That is an appalling statistic. And you're paid for that 75% failure rate?
Abstract
Background and Purpose
Ability
to walk in the community is important for independence and
participation in life roles, but is difficult for many people following
stroke. The purpose of this study was to determine the proportion of
people with stroke with the physical capacity to be independent
community ambulators at discharge from a publicly funded inpatient
rehabilitation setting.
Method
Consecutive
medical records were audited to collate walking outcome at discharge,
and to clarify if people with stroke had potential to walk independently
in the community as defined by 4 criteria: independence with stairs;
ability to traverse slopes and inclines; walking speed of .8m/s or more;
and walking distance 367 m or higher on 6-Minute Walk Test.
Results
While
80% of the 124 persons with stroke could walk indoors, only 27% could
perform 4 essential skills needed to walk independently in the community
at discharge from hospital. The proportion that met each criterion was
52% for stairs, 39% for slopes and inclines, 58% for speed, and 40% for
distance. For the overall sample, mean (standard deviation) walking
speed was .90 (.33) m/s, and distance for 6-Minute Walk Test was 349.6
(146.5) m.
Discussion and Conclusion
A
retrospective review found that three quarters of stroke survivors
lacked physical capacity for 4 skills required to walk independently in
the community at the time of discharge from a public inpatient
rehabilitation. Our findings recommend that people with stroke have
access to outpatient
physical rehabilitation to optimize walking outcome.
(What good does that do? There are NO protocols for walking rehab. You are all just 'winging it'. )
Key Words
Stroke
walking environment
mobility limitation
rehabilitation
activities of daily living
© 2018 National Stroke Association. Published by Elsevier Inc. All rights reserved.
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