How various self-reported impairments influence walking ability in persons with late effects of polio.

Abstract:

BACKGROUND:Many persons with late effects of polio experience new or increased impairments, which can lead to walking limitations in daily life. No study has comprehensively analyzed how various self-reported impairments are associated with different aspects of self-reported walking limitations. OBJECTIVE:To determine the associations between self-reported impairments and self-reported walking limitations in persons with late effects of polio. METHODS:Three hundred and twenty-five persons (175 women and 150 men) with verified late effects of polio responded to the Self-reported Impairments in Persons with late effects of Polio (SIPP; 13-items) and to the Walking Impact Scale (Walk-12; 12 items). RESULTS:The overall correlation (rho) between the total sum scores of the SIPP and the Walk-12 was 0.61 (p <  0.01). Of the 156 correlation coefficients (SIPP vs Walk-12), 151 (97% ) were significant at the 1% level. Self-reported muscle weakness, muscle fatigue, muscle and/or joint pain during physical activity and general fatigue had the strongest correlations (rho: 0.33 to 0.64) to the self-reported walking limitations, whereas memory difficulties, sleep disturbances and concentration difficulties had the weakest correlations (rho: 0.10 to 0.34). CONCLUSION:There are weak to moderate associations between self-reported impairments and walking limitations in persons with late effects of polio. By limiting the impact of those impairments that are strongest associated with walking, clinicians may improve walking ability. However, the strength of the associations implies that other rehabilitation interventions should be considered for improving overall performance in daily activities related to walking.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Brogårdh C,Lexell J

doi

10.3233/NRE-151261

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

291-8

issue

2

eissn

1053-8135

issn

1878-6448

pii

NRE151261

journal_volume

37

pub_type

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