WALKING CAPACITY AND FALLS-EFFICACY CORRELATES WITH PARTICIPATION RESTRICTION IN INDIVIDUALS WITH CHRONIC STROKE: A CROSS SECTIONAL STUDY
DOI:
https://doi.org/10.15621/ijphy/2015/v2i1/60032Keywords:
Falls efficacy, Activity Limitation & Participation restriction, IMPACT(S)Abstract
Background: Mobility impairments seen after Stroke impact walking speed, endurance and balance. Almost all the individuals with Stroke have fear of fall. The physical impairments in balance and gait along with individual’s perception about his/her own abilities to maintain balance might have an impact on level of activity and participation in the community. The association of these variables with recovery of Stroke has been well studied. However, it is currently unknown which of these variables are most associated with activity and participation in the community. This study aimed to identify the correlation of walking capacity and perception of fall with activity & participation. Methods: 30 Subjects were assessed for - walking capacity (6 minute walk test) & Self-efficacy for falls (Modified Falls Efficacy scale). Level of Activity Limitation (AL) & Participation Restriction (PR) was graded on validated ICF Measure of Participation and Activities. (IMPACT-S) Results: Data was analyzed using Pearson's correlation coefficient & regression model. Walking distance and Falls-efficacy is significantly correlated (r=-0.751 and -0.683, respectively) with Participation restriction. Walking distance correlated with Activity Limitation (r=-0.714) significantly. Falls efficacy has a correlation coefficient of -0.642 with Activity Limitation. When put into Regression models, Walking Capacity & Gait Velocity was found to be independently associated with AL &PR. Conclusion: There is significant relationship between falls self-efficacy, walking capacity and Post-stroke activity & participation. Participation can be impacted by factors such as self-motivation and confidence about one's balance abilities. This is reflected by the correlation between falls efficacy and participation. Physical parameters such as the distance walked can contribute to participating in the community, and can predict variation in AL-PRReferences
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9. Danielsson A, Willen C, Sunnerhagen KS. Iswalking endurance associated with activity andparticipation late after stroke? Disabil Rehabil.2011 ;33(21-22):205 3-2057.
10. Nancy E. Mayo, Sharon Wood-Dauphinee, Robert Côté, Liam Durcan, Joseph Carlton, Activity, participation, and quality of life 6 months Arch Phys Med Rehabil 2002:83,(8) 1035–1042
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18. Post MW, de Witte LP, Reichrath E, Verdonschot MM, Wijlhuizen GJ, Perenboom RJ. Development and validation ofIMPACT-S, an ICF-based questionnaire to measure activities and participation. J Rehabil Med 2008;40:620-7.
19. Stucki G, Cieza A, Ewert T, Kostanjsek N, Chatterji S, Üstün TB. Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practice. Disabil Rehabil 2002; 24: 281–282.
20. Patterson SL, Forrester LW, Rodgers MM, Ryan AS, Ivey FM, Sorkin JD,et al. Determinants of walking function after stroke: differences by deficit severity. Arch Phys Med Rehabil 2007; 88: 115–119.
21. Tilson JK et al.Characterizing and Identifying Risk for Falls in the LEAPS Study: A Randomized Clinical Trial of Interventions to Improve Walking Post stroke. Stroke, 2012 Feb; 43 (2): 446-52.
22. Yang SY, Kong KH Level and predictors of participation in patients with stroke undergoing inpatient rehabilitation. Singapore Med J2013; 54 (10):564-8
23. Michael KM; Allen JK; Macko RF Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil 2005; 86(8): 1552-6.
24. Salbach NM, Mayo NE, Robichaud-Ekstrand S, Hanley JA,Richards CL, Wood-Dauphinee S. Balance self-efficacy and itsrelevance to physical function and perceived health status afterstroke. Arch Phys Med Rehabil 2006; 87: 364–370
25. Schmid AA, Van Puymbroeck M, Knies K, et al. Fear of falling among people who have sustained a stroke: a 6-month longitudinal pilot study. Am J Occup Ther 2011; 65:125-32.
26. Korpershoek C, van der Bijl J, Hafsteinsdóttir TB. Self-efficacy and its influence on recovery of patients with stroke: a systematic review. J Adv Nurs. 2011;67(9):1876-94
Int J Physiother 2015; 2(1) Page | 315
2. International Classification of Functioning, Disability and Health: ICF. Geneva, Switzerland: World Health Organization;2001.
3. SchepersVP, Visser-Meily AM, KetelaarK, LindemanE. Prediction of social activity 1 year poststroke.Arch Phys Med Rehabil. 2005;86(7):1472-1476.
4. Hartman-Maeir A, Soroker N, Ring H, Avni N,Katz N. Activities, participation and satisfactionone-year post stroke. Disabil Rehabil. 2007,29(7):559-566.
5. Desrosiers J, Demers L, Robichaud L, Vincent C,Belleville S, Ska B. Short-term changes in andpredictors of participation of older adults afterstroke following acute care or rehabilitation. Neurorehabil Neural Repair. 2008;22(3):288-297.
6. Chau JPC, Thompson DR, Twinn S, Chang AM,Woo j . Determinants of participation restrictionamong community dwelling stroke survivors: apath analysis. BMC NeuroL 2009;9:49.
7. Baseman S, Fisher K, Ward L, BhattacharyaA. The relationship of physical function tosocial integration after stroke. Neurosci Nurs.2010,42(5):237-244.
8. Dalemans RJP, De Witte LP, Beurskens AJHM, Vanden Heuvel WJA, Wade DT. An investigation intothe social participation of stroke survivors withaphasia. Disabil Rehabil. 2010;32(20):l 678-1685.
9. Danielsson A, Willen C, Sunnerhagen KS. Iswalking endurance associated with activity andparticipation late after stroke? Disabil Rehabil.2011 ;33(21-22):205 3-2057.
10. Nancy E. Mayo, Sharon Wood-Dauphinee, Robert Côté, Liam Durcan, Joseph Carlton, Activity, participation, and quality of life 6 months Arch Phys Med Rehabil 2002:83,(8) 1035–1042
11. Tinetti ME, Mendes de Leon CF, Doucete JT, Baker DJ. Fear of falling and fall related efficacy in relationship to functioning among community-living elders. J Gerontol 1994; 49: M140–147
12. Robinson CA, Shumway-Cook A,Ciol MA, Kartin D. Participation in community walking following stroke: subjective versus objective measures and the impact of personal factors. Phys Ther.2011; 91:1865–1876.]
13. Pohl P, Duncan P, Perera S, et al. Influence of stroke-related impairments in performance in 6-minute walk test. J Rehabil Res Dev 2002;39:439-44
14. Guyatt GH, Sullivan MJ, Thompson PJ, et al. The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J 1985; 132:919-23.
15. Enright P, Sherrill D. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med 1998; 158:1384-7.
16. Enright PL, McBurnie MA, Bittner V, et al. The 6-min walk test: a quick measure of functional status in elderly adults. Chest 2003; 123:387-98.
17. Hill K,Schwarz J,et al.Fear of falling revisited, Arch Phys Med Rehabil 1996;77:1025-1029
18. Post MW, de Witte LP, Reichrath E, Verdonschot MM, Wijlhuizen GJ, Perenboom RJ. Development and validation ofIMPACT-S, an ICF-based questionnaire to measure activities and participation. J Rehabil Med 2008;40:620-7.
19. Stucki G, Cieza A, Ewert T, Kostanjsek N, Chatterji S, Üstün TB. Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practice. Disabil Rehabil 2002; 24: 281–282.
20. Patterson SL, Forrester LW, Rodgers MM, Ryan AS, Ivey FM, Sorkin JD,et al. Determinants of walking function after stroke: differences by deficit severity. Arch Phys Med Rehabil 2007; 88: 115–119.
21. Tilson JK et al.Characterizing and Identifying Risk for Falls in the LEAPS Study: A Randomized Clinical Trial of Interventions to Improve Walking Post stroke. Stroke, 2012 Feb; 43 (2): 446-52.
22. Yang SY, Kong KH Level and predictors of participation in patients with stroke undergoing inpatient rehabilitation. Singapore Med J2013; 54 (10):564-8
23. Michael KM; Allen JK; Macko RF Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil 2005; 86(8): 1552-6.
24. Salbach NM, Mayo NE, Robichaud-Ekstrand S, Hanley JA,Richards CL, Wood-Dauphinee S. Balance self-efficacy and itsrelevance to physical function and perceived health status afterstroke. Arch Phys Med Rehabil 2006; 87: 364–370
25. Schmid AA, Van Puymbroeck M, Knies K, et al. Fear of falling among people who have sustained a stroke: a 6-month longitudinal pilot study. Am J Occup Ther 2011; 65:125-32.
26. Korpershoek C, van der Bijl J, Hafsteinsdóttir TB. Self-efficacy and its influence on recovery of patients with stroke: a systematic review. J Adv Nurs. 2011;67(9):1876-94
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07-02-2015
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Nayak , M. N. ., & Mahajan, P. . . (2015). WALKING CAPACITY AND FALLS-EFFICACY CORRELATES WITH PARTICIPATION RESTRICTION IN INDIVIDUALS WITH CHRONIC STROKE: A CROSS SECTIONAL STUDY. International Journal of Physiotherapy, 2(1), 311–316. https://doi.org/10.15621/ijphy/2015/v2i1/60032
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