Article

Loss of independent community ambulation is one of the most disabling
consequences of stroke.
The aim of this study was to investigate the association
of multiple personal and post-stroke factors with community ambulation in persons
between 1- and 3-year post-stroke. METHODS: This was a cross-sectional study of
40 community-dwelling stroke patients, >18 years, between 1- and 3-year
post-stroke. The main outcome measures used were self-report community ambulation
questionnaire, demographic information, 10-M Walk Test, Timed Up and Go test,
Activities-Specific Balance Confidence Scale, Fatigue Severity Scale, Hospital
Anxiety and Depression Scale, Trail-Making Test-Part B, Single Letter
Cancellation Test. RESULTS: Age, number of medications and use of a walking aid
were found to be significantly associated with community ambulation (p </= 0.05).
Gait speed, walking balance and balance self-efficacy were also found to be
significantly associated with community ambulation (p </= 0.05). Balance
self-efficacy was the only factor independently associated with community
ambulation post-stroke (p </= 0.05). CONCLUSION: Balance self-efficacy may be a
significant determinant in the attainment of independent community ambulation
post-stroke. This suggests that physical aspects such as gait speed and walking
balance should not be considered in isolation when addressing community
ambulation post-stroke. IMPLICATIONS FOR REHABILITATION: Balance self-efficacy
may play a significant role in the attainment of independent community ambulation
in a chronic stroke population. Physiotherapy interventions addressing community
ambulation post-stroke should consider methods for improving balance
self-efficacy in chronic stroke, such as self management programmes.

Langue : ANGLAIS