The Influence of Walking Limitations on Daily Life: A Mixed-Methods Study of 14 Persons with Late Effects of Polio

Int J Environ Res Public Health. 2022 Jul 3;19(13):8157. doi: 10.3390/ijerph19138157.

Abstract

Reduced walking ability is common in persons with late effects of polio (LEoP). Here, we explored how many walking limitations persons with LEoP perceive, and how these limitations influence daily life, by using a mixed-methods design. Fourteen persons (mean age 70 years, whereof 7 women) with LEoP responded to the Walking Impact Scale (Walk-12), and were interviewed individually. Qualitative data were analysed by systematic text condensation, and each quotation was deductively analysed in relation to the items in Walk-12. Running was perceived as most limited, whereas walking indoors without using support was perceived as least limited. A majority (>70%) were moderately to extremely limited in standing or walking, in walking speed and distance, which affected concentration and effort, as well as gait quality aspects. The limited walking ability intruded on many everyday activities, both indoors and outdoors, which affected social participation negatively. To increase safety when walking and reduce the fall risk, various strategies were adopted such as using aids, walking carefully, and avoiding risky activities. In conclusion, LEoP-related walking limitations influence participants’ activity and participation greatly. By using both the Walk-12 scale and face-to-face interviews, an increased understanding of how walking limitations influence everyday life was achieved.

Keywords: activities of daily living; disabled persons; post poliomyelitis syndrome; qualitative research; rehabilitation; walking limitations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Disease Progression
  • Female
  • Gait
  • Humans
  • Poliomyelitis* / prevention & control
  • Walking*

Grants and funding

This study was supported by grants from the Stiftelsen för bistånd åt rörelsehindrade i Skåne, Sweden, Gyllenstiernska Krapperupsstiftelsen (The Gyllenstierna Krapperup Foundation), Sweden and the Faculty of Medicine at Lund University, Lund, Sweden. The funding agencies were not involved in any aspects of the study design, data collection, data interpretation or manuscript preparation.