Gait performance and quality of life in stroke survivors: a cross-sectional study

Authors

  • Camila Marinho 1Stroke Clinic of the Federal University of Bahia 2Bahiana School of Medicine and Public Health (EBMSP), Brazil
  • Maiana Monteiro 1Stroke Clinic of the Federal University of Bahia
  • Luciana Santos
  • Jamary Oliveira-Filho
  • Elen Beatriz Pinto

DOI:

https://doi.org/10.17267/2238-2704rpf.v8i1.1777

Keywords:

Quality of life. Gait. Stroke. Functional capacity.

Abstract

INTRODUCTION: Stroke is one of the major causes of neurological deficiencies in the world, and can lead to a wide spectrum of physical deficiencies, including gait performance. These gait abnormalities have a substantial impact on functional activities, lifestyle, and the individual's perceptions about the functionality of daily life and well-being after stroke. OBJECTIVE: To evaluate gait performance, identifying determining which gait components were associated with impaired quality of life in stroke survivors. METHODS: Individuals with  independent gait after a stroke, with or without the use of walking aids such as crutches or canes  were included in the study.  The socio-demographic and clinical data were recorded, then some tests were evaluated, with o 6-minute walk test (6MWT), 10-meters walk test (10MWT), Timed Up & Go (TUG), modified Barthel Index (mBI),National Institutes of Health Stroke Scale (NIHSS) and European Quality of life – 5 dimensions (EQ-5D). A stepwise multivariable logistic regression model assessed predictors of impaired QoL. RESULTS: A total of 124 individual with a mean age of 66 years and median NIHSS of 3 points were included. The mean EQ-5D was 0.44 (SD 0.38) and 91 individuals (73%) had impaired QoL. There was a positive correlation between 6MWT and EQ-5D (r = 0.48, p <0.001). Increasing age, functional capacity, 6MWT, 10MWT, stroke severity and female sex were associated with impaired QoL (p<0.05). In the multivariable analysis, 6MWT (OR 0.94 per 10m increase, p=0.046), functional capacity (OR 0.66, p=0.022) and age (OR 0.54 per 10 year increase, p=0.002) were associated with impaired QoL. CONCLUSION: Distance walked in 6MWT was the strongest gait aspect independently associated with quality of life in community-dwelling individuals with independent gait after a stroke.

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Author Biographies

  • Camila Marinho, 1Stroke Clinic of the Federal University of Bahia 2Bahiana School of Medicine and Public Health (EBMSP), Brazil
    Mestrado em Ciências da Saúde pela Universidade Federal da Bahia
  • Maiana Monteiro, 1Stroke Clinic of the Federal University of Bahia
    Mestrado em Ciências da Saúde (2013) pela Universidade Federal da Bahia
  • Jamary Oliveira-Filho

    Doutorado em Neurologia pela Universidade de São Paulo (2001)

    Mestrado em Epidemiologia pela Harvard School of Public Health (2014)

  • Elen Beatriz Pinto

    Mestrado em Medicina e Saúde (2008)

    Doutorado em Ciências da Saúde (2012) pela Universidade Federal da Bahia

Published

09/17/2018

Issue

Section

Original Articles

How to Cite

1.
Marinho C, Monteiro M, Santos L, Oliveira-Filho J, Pinto EB. Gait performance and quality of life in stroke survivors: a cross-sectional study. Rev Pesq Fisio [Internet]. 2018 Sep. 17 [cited 2024 Dec. 22];8(1):79-87. Available from: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/1777

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