Ability to walk 10 m within the first week of stroke predicts independent outdoor walking and destination

Kento Muto; Daijo Shiratsuchi; Kazuki Nanbu; Hayato Sakamoto; Naohiro Furuya; Kazushi Nakamura; Mitani Yushi; Nako Tsujita; Hyuma Makizako

doi:10.1016/j.jstrokecerebrovasdis.2023.107145

Ability to walk 10 m within the first week of stroke predicts independent outdoor walking and destination

J Stroke Cerebrovasc Dis. 2023 Aug;32(8):107145. doi: 10.1016/j.jstrokecerebrovasdis.2023.107145. Epub 2023 May 19.

Authors

Kento Muto¹, Daijo Shiratsuchi², Kazuki Nanbu³, Hayato Sakamoto⁴, Naohiro Furuya⁵, Kazushi Nakamura⁶, Mitani Yushi⁶, Nako Tsujita⁶, Hyuma Makizako²

Affiliations

¹ Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, 3-35 Michishitacho, Nakamuraku, Nagoya-shi, Aichi, 453-8511, Japan. Electronic address: kento.muto.pt@gmail.com.
² Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8544, Japan.
³ Nishino hospital, 13-27 Sanjimatsuomachi, Yahatahigasiku, Kitakyusyushi, Fukuoka 805-0033, Japan.
⁴ Division of Rehabilitation Services, Kyorin University Hospital, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, Japan.
⁵ Department of Rehabilitation, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa, Sayamashi, Saitama, 350-1305, Japan.
⁶ Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, 3-35 Michishitacho, Nakamuraku, Nagoya-shi, Aichi, 453-8511, Japan.

PMID: 37210777
DOI: 10.1016/j.jstrokecerebrovasdis.2023.107145

Abstract

Objectives: We aimed to determine if achieving a 10-m walk target within the first week of stroke onset correlates with independent outdoor walking at discharge and discharge to home for patients with stroke.

Materials and methods: This study included 226 patients transferred to the subacute rehabilitation hospital (SRH) between January 2018 and March 2021. Data obtained from hospital records included age, sex, stroke type, lesion side, body mass index, presence of acute treatment, length of days from onset to physical therapy intervention, National Institutes of Health Stroke Scale, length of hospital stay, Functional Independence Measure score, and the ability to complete the 10 m walk target within the first week of stroke onset. The primary outcomes were independent outdoor walking ability and discharge destination from the SRH. A logistic regression analysis was performed to determine if the 10 m walking ability correlated with the outdoor walking ability and discharge destination.

Results: Compared with the inability to walk 10 m, walking 10 m independently walking within the first week of stroke onset correlated with the ability to walk independently outdoors at discharge (odds ratio [OR]: 4.38, p = 0.003) and being discharged home (OR: 4.52, p = 0.002), whereas, walking 10 m with assistance was associated with being discharged home (OR: 3.09, p = 0.043).

Conclusions: The ability to walk 10 m within the first week of stroke onset may be a helpful marker for prognosis.

Keywords: Activities of daily living; Patient discharge; Rehabilitation; Stroke; Walking.