Document Detail


Is walking faster or walking farther more important to persons with chronic stroke?
MedLine Citation:
PMID:  23035811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purposes of this mixed-methods study were to (1) investigate whether walking faster or walking farther was more important for getting "out and about" to persons with chronic stroke and (2) explore explanations for walking preferences.
METHOD: A convenience sample of 77 adults with chronic stroke completed questionnaires and walking outcomes in one visit. Participants were asked whether walking faster or farther was more important to them for getting "out and about", and differences between response groups (faster vs. farther) were evaluated. Participants also described their preference for walking faster or farther. Qualitative responses were analyzed using content analysis.
RESULTS: The majority of participants (76%; n = 58) reported walking farther was more important, while 18% (n = 14) reported walking faster was more important. Statistically significant differences were not found between response groups for any variable. Primary themes identified from participant preferences for walking faster included: (1) faster speed equals better walking ability and (2) getting places faster/quicker. Primary themes from preferences for walking farther included: (1) engaging in activity and participation within home and community; (2) walking farther at a slower pace; and (3) fatigue with walking.
CONCLUSIONS: Individual preferences for walking faster versus walking farther by persons with chronic stroke should be considered by clinicians when making decisions for rehabilitation.
IMPLICATIONS FOR REHABILITATION: • Individual preferences for walking faster versus walking farther by patients with chronic stroke should be considered by rehabilitation clinicians when making decisions about examination and intervention. • The majority of participants with chronic stroke in this study indicated the importance of walking farther in order to better engage in activities both at home and away from home. • Interventions that focus on improving endurance and energy conservation may need to be used for persons with chronic stroke who want to walk father in order to maximize their potential for walking longer distances.
Authors:
Stephanie A Combs; Marieke Van Puymbroeck; Peter A Altenburger; Kristine K Miller; Tracy A Dierks; Arlene A Schmid
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2012-10-05
Journal Detail:
Title:  Disability and rehabilitation     Volume:  35     ISSN:  1464-5165     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-22     Completed Date:  2013-09-17     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  860-7     Citation Subset:  IM    
Affiliation:
University of Indianapolis, Krannert School of Physical Therapy, Indianapolis, IN 46227, USA. scombs@uindy.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Chronic Disease
Female
Gait*
Humans
Male
Middle Aged
Patient Preference
Qualitative Research
Questionnaires
Stroke / rehabilitation*
Walking / physiology*
Grant Support
ID/Acronym/Agency:
RR025761/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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