IJPR.2021.214

Type of Article:  Original Research

Volume 10; Issue 1 (February 2022)

Page No.: 4125-4132

DOI: https://dx.doi.org/10.16965/ijpr.2021.214

Association of Walking Ability In Relation to Participation In Stroke Survivors: A Cross Sectional Study

Suchisree Patro ¹,  Jasrah Javed *².

¹ Oxford college of physiotherapy, 6/9, Begur Road, AB Road, Hongasandra, Bengaluru, Karnataka 560068, India. 
https://orcid.org/0000-0003-1560-3413

^*2 Oxford college of physiotherapy, 6/9, Begur Road, AB Road, Hongasandra, Bengaluru, Karnataka 560068, India. 
https://orcid.org/0000-0003-3120-4383

Corresponding Author: Dr. Jasrah Javed (PT), MPT (Musculoskeletal disorders and Sports), Oxford college of physiotherapy, 6/9, Begur Road, AB Road, Hongasandra, Bengaluru, Karnataka 560068, India. E-Mail: Jasrah.javed04@gmail.com

ABSTRACT

Background: Stroke is a neurological condition caused by an immediate injury to the CNS due to vascular sources like cerebral infarction, intracerebral haemorrhage, or subarachnoid haemorrhage. Stroke leads to changes in cognitive and psychological functioning, body disabilities and profound fatigue. After a stroke, patients are likely to produce an asymmetric gait pattern, decreased gait speed and decreased cadence. This leads to restricted independence and participation in the community and social activities. The aim of the study is to analyse the correlation between walking ability and measures of social participation.

Methodology: Forty subjects were screened for inclusion criteria. They were explained about the procedure and gained informed consent for all the tests of walking ability and questionnaires were given for analysing their participation in social life activities. Walking ability was analysed by using 6-minute walk test, 10-meter walk test, Fall Efficacy Scale (FES), and Functional Ambulation Category (FAC). Social participation was analysed by using 3 questionnaires -POPS, IPAQ, and PARTS/M. Spearman correlation analysis was done to analyse the relationship between walking ability and domains and dimensions of social participation.

Results: The correlation analyses revealed that the walking ability measured by 6-minute walk test, 10-meter walk test, FES and FAC scores correlate with the domains and dimensions of social participation by using the questionnaires-POPS, PARTS/M and IPAQ. Measures of walking ability i.e., 6-minute walk test were correlated with satisfaction (r=0.312; p<0.05); FES with satisfaction (r=-0.396; p<0.05); FAC with satisfaction (r=0.436; p<0.05) dimensions of social participation. Measures of walking ability i.e., 10-meter walk test were correlated with major life area domain (r =-0.407; p<0.5); FES and general tasks and demands (r=-0.334; p<0.05); FAC and general tasks and demand domain (r=0.327; p<0.05).

Conclusion: Walking ability was significantly correlated with measures of domains and dimensions of social participation.

KEYWORDS: Stroke, POPS, PARTS/M, CVA, Social Participation, Walking Ability.

REFERENCES

[1]. Sacco R, Kasner S, Broderick J, Caplan L. An Updated Definition of Stroke for the 21st Century: A Statement for Healthcare Professionals from The American Heart Association /American Stroke Association. E. 2013; 44:2064-2089.
[2]. O’Sullivan S, Schmitz T, Fulk G. Physical Rehabilitation, 6th Edition. JP Brothers; 2014.
[3]. Allan R, Martin a, Joshua K, Sashank P. Adam and Victor’s Principles of Neurology, 11th Edition. McGraw-Hill Education;2009.
[4]. Pandian JD, Sudhan P. Stroke epidemiology and stroke care services in India. J Stroke. 2013;15(3):128-134. doi:10.5853/jos.2013.15.3.128
[5]. Banerjee TK, Das SK. Fifty years of stroke researches in India. Ann Indian Acad
Neurol. 2016;19(1):1-8. doi:10.4103/0972-2327.168631
[6]. Marcheschi E , Koch LV , pessah Rasmussen H , Elf M. Home setting after stroke, facilitators and barriers : A systematic literature review .2017; 26(4 i-iv):433-612: e451-e608.
[7]. Liu TW, Ng SS, Kwong PW, Ng GY. Fear avoidance behaviour, not walking endurance, predicts the community reintegration of community dwelling stroke survivors, 2015 Sep;96(9):1684-90.
[8]. Salbach NM ,guilcher S , jaglal SB. Physical therapists’ perceptions and use of standardized assessments of walking ability post-stroke. J rehabil med 2011;43:543-49
[9]. Scott C.L., Phillips L.H., Johnston M, Whyte MM, McLeod MJ. Emotion processing and social participation following stroke: study protocol. BMC Neurol 2012;12:56.
[10]. Hong E. Comparison of quality of life according to community walking in stroke patients. J Phys Ther Sci. 2015;27(7):2391–2393.
[11]. Iza F, JC P, CDMC F, LF T. ‘Associations Between Walking Speed and Participation, According to Walking Status in Individuals with Chronic Stroke’. 1 Jan. 2019 : 341– 48.
[12]. Woodman P, Riazi A, Pereira C, Jones F. Social participation post stroke: a meta- ethnographic review of the experiences and views of community-dwelling stroke survivors. Disabil Rehabil. 2014;36(24):2031–43.
[13]. Dickson S, Barbour R, Brady M, Clark AM., Paton G. Patients experience of disruptions associated with post stroke dysarthria. Int J Lang Commun Disord 2008;43:135-53.
[14]. Ada L, Dean CM, Lindley R, Lloyd G. Improving community ambulation after stroke: the AMBULATE Trial. BMC Neurol. 2009;9:8.
[15]. Alaszewski A, Alaszewski H, Potter J, Penhale B. Working after a stroke: survivors’ experiences and perceptions of barriers to and facilitators of the return to paid employment. Disabil Rehabil. 2007;29(24):1858–69.
[16]. Donnan AG, Fisher M, Macleod M, Davis MS , Stroke.Lancet 2008; 371: 1612-23.
[17]. Mudge S, Stott SN. Outcome measures to assess walking ability following stroke: a systematic review of the literature, Physiotherapy 2007;93(3):189-200.

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