Article

OBJECTIVE: To examine the contribution of walking endurance, subjective balance
confidence, and fear avoidance behavior to community reintegration among
community-dwelling stroke survivors. DESIGN: Cross-sectional study. SETTING:
University-based rehabilitation center. PARTICIPANTS:
Patients with chronic
stroke (N=57) aged >/=50 years. INTERVENTIONS: None.
MAIN OUTCOME MEASURE:
The Chinese version of the Community Integration Measure (CIM). RESULTS: Our
correlation analyses revealed that fear avoidance behavior as measured by the
Chinese version of the Survey of Activities and Fear of Falling in the Elderly
(SAFE) scores had the highest significant negative correlation with CIM scores
among all the variables tested. Our regression analyses also revealed that
walking endurance and subjective balance confidence were not significant
predictors of CIM scores. Based on scores on the number of falls in the previous
6 months, Chinese version of the Geriatric Depression Scale scores, distance
covered in the 6-minute walk test, and Chinese versions of the
Activities-specific Balance Confidence Scale scores and SAFE scores, our final
regression model predicted 49.7% of the variance in the Chinese version of the
CIM scores. CONCLUSIONS: The levels of walking endurance and subjective balance
confidence are not significant predictors of community reintegration of
community-dwelling stroke survivors but the fear avoidance behavior. Future
studies addressing fear avoidance behavior is clearly warranted for stroke
rehabilitation.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS