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Recovery of walking ability in stroke patients through postacute care rehabilitation
BACKGROUND: Walking entails orchestration of the sensory, motor, balance, and coordination systems, and walking disability is a critical concern after stroke. How and to what extent these systems influence walking disability after stroke and recovery have not been comprehensively studied. METHODS: W...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Chang Gung University
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345220/ https://www.ncbi.nlm.nih.gov/pubmed/35872227 http://dx.doi.org/10.1016/j.bj.2022.07.004 |
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author | Chu, Chan-Lin Lee, Tsong-Hai Chen, Yueh-Peng Ro, Long-Sun Hsu, Jung-Lung Chu, Yu-Cheng Chen, Chih-Kuang Pei, Yu-Cheng |
author_facet | Chu, Chan-Lin Lee, Tsong-Hai Chen, Yueh-Peng Ro, Long-Sun Hsu, Jung-Lung Chu, Yu-Cheng Chen, Chih-Kuang Pei, Yu-Cheng |
author_sort | Chu, Chan-Lin |
collection | PubMed |
description | BACKGROUND: Walking entails orchestration of the sensory, motor, balance, and coordination systems, and walking disability is a critical concern after stroke. How and to what extent these systems influence walking disability after stroke and recovery have not been comprehensively studied. METHODS: We retrospectively analyzed patients with stroke in the Post-acute care-Cerebrovascular Diseases (PAC-CVD) program. We compared the characteristics of patient groups stratified by their ability to complete the 5-m walk test across various time points of rehabilitation. We then used stepwise linear regression to examine the degree to which each stroke characteristic and functional ability could predict patient gait performance. RESULTS: Five hundred seventy-three patients were recruited, and their recovery of walking ability was defined by the timing of recovery in a 5-m walk test. The proportion of patients who could complete the 5-m walk test at admission, at 3 weeks of rehabilitation, at 6 weeks of rehabilitation, between 7 and 12 weeks of rehabilitation, and who could not complete the 5-m walk test after rehabilitation was 52.2%, 21.8%, 8.7%, 8.7%, and 8.6%, respectively. At postacute care discharge, patients who regained walking ability earlier had a higher chance of achieving higher levels of walking activity. Stepwise linear regression showed that Berg Balance Scale (BBS) (β: 0.011, p < .001), age (β: −0.005, p = .001), National Institutes of Health Stroke Scale (NIHSS) (6a + 6b; β: −0.042, p = .018), Mini-Nutritional assessment (MNA) (β: −0.007, p < .027), and Fugl–Meyer upper extremity assessment (FuglUE) (β: 0.002, p = .047) scores predicted patient's gait speed at discharge. CONCLUSION: Balance, age, leg strength, nutritional status, and upper limb function before postacute care rehabilitation are predictors of walking performance after stroke. |
format | Online Article Text |
id | pubmed-10345220 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Chang Gung University |
record_format | MEDLINE/PubMed |
spelling | pubmed-103452202023-07-15 Recovery of walking ability in stroke patients through postacute care rehabilitation Chu, Chan-Lin Lee, Tsong-Hai Chen, Yueh-Peng Ro, Long-Sun Hsu, Jung-Lung Chu, Yu-Cheng Chen, Chih-Kuang Pei, Yu-Cheng Biomed J Original Article BACKGROUND: Walking entails orchestration of the sensory, motor, balance, and coordination systems, and walking disability is a critical concern after stroke. How and to what extent these systems influence walking disability after stroke and recovery have not been comprehensively studied. METHODS: We retrospectively analyzed patients with stroke in the Post-acute care-Cerebrovascular Diseases (PAC-CVD) program. We compared the characteristics of patient groups stratified by their ability to complete the 5-m walk test across various time points of rehabilitation. We then used stepwise linear regression to examine the degree to which each stroke characteristic and functional ability could predict patient gait performance. RESULTS: Five hundred seventy-three patients were recruited, and their recovery of walking ability was defined by the timing of recovery in a 5-m walk test. The proportion of patients who could complete the 5-m walk test at admission, at 3 weeks of rehabilitation, at 6 weeks of rehabilitation, between 7 and 12 weeks of rehabilitation, and who could not complete the 5-m walk test after rehabilitation was 52.2%, 21.8%, 8.7%, 8.7%, and 8.6%, respectively. At postacute care discharge, patients who regained walking ability earlier had a higher chance of achieving higher levels of walking activity. Stepwise linear regression showed that Berg Balance Scale (BBS) (β: 0.011, p < .001), age (β: −0.005, p = .001), National Institutes of Health Stroke Scale (NIHSS) (6a + 6b; β: −0.042, p = .018), Mini-Nutritional assessment (MNA) (β: −0.007, p < .027), and Fugl–Meyer upper extremity assessment (FuglUE) (β: 0.002, p = .047) scores predicted patient's gait speed at discharge. CONCLUSION: Balance, age, leg strength, nutritional status, and upper limb function before postacute care rehabilitation are predictors of walking performance after stroke. Chang Gung University 2023-08 2022-07-21 /pmc/articles/PMC10345220/ /pubmed/35872227 http://dx.doi.org/10.1016/j.bj.2022.07.004 Text en © 2022 The Authors. Published by Elsevier B.V. on behalf of Chang Gung University. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Chu, Chan-Lin Lee, Tsong-Hai Chen, Yueh-Peng Ro, Long-Sun Hsu, Jung-Lung Chu, Yu-Cheng Chen, Chih-Kuang Pei, Yu-Cheng Recovery of walking ability in stroke patients through postacute care rehabilitation |
title | Recovery of walking ability in stroke patients through postacute care rehabilitation |
title_full | Recovery of walking ability in stroke patients through postacute care rehabilitation |
title_fullStr | Recovery of walking ability in stroke patients through postacute care rehabilitation |
title_full_unstemmed | Recovery of walking ability in stroke patients through postacute care rehabilitation |
title_short | Recovery of walking ability in stroke patients through postacute care rehabilitation |
title_sort | recovery of walking ability in stroke patients through postacute care rehabilitation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345220/ https://www.ncbi.nlm.nih.gov/pubmed/35872227 http://dx.doi.org/10.1016/j.bj.2022.07.004 |
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