Relationships among environmental variables, physical capacity, balance self-efficacy, and real-world walking activity post-stroke

Something seems to be in here but the word salad is confusing. How do you expect survivors to tell their therapists what to do with this?

 Relationships among environmental variables, physical capacity, balance self-efficacy, and real-world walking activity post-stroke

Neurorehabilitation and Neural Repair (NNR) , Volume 36(8) , Pgs. 535-544.

NARIC Accession Number: J90013.  What's this?
ISSN: 1545-9683.
Author(s): Miller, Allison; Pohlig, Ryan T.; Reisman, Darcy S..
Publication Year: 2022.
Number of Pages: 10.
Abstract: 

 Study tested a model hypothesizing the relationships among the social and physical environment, balance self-efficacy, physical capacity, and real-world walking activity to improve opportunities for intervention in individuals with stroke. Two hundred eighty-two individuals with chronic (≥6 months) stroke completed a baseline evaluation that included measures of their physical capacity (6-Minute Walk Test), balance self-efficacy (Activities Specific Balance Confidence Scale), and real-world walking activity (average steps/day). Participants’ living situation was used to represent the social environment, and the Area Deprivation Index was used to represent the physical environment. Researchers tested the indirect effect to determine if mediation was present. Multiple group structural equation modeling was used to test if physical capacity moderated this mediation. A chi-squared difference test was used to compare the moderation model against the null (no moderation) model.(Where is your infinity model?) Balance self-efficacy mediated the relationship between area deprivation and real-world walking. Both the moderation and null models fit the data equally well statistically. Researchers therefore accepted the simpler (null) model and concluded that the mediation was not moderated. Targeting balance self-efficacy may be an effective approach to improving real-world walking in people with stroke who experience barriers within the physical environment. A stroke survivor’s physical capacity may not impact this approach. Future work should consider utilizing more specific measures of the social and physical environment to better understand their influences on real-world walking activity in individuals with stroke. However, the results of this work provide excellent targets for future longitudinal studies targeting real-world walking activity in stroke.
Descriptor Terms: AMBULATION, COMMUNITY LIVING, EQUILIBRIUM, POSTURE, STROKE.


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Citation: Miller, Allison, Pohlig, Ryan T., Reisman, Darcy S.. (2022). Relationships among environmental variables, physical capacity, balance self-efficacy, and real-world walking activity post-stroke.  Neurorehabilitation and Neural Repair (NNR) , 36(8), Pgs. 535-544. Retrieved 10/25/2022, from REHABDATA database.