Can We Improve Real World Walking After Stroke? A Systematic Review and Meta-Analysis

Stretton, Caroline; Mudge, Suzie; McPherson, Kathryn; Kayes, Nicola

doi:10.1016/j.apmr.2014.07.022

Cited by 1 publication

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References 32 publications

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“…The phrase was developed to overcome the conceptual ambiguities and measurement difficulties of alternate terms (e.g. community ambulation or mobility) [19][20][21]. However, surprisingly little is understood about what real-world-walking means to people after stroke.…”

Section: Introductionmentioning

confidence: 99%

What does real-world walking mean to people with stroke? An interpretive descriptive study

Stretton

Mudge

Kayes

et al. 2020

Disability and Rehabilitation

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Purpose: Understanding personal experiences of real-world walking for stroke survivors could assist clinicians to tailor interventions to their clients' specific needs. We explored the research questions: "What does real-world walking mean to people after stroke and how do they think it can be better?" Method: Using an Interpretive Descriptive methodology, we purposively sampled eight stroke survivors who reported difficulty walking in the real-world. We sought diversity on key participant characteristics. Participants were interviewed using a semistructured guide. Data were analysed with thematic analysis. Results: Many found real-world walking, particularly in the outdoors, created opportunities for freedom from dependence and a visible step by step progress, which generated hope for future recovery. Conversely, when participants did not experience sufficient progress, they expressed negative emotions. Participants strove to overcome challenges to their walking goals using everyday routines, planning skills, and confidence building experiences to motivate themselves. They also drew on, and extended, social resources highlighting the relational aspects of real-world walking. Conclusions: Walking in their real-world provided a meaningful, desirable, but challenging goal for participants that required significant emotional effort. Successful progress in real-world walking builds confidence and hope and can contribute to psychological wellbeing by providing opportunities for successful mastery and social connectedness.

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Section: Introductionmentioning

confidence: 99%