Observational studyPhysical therapy2022
Prevalence of Walking Limitation After Acute Stroke and Its Impact on Discharge to Home.
Observational study in Physical therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 35 citations in OpenAlex.
- Overground robotic exoskeleton vs conventional therapy in inpatient stroke rehabilitation: results from a pragmatic, multicentre implementation programme.Journal of neuroengineering and rehabilitation · 2025Trial
- Improvements in Gait Function Following Integrative Korean-Western Medicine Treatment in Older Adults with Chronic Stroke: A Retrospective Exploratory Study.Medicina (Kaunas, Lithuania) · 2026Observational
- Visuospatial Working Memory Predicts Strategic Motor Learning With Visual Feedback During Gait After Stroke.Neurorehabilitation and neural repair · 2026Article
- Effects of Gait Training with Lower-Limb Robotic Exoskeletons and Exoskeleton-Type Devices on Gait Symmetry and Gait Speed in Patients with Stroke: A Systematic Review and Meta-Analysis.Bioengineering (Basel, Switzerland) · 2026Review
- Distinct Patterns of Mobility Recovery After Stroke Using Routine Clinical Data.medRxiv : the preprint server for health sciences · 2026Article
- Characterizing virtual community exercise programs for people with mobility limitations: a scoping review.Journal of exercise science and fitness · 2026Review
- Identification of signal-based gait features and blood analytes associated with stroke status and walking speed in mild acute ischemic stroke.BMC neurology · 2026Article
- Mechatronic Design and Development of a Lower-Limb Exoskeleton System Based on Knee Joint Biomechanical Principles Using Electro-Pneumatic Actuation with an Embedded EMG Controller for Experimental Validation in Elderly Gait Rehabilitation Support.Bioengineering (Basel, Switzerland) · 2026Article
- Development of a model to predict gait independence in individuals with very severe gait disorder due to subacute hemiparetic stroke.Fujita medical journal · 2026Article
- Prefrontal Cortex Oxygenation Dynamics During Walking in Patients with Acute Stroke.Advances in experimental medicine and biology · 2026Article
- Home-Based Gait Interventions for Adults with Stroke: A Scoping Review.Archives of rehabilitation research and clinical translation · 2025Review
- Noninvasive spatiotemporal spinal neuromodulation targeting dorsal roots improves paretic leg motor control during walking in persons with stroke.Journal of neurophysiology · 2025Article
- Validity of AI-Driven Markerless Motion Capture for Spatiotemporal Gait Analysis in Stroke Survivors.Sensors (Basel, Switzerland) · 2025Article
- Losing Ground Following Community Exercise Programme Closures: A Qualitative Descriptive Study of the Impact of COVID-19 Related Pandemic Restrictions on Exercise Participation, Physical Activity, and Health of Older Adults With Balance and Mobility Limitations.Physiotherapy Canada. Physiotherapie Canada · 2025Article
- Are the 6-minute walk test and the 2-minute walk test equivalent in acute and subacute stroke survivors in Belgium and Vietnam: a multicultural study.Journal of rehabilitation medicine · 2025Observational
- Article
- Frailty and mobility in hospitalized older adults: an analytical cross sectional study.Revista brasileira de enfermagem · 2025Article
- Prediction of poststroke independent walking using machine learning: a retrospective study.BMC neurology · 2024Article
- Article
- Individualized goals expressed by patients undergoing stroke rehabilitation: an observational study.Journal of rehabilitation medicine · 2024Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study was to provide contemporary estimates of the prevalence of lower extremity motor impairment and walking limitation after first-ever stroke and to characterize the predictive nature of early walking ability for being discharged home after acute hospitalization.
methodsIn this cohort study, data were collected from a metropolitan acute care hospital in Canada at admission for 487 adults with first-ever acute ischemic or hemorrhagic stroke. Lower extremity motor impairment and walking limitation were measured using the National Institutes of Health Stroke Scale and AlphaFIM, respectively. Parallel multivariable logistic regression models were built to predict discharge home after acute hospitalization compared with further hospitalization.
resultsFor patients surviving a first-ever stroke, 44.1% presented with some degree of lower extremity motor impairment and 46.0% were unable to walk. In a multivariable model built around a binary classification of walking (Nagelkerke R2 = 0.41), those with any ability to walk at admission (with or without therapist assistance) had 9.48 times greater odds of being discharged home (odds ratio = 9.48, 95% CI = 6.11-14.92) than those who were unable. In a parallel multivariable model built around an ordinal classification of walking (Nagelkerke R2 = 0.49), patients had 2.07 times greater odds (odds ratio = 2.07, 95% CI = 1.82-2.38) of being discharged home for each increment on a 6-point walking scale (total dependence to complete independence) assessed at acute admission.
conclusionApproximately one-half of patients with first-ever stroke present with lower extremity weakness and walking limitation. Early walking ability is a significant predictor of returning home after acute hospitalization, independent of stroke severity. Discharge planning may be facilitated early after stroke with the familiar assessment of walking ability. IMPACT: An early assessment of walking function within days of stroke admission can help to streamline discharge planning. LAY SUMMARY: Nearly one-half of all individuals who experience a first-time stroke have walking difficulty when they arrive at the hospital. The severity of the walking limitation can predict whether a patient will eventually be discharged home or go on to further hospitalization.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.