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Vol. 23. Issue 5.
Pages 412-418 (01 September 2019)
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Vol. 23. Issue 5.
Pages 412-418 (01 September 2019)
Original Research
DOI: 10.1016/j.bjpt.2018.12.005
Walking speed best explains perceived locomotion ability in ambulatory people with chronic stroke, assessed by the ABILOCO questionnaire
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Patrick R. Avelinoa, Kênia K.P. Menezesa, Lucas Rodrigues Nascimentoa,b, Iza Faria-Fortinic, Christina Danielle Coelho de Morais Fariaa, Luci F. Teixeira-Salmelaa,
Corresponding author
lfts@ufmg.br

Corresponding author at: Department of Physical Therapy, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Campus Pampulha, CEP: 31270-901, Belo Horizonte, MG, Brazil.
a NeuroGroup, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
b Center of Health Sciences, Universidade Federal do Espírito Santo (UFES), Vitória, ES, Brazil
c Discipline of Ocupational Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
Highlights

  • Impairment and activity measures were significantly correlated with ability of locomotion.

  • Walking speed explained 35% of the variance in the ABILOCO scores.

  • Locomotion ability may increase if attention is focused on increasing walking speed.

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Tables (3)
Table 1. Characteristics of the participants in a study to look at locomotion using the ABILOCO questionaire.
Table 2. Spearman correlation coefficients (ρ) and statistical significance (p-values) between the selected variables and self-reported measure of locomotion ability (ABILOCO questionnaire).
Table 3. Results of the regression analysis regarding the potential predictors of self-reported locomotion ability (ABILOCO questionnaire) (n=115).
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Abstract
Background

The identification of the predictors of locomotion ability could help professionals select variables to be considered during clinical evaluations and interventions.

Objective

To investigate which impairment measures would best predict locomotion ability in people with chronic stroke.

Methods

Individuals (n=115) with a chronic stroke were assessed. Predictors were characteristics of the participants (i.e. age, sex, and time since stroke), motor impairments (i.e. muscle tonus, strength, and motor coordination), and activity limitation (i.e. walking speed). The outcome of interest was the ABILOCO scores, a self-reported questionnaire for the assessment of locomotion ability, designed specifically for individuals who have suffered a stroke.

Results

Age, sex, and time since stroke did not significantly correlate with the ABILOCO scores (−0.07<ρ<0.05; 0.48<p<0.99). Measures of motor impairments and walking speed were significantly correlated with the ABILOCO scores (−0.25<r<0.57; p<0.001), but only walking speed and strength were kept in the regression model. Walking speed alone explained 35% (F=55.5; p<0.001) of the variance in self-reported locomotion ability. When strength was included in the model, the explained variance increased to 37% (F=31.4; p<0.001).

Conclusions

Walking speed and lower limb strength best predicted locomotion ability as perceived by individuals who have suffered a stroke.

Keywords:
Cerebrovascular accident
Strength
Motor coordination
Gait
Rehabilitation

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