Improvements in Speed-Based Gait Classifications Are Meaningful
University of Pittsburgh · University of Florida · +7 more institutions
Abstract
In subacute stroke survivors with mild to moderate deficits who participated in a randomized clinical trial of stroke rehabilitation and had a baseline gait velocity of 0.8 m/s or less, we assessed the effect of success versus failure to achieve a transition to the next class on function and quality of life according to domains of the Stroke Impact Scale (SIS).
Of 64 eligible participants, 19 were initially household ambulators, and 12 of them (68%) transitioned to limited community ambulation, whereas of 45 initially limited community ambulators, 17 (38%) became full community ambulators. Function and quality-of-life SIS scores after treatment were significantly higher among survivors who achieved a favorable transition compared with those who did not. Among household ambulators, those who transitioned to limited or full community ambulation had significantly better SIS scores in mobility (P=0.0299) and participation (P=0.0277). Among limited community ambulators, those who achieved the transition to full community ambulatory status had significantly better scores in SIS participation (P=0.0085).
Citation impact
- FWCI
- 15.97
- Percentile
- 100%
- References
- 23
Authors
7- AAArlene A. SchmidCorresponding
University of Pittsburgh, University of Florida, Richard L. Roudebush VA Medical Center, Geriatric Research Education and Clinical Center, University of Kansas Medical Center, VA Pittsburgh Healthcare System, Indiana University – Purdue University Indianapolis, Florida College
- PWPamela W. Duncan
University of Pittsburgh, Duke University, University of Florida, Richard L. Roudebush VA Medical Center, Geriatric Research Education and Clinical Center, University of Kansas Medical Center, VA Pittsburgh Healthcare System, Indiana University – Purdue University Indianapolis, Florida College
- SAStephanie A. Studenski
University of Pittsburgh, University of Florida, Richard L. Roudebush VA Medical Center, Geriatric Research Education and Clinical Center, University of Kansas Medical Center, VA Pittsburgh Healthcare System, Indiana University – Purdue University Indianapolis, Florida College
- SMSue Min Lai
University of Pittsburgh, University of Florida, Richard L. Roudebush VA Medical Center, Geriatric Research Education and Clinical Center, University of Kansas Medical Center, VA Pittsburgh Healthcare System, Indiana University – Purdue University Indianapolis, Florida College
- LRLorie Richards
University of Pittsburgh, University of Florida, Richard L. Roudebush VA Medical Center, Geriatric Research Education and Clinical Center, University of Kansas Medical Center, VA Pittsburgh Healthcare System, Indiana University – Purdue University Indianapolis, Florida College
Topics & keywords
- Medicine
- Stroke (engine)
- Gait
- Rehabilitation
- Quality of life (healthcare)
- Physical medicine and rehabilitation
- Physical therapy
- Ambulatory