Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Department of Physical Therapy, Universidade Federal do Espírito Santo, Belo Horizonte, Brazil.
Acta Neurol Scand. 2022 Nov;146(5):573-577. doi: 10.1111/ane.13682. Epub 2022 Aug 5.
To explore the relationship between walking measurements (i.e., walking speed, walking performance and walking confidence), and participation in ambulatory people with chronic stroke.
Participation was measured using the mobility domain of Brazilian version of the Stroke Impact Scale 3.0. Walking measures were walking speed, assessed by 10-m Walk Test, walking performance, assessed by ABILOCO, walking confidence, assessed by mGES. Pearson correlation coefficients were used to explore the relationships between the walking measures and social participation, and step-wise multiple linear regression analysis was used to identify which walking measures would explain participation after stroke.
Ninety-five chronic stroke individuals (38 men), with a mean age of 67 (SD 13) years were assessed. Significant positive correlations, of high magnitude, were found between participation and all walking measures (r ≥ .53; p < .001). Regarding the regression analysis, walking confidence alone explained 44% (F = 72.4; p < .001) of the variance in participation. When perceived locomotion ability was included in the model, the explained variance increased to 48% (F = 42.8; p < .001).
All walking measures were correlated with social participation after stroke, but only perceived locomotion ability and walking confidence explained the variance in participation. Clinicians should be encouraged to evaluate real-life performance and personal factors that may limit community participation after stroke.
探讨步行测量（即步行速度、步行表现和步行信心）与慢性脑卒中患者活动能力的关系。
采用巴西版脑卒中影响量表 3.0 的移动域评估参与度。步行测量包括 10 米步行测试评估的步行速度、ABILOCO 评估的步行表现和 mGES 评估的步行信心。使用 Pearson 相关系数探讨步行测量与社会参与之间的关系，并采用逐步多元线性回归分析确定哪些步行测量在脑卒中后能解释参与度。
共评估了 95 名慢性脑卒中患者（38 名男性），平均年龄为 67（13）岁。参与度与所有步行测量均呈显著正相关（r≥.53；p<.001），相关程度较高。关于回归分析，仅步行信心就能解释 44%（F=72.4；p<.001）的参与度变异。当将感知运动能力纳入模型时，解释的变异增加到 48%（F=42.8；p<.001）。
所有步行测量与脑卒中后社会参与均相关，但只有感知运动能力和步行信心能解释参与度的变异。临床医生应鼓励评估真实生活表现和可能限制脑卒中后社区参与的个人因素。
