Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Influence of Walking Capacity and Environment on the Outcomes of Short- and Long-distance Walking Velocity Tests in Individuals with Chronic Stroke

보행 능력과 환경이 만성 뇌졸중 환자의 단거리 및 장거리 보행속도검사 결과에 미치는 영향

  • Jeong, Hye-rim (Physical Therapy Section, Jooeun Raphas Rehabilitation Hospital) ;
  • Oh, Duck-won (Dept. of Physical Therapy, College of Health Science, Cheongju University)
  • 정혜림 (주은라파스병원 물리치료실) ;
  • 오덕원 (청주대학교 보건의료대학 물리치료학과)
  • Received : 2017.04.23
  • Accepted : 2017.08.21
  • Published : 2017.09.17
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Abstract

Background: The method of measuring the walking function of patients with chronic stroke differs depending on patients walking capability and environmental conditions. Objects: This study aimed to demonstrate the influences of walking capacity and environmental conditions on the results of short- and long-distance walk tests in patients with chronic stroke. Methods: Forty patients with chronic stroke volunteered for this study, and allocated to group-1 (<.4m/s, household walking, $n_1=13$), group-2 (.4~.8m/s, limited community ambulation, $n_2=16$), and group-3 (>.8m/s, community ambulation, $n_3=11$) according to their walking capacity. The 10-meter walk test (10MWT) and 6-min walk tests, (6MWT) were used to compare the short- and long-distance walk tests results, which were randomly performed under indoor and outdoor environmental conditions. Results: The comparison of the results obtained under the indoor and outdoor conditions revealed statistically significant differences between the groups in the 6MWT and 10MWT (p<.05). Post-hoc tests' results showed significant differences between groups-1 and -2 and between groups-1 and -3 in the 10MWT, and between group-1 and -3 in the 6MWT. Furthermore, in group-2 the 10MWT and 6MWT results significantly differed between the indoor and outdoor conditions, and the values measured under the indoor and outdoor conditions significantly differed between 10MWT and 6MWT (p<.05). Group-3 showed a significant difference in 10MWT results between the indoor and outdoor conditions (p<.05). Conclusion: These findings suggest that the results of the short- and long-distance walk tests may differ depending on the walking capacity of patients with chronic stroke and the environmental condition under which the measurement is made, and these effects were greatest for the patients with the limited community ambulation capacity.

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References

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