Self-reported functional ambulation is related to physical mobility status in polio survivors; a cross-sectional observational study.

Ambulation classification Physical mobility Poliomyelitis Rehabilitation. Self-reported functional ambulation

Journal

Annals of physical and rehabilitation medicine
ISSN: 1877-0665
Titre abrégé: Ann Phys Rehabil Med
Pays: Netherlands
ID NLM: 101502773

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 28 02 2020
revised: 23 05 2020
accepted: 21 06 2020
pubmed: 18 8 2020
medline: 21 10 2021
entrez: 18 8 2020
Statut: ppublish

Résumé

The condensed 3-level version of the self-reported ambulation classification by Perry is a validated, simple-to-use instrument in clinical practice to classify functional ambulation. To further validate the clinical meaning of the classification for polio survivors, we compared physical mobility status across 3 functional ambulation categories and investigated the relation between physical mobility and functional ambulation category. We investigated a convenience sample of 140 individuals with polio [mean (SD) age 59.4 (12.1) years; 74 men] who were able to walk at least indoors. For indicators of physical mobility status, we assessed the walked distance (m) and walking energy cost (Jkg The mean (SD) walked distance, energy cost, and SF36-PF and FSS scores significantly differed between household walkers (n=48) and limited community walkers (n=63) [275 (67) m; 6.35 (1.80) Jkg The simple, self-reported classification of functional ambulation in 3 levels is clinically meaningful for polio survivors because it consistently corresponds to differences in objective and self-reported indicators of physical mobility and, as such, can be used to better manage rehabilitation treatment.

Sections du résumé

BACKGROUND BACKGROUND
The condensed 3-level version of the self-reported ambulation classification by Perry is a validated, simple-to-use instrument in clinical practice to classify functional ambulation.
OBJECTIVE OBJECTIVE
To further validate the clinical meaning of the classification for polio survivors, we compared physical mobility status across 3 functional ambulation categories and investigated the relation between physical mobility and functional ambulation category.
METHODS METHODS
We investigated a convenience sample of 140 individuals with polio [mean (SD) age 59.4 (12.1) years; 74 men] who were able to walk at least indoors. For indicators of physical mobility status, we assessed the walked distance (m) and walking energy cost (Jkg
RESULTS RESULTS
The mean (SD) walked distance, energy cost, and SF36-PF and FSS scores significantly differed between household walkers (n=48) and limited community walkers (n=63) [275 (67) m; 6.35 (1.80) Jkg
CONCLUSION CONCLUSIONS
The simple, self-reported classification of functional ambulation in 3 levels is clinically meaningful for polio survivors because it consistently corresponds to differences in objective and self-reported indicators of physical mobility and, as such, can be used to better manage rehabilitation treatment.

Identifiants

pubmed: 32805457
pii: S1877-0657(20)30156-1
doi: 10.1016/j.rehab.2020.06.007
pii:
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

101428

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Masson SAS.. All rights reserved.

Auteurs

Merel-Anne Brehm (MA)

Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam University Medical Centre, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands. Electronic address: m.a.brehm@amsterdamumc.nl.

Hilde E Ploeger (HE)

Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam University Medical Centre, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.

Frans Nollet (F)

Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam University Medical Centre, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.

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