Deans' stroke musings: Stepping after stroke: Walking characteristics in people with chronic stroke differ on the basis of walking speed, walking endurance, and daily steps

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.

Saturday, July 18, 2020

Stepping after stroke: Walking characteristics in people with chronic stroke differ on the basis of walking speed, walking endurance, and daily steps

The point of this research? Survivors need gait protocols that get them back to 100% walking recovery, not this lazy crapola.

Stepping after stroke: Walking characteristics in people with chronic stroke differ on the basis of walking speed, walking endurance, and daily steps

Physical Therapy , Volume 100(5) , Pgs. 807-817.

NARIC Accession Number: J83853. What's this?
ISSN: 0031-9023.
Author(s): Handlery, Reed ; Fulk, George ; Pellegrini, Christine ; Stewart, Jill C.; Monroe, Courtney ; Fritz, Stacy.
Publication Year: 2020.
Number of Pages: 11.

Abstract:

Study examined how the walking characteristics of bouts per day, median steps per bout, maximum steps per bout, and time spent walking differ in individuals with various walking speeds, walking endurance, and daily steps. The study also identified cutoffs for differentiating ambulators who were active versus inactive. Two hundred fifty-two participants with chronic stroke were categorized by walking speed, walking endurance (6-Minute Walk Test), and daily steps (via 2 consecutive days of objective activity monitoring). Differences in walking characteristics were assessed. Linear regression determined which characteristics predicted daily step counts. Receiver operating characteristic curves and areas under the curve were used to determine which variable was most accurate in classifying individuals who were active (≥5500 daily steps). Regardless of categorization by walking speed, walking endurance, or daily steps, household ambulators had significantly fewer bouts per day, steps per bout, and maximum steps per bout and spent less time walking compared with community ambulators. The areas under the curve for maximum steps per bout and bouts per day were 0.91 and 0.83, respectively, with cutoffs of 648 steps and 53 bouts being used to differentiate active and inactive ambulation. This study showed that walking characteristics differed based on walking speed, walking endurance, and daily steps. Differences in daily steps between household and community ambulators were largely due to shorter and fewer walking bouts. Assessing and targeting walking bouts may prove useful for increasing stepping after stroke.
Descriptor Terms: AMBULATION, PHYSICAL THERAPY, STROKE.

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

Citation: Handlery, Reed , Fulk, George , Pellegrini, Christine , Stewart, Jill C., Monroe, Courtney , Fritz, Stacy. (2020). Stepping after stroke: Walking characteristics in people with chronic stroke differ on the basis of walking speed, walking endurance, and daily steps. Physical Therapy , 100(5), Pgs. 807-817. Retrieved 7/18/2020, from REHABDATA database.