Deans' stroke musings: Walking speed as a predictor of community mobility and quality of life after stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, August 20, 2019

Walking speed as a predictor of community mobility and quality of life after stroke

I could walk much faster than I currently do if my spasticity was cured. Hell, I'd be running by now.

Walking speed as a predictor of community mobility and quality of life after stroke

Topics in Stroke Rehabilitation , Volume 26(5) , Pgs. 349-358.

NARIC Accession Number: J81270. What's this?
ISSN: 1074-9357.
Author(s): Grau-Pellicer, Montserrat; Chamarro-Lusar, Andres; Medina-Sasanovas, Josep; Ferrer, Bernat-Carles S..
Publication Year: 2019.
Number of Pages: 10.
Abstract: Study investigated whether gait speed is a predictor of community mobility (CM) and quality of life (QoL) in patients with stroke following a multimodal rehabilitation program (MRP). CM is considered a part of community reintegration that enhances QoL. Achieving an appropriate gait speed is essential in attaining an independent outdoor ambulation and satisfactory CM. This was a baseline control trial with 6-months follow-up in an outpatient rehabilitation setting at a university hospital. Twenty-six stroke survivors completed the MRP (24 one-hour sessions, 2 days per week). The MRP consisted of aerobic exercise, task-oriented exercises, balance exercises and stretching. Participants also performed an ambulation program at home. Outcome variables were: walking speed (10-Meter Walking Test) and QoL (physical and psychosocial domains of Euroquol and Sickness Impact Profile). At the end of the intervention, comfortable and fast walking speed increased by an average of 0.16 and 0.40 meters per second, respectively. After the intervention, all participants achieved independent outdoor ambulation with an increase of 34.14 of walking minutes per day in the community and a decrease of sitting time of 95.45 minutes per day. Regarding QoL, there were increased mean scores on the physical and psychosocial dimensions of Euroquol and the Sickness Impact Profile, respectively. The results suggest that improved walking speed after the MRP is associated with CM and higher scores in QoL. These findings support the need to implement rehabilitation programs to promote increased speed.
Descriptor Terms: AMBULATION, COMMUNITY INTEGRATION, EXERCISE, OUTCOMES, PHYSICAL THERAPY, QUALITY OF LIFE, REHABILITATION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Grau-Pellicer, Montserrat, Chamarro-Lusar, Andres, Medina-Sasanovas, Josep, Ferrer, Bernat-Carles S.. (2019). Walking speed as a predictor of community mobility and quality of life after stroke. Topics in Stroke Rehabilitation , 26(5), Pgs. 349-358. Retrieved 8/20/2019, from REHABDATA database.