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Relationships between walking speed, activities and participation in people with chronic stroke in Burundi
BACKGROUND: Reduced walking speed because of a stroke may limit activities of daily living (ADLs) and restrict social participation. OBJECTIVES: To describe the level of balance impairment, activity limitations, and participation restrictions and to investigate their relationship with walking speed...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AOSIS
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634913/ https://www.ncbi.nlm.nih.gov/pubmed/36340939 http://dx.doi.org/10.4102/sajp.v78i1.1800 |
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author | Nindorera, Félix Nduwimana, Ildephonse Sinzakaraye, Alexis Bleyenheuft, Yannick Thonnard, Jean-Louis Kossi, Oyéné |
author_facet | Nindorera, Félix Nduwimana, Ildephonse Sinzakaraye, Alexis Bleyenheuft, Yannick Thonnard, Jean-Louis Kossi, Oyéné |
author_sort | Nindorera, Félix |
collection | PubMed |
description | BACKGROUND: Reduced walking speed because of a stroke may limit activities of daily living (ADLs) and restrict social participation. OBJECTIVES: To describe the level of balance impairment, activity limitations, and participation restrictions and to investigate their relationship with walking speed in Burundians with chronic stroke. METHODS: This cross-sectional study involved adult stroke survivors. Walking speed, balance, ADLs and social participation were assessed with the 10-meter walk test (10 mWT), the Berg balance scale (BBS), the activity limitation stroke scale and the participation measurement scale, respectively. In order to determine ambulatory independence status, participants were stratified into three walking speed groups (household ambulation, limited ambulation and full-community ambulation), based on the Perry classification. RESULTS: Fifty-eight adults (mean age 52.1 ± 11.4 years) with chronic stroke were included in our study. Most participants had severe balance impairments (median BBS score, 27). Their mean (± standard deviation [SD]) walking speeds, ADL levels and social participation levels were 0.68 ± 0.34 m/s, 50.8% ± 9.3% and 52.8% ± 8.6%, respectively. Walking speed correlated moderately with balance (rho = 0.5, p < 0.001) and strongly with ADL level (r = 0.7, p < 0.001) but not with participation level (r = 0.2, p = 0.25). CONCLUSION: Using socio-culturally suitable tools, our study showed that walking speed correlates robustly with balance and ADL ability, but not with social participation, in Burundi, a low-income country. CLINICAL IMPLICATIONS: Exercises targeting walking speed would be very useful for people with chronic stroke living in low-resource countries, in order to promote their functional independence. |
format | Online Article Text |
id | pubmed-9634913 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | AOSIS |
record_format | MEDLINE/PubMed |
spelling | pubmed-96349132022-11-05 Relationships between walking speed, activities and participation in people with chronic stroke in Burundi Nindorera, Félix Nduwimana, Ildephonse Sinzakaraye, Alexis Bleyenheuft, Yannick Thonnard, Jean-Louis Kossi, Oyéné S Afr J Physiother Original Research BACKGROUND: Reduced walking speed because of a stroke may limit activities of daily living (ADLs) and restrict social participation. OBJECTIVES: To describe the level of balance impairment, activity limitations, and participation restrictions and to investigate their relationship with walking speed in Burundians with chronic stroke. METHODS: This cross-sectional study involved adult stroke survivors. Walking speed, balance, ADLs and social participation were assessed with the 10-meter walk test (10 mWT), the Berg balance scale (BBS), the activity limitation stroke scale and the participation measurement scale, respectively. In order to determine ambulatory independence status, participants were stratified into three walking speed groups (household ambulation, limited ambulation and full-community ambulation), based on the Perry classification. RESULTS: Fifty-eight adults (mean age 52.1 ± 11.4 years) with chronic stroke were included in our study. Most participants had severe balance impairments (median BBS score, 27). Their mean (± standard deviation [SD]) walking speeds, ADL levels and social participation levels were 0.68 ± 0.34 m/s, 50.8% ± 9.3% and 52.8% ± 8.6%, respectively. Walking speed correlated moderately with balance (rho = 0.5, p < 0.001) and strongly with ADL level (r = 0.7, p < 0.001) but not with participation level (r = 0.2, p = 0.25). CONCLUSION: Using socio-culturally suitable tools, our study showed that walking speed correlates robustly with balance and ADL ability, but not with social participation, in Burundi, a low-income country. CLINICAL IMPLICATIONS: Exercises targeting walking speed would be very useful for people with chronic stroke living in low-resource countries, in order to promote their functional independence. AOSIS 2022-10-31 /pmc/articles/PMC9634913/ /pubmed/36340939 http://dx.doi.org/10.4102/sajp.v78i1.1800 Text en © 2022. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. |
spellingShingle | Original Research Nindorera, Félix Nduwimana, Ildephonse Sinzakaraye, Alexis Bleyenheuft, Yannick Thonnard, Jean-Louis Kossi, Oyéné Relationships between walking speed, activities and participation in people with chronic stroke in Burundi |
title | Relationships between walking speed, activities and participation in people with chronic stroke in Burundi |
title_full | Relationships between walking speed, activities and participation in people with chronic stroke in Burundi |
title_fullStr | Relationships between walking speed, activities and participation in people with chronic stroke in Burundi |
title_full_unstemmed | Relationships between walking speed, activities and participation in people with chronic stroke in Burundi |
title_short | Relationships between walking speed, activities and participation in people with chronic stroke in Burundi |
title_sort | relationships between walking speed, activities and participation in people with chronic stroke in burundi |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634913/ https://www.ncbi.nlm.nih.gov/pubmed/36340939 http://dx.doi.org/10.4102/sajp.v78i1.1800 |
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