TY - JOUR
T1 - Perceived barriers and facilitators for gait-related participation in people after stroke
T2 - From a patients’ perspective
AU - de Rooij, Ilona J.M.
AU - van de Port, Ingrid G.L.
AU - van der Heijden, Laura L.M.
AU - Meijer, Jan Willem G.
AU - Visser-Meily, Johanna M.A.
N1 - Funding Information:
This work was supported by Revant Innovatie [NA]. The authors would like to thank the interview participants for their time. We also thank Ms. Vivianne van Beyeren Bergen en Henegouwen (PT, MSc) for contributing to the data collection, and Mr. Franssen and Mr. Willems (participants) for giving their input for the interpretation of the results.
Publisher Copyright:
© 2019 The Author(s). Published with license by Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Background: An important focus of post-stroke physical therapy is to improve walking and walking capacity. However, many people after stroke experience difficulties with gait-related participation, which includes more than walking capacity alone. Gait-related participation involves walking with a participation goal and requires to deal with changes in the environment during walking and perform dual tasks, for example. Objective: To explore barriers and facilitators for gait-related participation from the perspective of people after stroke. This knowledge can contribute to the development of effective interventions to improve gait-related participation. Methods: Semi-structured interviews were conducted to investigate how people after stroke experience gait-related participation. Audio-recorded interviews were transcribed, anonymized, and analyzed thematically. Barriers and facilitators were categorized according to the International Classification of Functioning, Disability and Health (ICF) framework. Results: Twenty-one people after stroke participated. Median age was 65 years, median time since stroke 16 weeks. Barriers were reported in movement-related functions, cognitive functions, mobility, personal factors, and environmental factors. Facilitators were found on participation level and in personal and environmental factors, such as motivation and family support. Conclusion: People after stroke who were physically able to walk independently still described multiple barriers to gait-related participation in all components of the ICF framework.
AB - Background: An important focus of post-stroke physical therapy is to improve walking and walking capacity. However, many people after stroke experience difficulties with gait-related participation, which includes more than walking capacity alone. Gait-related participation involves walking with a participation goal and requires to deal with changes in the environment during walking and perform dual tasks, for example. Objective: To explore barriers and facilitators for gait-related participation from the perspective of people after stroke. This knowledge can contribute to the development of effective interventions to improve gait-related participation. Methods: Semi-structured interviews were conducted to investigate how people after stroke experience gait-related participation. Audio-recorded interviews were transcribed, anonymized, and analyzed thematically. Barriers and facilitators were categorized according to the International Classification of Functioning, Disability and Health (ICF) framework. Results: Twenty-one people after stroke participated. Median age was 65 years, median time since stroke 16 weeks. Barriers were reported in movement-related functions, cognitive functions, mobility, personal factors, and environmental factors. Facilitators were found on participation level and in personal and environmental factors, such as motivation and family support. Conclusion: People after stroke who were physically able to walk independently still described multiple barriers to gait-related participation in all components of the ICF framework.
KW - gait
KW - ICF
KW - participation
KW - patient perspective
KW - physical therapy
KW - Stroke
UR - https://www.scopus.com/pages/publications/85075928571
U2 - 10.1080/09593985.2019.1698085
DO - 10.1080/09593985.2019.1698085
M3 - Article
C2 - 31793365
AN - SCOPUS:85075928571
SN - 0959-3985
VL - 37
SP - 1337
EP - 1345
JO - Physiotherapy Theory and Practice
JF - Physiotherapy Theory and Practice
IS - 12
ER -