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Activity and participation in stroke survivors in a low‐income setting: A cross‐sectional study
Author(s) -
MwakaRutare Claudel,
Perreault Kadija,
AbediMukutenga Pamphyle,
MasugaMusafiri Willy,
Batcho Charles Sèbiyo
Publication year - 2020
Publication title -
physiotherapy research international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.509
H-Index - 49
eISSN - 1471-2865
pISSN - 1358-2267
DOI - 10.1002/pri.1846
Subject(s) - stroke (engine) , cross sectional study , psychology , physical therapy , activities of daily living , barthel index , medicine , physical medicine and rehabilitation , gerontology , mechanical engineering , pathology , engineering
Objectives To describe patients' activity and participation levels and to compare these levels across different groups of stroke survivors according to their walking speed (WS). Methods In this cross‐sectional study, 67 stroke survivors (43 men, mean age: 58.4 ± 12.9 years old) were assessed using the stroke impairment assessment set (SIAS), ACTIVLIM‐Stroke, 10‐m walk test (10MWT), 6‐min walk test (6MWT) and Reintegration to Normal Living Index (RNLI). The sample was afterwards split into three WS sub‐groups (<0.4 m/s, 0.4–0.8 m/s and >0.8 m/s) based on 10MWT scores. Results ACTIVLIM‐Stroke, 10MWT and 6MWT mean scores (± SD ) were, respectively, 69.4 ± 20.2%, 0.9 ± 0.6 m/s and 282.1 ± 182 m. RNLI median score (range) was 5 (0–20). Sub‐group analyses indicated that 26.9% ( n = 18) obtained WS < 0.4 m/s, 13.4% ( n = 9) WS between 0.4 and 0.8 m/s, and 59.7% ( n = 40) WS > 0.8 m/s. Significant differences ( p < .001) were found between WS sub‐groups for both activity and participation. Conclusion Stroke survivors in Kinshasa presented a good performance for basic‐activities of daily life (basic‐ADLs). However, some of them still had difficulties with some community activities. Differences in WS seemed to discriminate well stroke survivors in terms of activity and participation, since the higher WS, the more they performed in basic‐ADLs, walking distance and participation, and inversely.