Factors Determining the Advisability of Outdoor Activity for Community-dwelling Stroke Patients

Abstract

To clarify the factors deciding the advisability of outdoor activities for community-dwelling stroke patients. [Subjects] Sixty-five hemiplegic stroke outpatients of our hospital with a stroke onset of less than 6 months. [Methods] Based on the life space assessment (LSA) of maximum independent activity range, subjects were divided into an indoor group and an outdoor group, and the results of the 10-m walking time (10mWT), the 6-min walking distance (6MWD), the 30-s sit-to-stand count, and the 30-s chair-stand test (CS-30) of each group were compared. Furthermore, when significant differences were found, the cutoff points were calculated. [Results] Significant differences were found for the 10mWT, the 6MWD, and the CS-30. Their respective cutoff points were 22.9 s, 112 m, and 5.5 times. [Conclusion] The results suggest the advisability of outdoor activities can be determined using the 10mWT, 6MWD and CS-30.

Effect of hybrid assistive limb treatment on maximal walking speed and six-minute walking distance during stroke rehabilitation: a pilot study

“…Furthermore, Pradon et al 10) reported that 6MWD is an index of cadence in stroke patients. Oikawa et al 23) suggested that the advisability of outdoor activities can be determined using MWS, 6MWD, and the 30-second chair-stand test with cut-off points of 0.43 m/s, 112 m, and 5.5 times, respectively. Additionally, a study recently suggested an association between gait posture and 6MWD 24) .…”