Description

Preston et al reported factors associated with independent walking in a patient who was nonambulatory soon after a stroke. These can help to guide rehabilitation and patient counseling. The authors are from the University of Canberra in Australia.


Patient selection: stroke patient, nonambulatory early after stroke

 

Predictors of independent walking at 3 months:

(1) younger age (OR 3.4; mean age 62 vs 71 for nonambulatory; use < 66 in implementation)

(2) intact corticospinal tract (at day 17; OR 8.3)

(3) good leg strength (at day 13; OR 5)

(4) no cognitive impairment (at day 19; OR 3.5)

(5) no neglect (at day 13; OR 2.4)

(6) continence (at day 18; OR 2.3)

(7) good sitting (at day 17; OR 7.9)

(8) independent in activities of daily living (ADL; at day 25; OR 10.5)

 

Predictors of independent walking at 6 months:

(1) younger age (OR 2.1)

(2) continence (OR 13.8)

(3) good sitting (OR 19.1)


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