in activities of daily living, walking speed, and Falls Efficacy Scale-International scores were independently related to Life-Space Assessment scores. This model explained 51.3% of the variance in Life-Space Assessment scores.
Most individuals with stroke had restricted life-space mobility. Life-space mobility was associated with the ability to perform activities of daily living, walking speed, and fear of falling. These findings could contribute to the development of rehabilitation interventions for regaining life-space mobility in individuals with stroke.
中风患者经常出现行动能力缺陷，且社区融入受限。本研究旨在调查社区居住的中风患者的生活空间移动能力及相关因素。
这是一项对日本46名社区居住的慢性中风患者的横断面研究（平均年龄72.7±7.4岁；中风后平均时间63.6±43.3个月；26名男性/20名女性）。我们使用《生活空间评估》的日语译本测量生活空间移动能力。评估了以下可能影响生活空间移动能力的因素：日常生活活动能力、身体表现、跌倒恐惧和认知功能。
共有41名参与者（89.1%）生活空间移动能力受限（生活空间评估得分<60分）。多元线性回归分析表明，日常生活活动受限、步行速度和国际跌倒效能量表得分与生活空间评估得分独立相关。该模型解释了生活空间评估得分中51.3%的方差。
大多数中风患者生活空间移动能力受限。生活空间移动能力与日常生活活动能力、步行速度和跌倒恐惧相关。这些发现有助于制定康复干预措施，以恢复中风患者的生活空间移动能力。
