Walking speed, hip muscles strength, aerobic capacity, and self-perceived locomotion ability most explain walking confidence after stroke: a cross-sectional experimental study.

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2022-12-01 DOI:10.1097/MRR.0000000000000550
Patrick R Avelino, Kênia K P Menezes, Lucas R Nascimento, Maria Tereza Mota Alvarenga, Jordana de Paula Magalhães, Luci Fuscaldi Teixeira-Salmela, Aline A Scianni
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Abstract

Identifying the determinants of walking confidence can be crucial in therapeutic terms. On these bases, interventions to improve these factors could improve, in turn, walking confidence. Objective is to explore the relationship between motor impairments and activity limitation measures and walking confidence in people with chronic stroke. Walking confidence was assessed using the modified Gait Efficacy Scale. The independent variables were: strength of the hip flexors and knee flexors/extensors (measured with a dynamometer), lower limb coordination (assessed by the Lower Extremity Motor Coordination Test), dynamic balance (assessed by the Four-Square Step Test), walking speed (from the 10-m Walk Test), aerobic capacity (from the 6-Minute Walk Test), and self-perceived locomotion ability (assessed by the ABILOCO). Pearson correlation was used to explore the relationships between the variables, and multiple linear regression to identify the independent explainers of walking confidence after stroke. Ninety chronic stroke individuals (35 men), with a mean age of 68 (SD 13) years were assessed. All independent variables were significantly correlated with walking confidence. Regarding the regression analysis, these measures explained 44% ( F = 9.21; P < 0.001) of the variance in walking confidence; however, only walking speed, strength of the hip flexor muscles, aerobic capacity, and perceived locomotion ability showed significance. All motor impairment and activity limitation measures correlated with walking confidence. However, the regression analysis highlighted that only walking speed, aerobic capacity, the strength of the hip flexor muscles, and perceived locomotion were independent explainers of walking confidence after stroke.

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步行速度、臀部肌肉力量、有氧能力和自我感知运动能力最能解释中风后的步行信心:一项横断面实验研究。
确定走路自信的决定因素在治疗方面是至关重要的。在此基础上,改善这些因素的干预措施可以反过来提高步行信心。目的探讨慢性脑卒中患者运动障碍与活动限制措施及行走信心的关系。采用改进的步态功效量表评估步行信心。自变量为:髋屈肌和膝关节屈肌/伸肌的力量(用测力计测量)、下肢协调性(通过下肢运动协调测试评估)、动态平衡(通过四方步测试评估)、步行速度(来自10米步行测试)、有氧能力(来自6分钟步行测试)和自我感知的运动能力(由ABILOCO评估)。采用Pearson相关分析探讨各变量之间的关系,采用多元线性回归分析确定卒中后行走信心的独立解释因素。90例慢性脑卒中患者(男性35例),平均年龄68岁(SD 13)。所有自变量均与行走自信显著相关。在回归分析中,这些措施解释了44% (F = 9.21;P < 0.001);然而,只有步行速度、髋屈肌力量、有氧能力和感知运动能力具有显著性。所有运动障碍和活动限制措施都与步行信心相关。然而,回归分析强调,只有步行速度、有氧能力、髋屈肌的力量和感知运动是中风后步行信心的独立解释因素。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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