Balance and balance self-efficacy are associated with activity and participation after stroke

A cross-sectional study in people with chronic stroke

Arlene A. Schmid, Marieke Van Puymbroeck, Peter A. Altenburger, Tracy A. Dierks, Kristine K. Miller, Teresa Damush, Linda Williams

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

Objectives: To (1) examine the relationships between multiple poststroke mobility variables (gait speed, walking capacity, balance, balance self-efficacy, and falls self-efficacy) and activity and participation; and (2) determine which poststroke mobility variables are independently associated with activity and participation. Design: This is the primary analysis of a prospective cross-sectional study completed to understand the impact of mobility on activity and participation in people with chronic stroke. Setting: University-based research laboratory, hospitals, and stroke support groups. Participants: People (N=77) with stroke greater than 6 months ago were included in the study if they were referred to occupational or physical therapy for physical deficits as a result of the stroke, completed all stroke related inpatient rehabilitation, had residual functional disability, scored a <4 out of 6 on the short, 6-item Mini-Mental State Examination, and were between the ages of 50 and 85. Interventions: Not applicable, this is a cross-sectional data collection of 1 timepoint. Main Outcome Measures: We measured activity and participation with the validated International Classification of Functioning, Disability and Health Measure of Participation and Activities. Other variables included gait speed (10-meter walk), walking capacity (6-minute walk), balance (Berg Balance Scale), balance self-efficacy (Activities Specific Balance Confidence Scale), and falls self-efficacy (Modified Falls Efficacy Scale). Results: Only balance self-efficacy was found to be independently associated with poststroke activity (β=-.430, P<.022, 95% confidence interval [CI], -.247 to -.021) and participation (β=-.439, P<.032, 95% CI, -.210 to -.010). Conclusions: Among people with chronic stroke, balance self-efficacy, not physical aspects of gait, was independently associated with activity and participation. While gait training continues to be important, this study indicates a need to further evaluate and address the psychological factors of balance and falls self-efficacy to obtain the best stroke recovery.

Original languageEnglish
Pages (from-to)1101-1107
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume93
Issue number6
DOIs
StatePublished - Jun 2012

Fingerprint

Self Efficacy
Cross-Sectional Studies
Stroke
Gait
Walking
Confidence Intervals
International Classification of Functioning, Disability and Health
Hospital Laboratories
Self-Help Groups
Inpatients
Rehabilitation
Outcome Assessment (Health Care)
Psychology
Research

Keywords

  • Motor activity
  • Recovery of function
  • Rehabilitation
  • Self efficacy
  • Stroke

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Balance and balance self-efficacy are associated with activity and participation after stroke : A cross-sectional study in people with chronic stroke. / Schmid, Arlene A.; Van Puymbroeck, Marieke; Altenburger, Peter A.; Dierks, Tracy A.; Miller, Kristine K.; Damush, Teresa; Williams, Linda.

In: Archives of Physical Medicine and Rehabilitation, Vol. 93, No. 6, 06.2012, p. 1101-1107.

Research output: Contribution to journalArticle

Schmid, Arlene A. ; Van Puymbroeck, Marieke ; Altenburger, Peter A. ; Dierks, Tracy A. ; Miller, Kristine K. ; Damush, Teresa ; Williams, Linda. / Balance and balance self-efficacy are associated with activity and participation after stroke : A cross-sectional study in people with chronic stroke. In: Archives of Physical Medicine and Rehabilitation. 2012 ; Vol. 93, No. 6. pp. 1101-1107.
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AU - Altenburger, Peter A.

AU - Dierks, Tracy A.

AU - Miller, Kristine K.

AU - Damush, Teresa

AU - Williams, Linda

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