Stroke: After a stroke, is it paralyzed or regaining independent walking?

Stroke, also known as cerebral vascular accidents, brain stroke , blood supply to brain tissue disorder due to cerebral vascular occlusion (ischemic stroke) or rupture (hemorrhagic stroke) caused by the disease
.

In mild cases, only dizziness, weakness of hands and feet, and ataxia may occur.

Stroke, also known as cerebral vascular accidents, brain stroke , blood supply to brain tissue disorder due to cerebral vascular occlusion (ischemic stroke) or rupture (hemorrhagic stroke) caused by the disease

About two-thirds of people after an acute stroke will have difficulty walking independently, and most of the survivors still have this difficulty 3 months after the stroke

Among them, 6 months of onset, especially 3 months, is the best time period for recovery.
During this period, we must pay close attention to systemic rehabilitation, and partial or full recovery of dysfunctions such as hemiplegia and aphasia may be possible
.

From the perspective of medical services, independent walking is very important for the decision-making of rehabilitation goals and discharge destinations

The best period of recovery is within 6 months of onset, especially within 3 months.

Age, diabetes , stroke severity, bleeding, and right hemi-stroke can predict the patient's ability to regain independent walking

In this study, independent walking was defined as walking with or without assistive tools and without the help of outsiders
.

Fifteen studies were included, including 2344 participants who were ambulatory after stroke

Priori factors include, participant demographics: age, gender, hand; before stroke: high blood pressure, ischemic heart disease, high cholesterol, hyperlipidemia, diabetes, atrial fibrillation; stroke-related: stroke severity, stroke type, The location of ischemic stroke, stroke hemisphere, and thrombolysis were used to investigate the association with independent walking by using the Cox proportional hazard model of competition risk for specific reasons
.

cholesterol

Factors predicting independent walking at 3 months and 6 months

Factors predicting independent walking at 3 months and 6 months

The results showed that young age (OR=3.
4, P<0.
001), complete corticospinal tract (OR=8.
3, P<0.
001), good leg strength (OR=5.
0, P<0.
001), and no cognitive impairment (OR=3.
5, P<0.
001), no visual field defect (OR=2.
4, P=0.
006), urinary incontinence (OR=2.
3, P<0.
001), good sitting posture (OR=7.
9, P<0.
001) and The independence of activities of daily living (OR=10.
5, P<0.
001) can predict the ability to walk independently at 3 months
.

Younger age (OR=3.
4, P<0.
001), complete corticospinal tract (OR=8.
3, P<0.
001), good leg strength (OR=5.
0, P<0.
001), no cognitive impairment (OR= 3.
5, P<0.
001), no visual field defect (OR=2.
4, P=0.
006), urinary incontinence (OR=2.
3, P<0.
001), good sitting posture (OR=7.
9, P<0.
001) and activities of daily living The independence (OR=10.
5, P<0.
001) can predict the ability to walk independently at 3 months
.

Younger age (OR=3.

In summary, young age after stroke, intact corticospinal tract, good leg strength, self-care, no cognitive impairment, no visual field defect, good sitting posture, independent activities of daily living and other factors can jointly predict independence after 3 months The ability to walk
.

In summary, young age after stroke, intact corticospinal tract, good leg strength, self-care, no cognitive impairment, no visual field defect, good sitting posture, independent activities of daily living and other factors can jointly predict independence after 3 months The ability to walk
.

In summary, young age after stroke, intact corticospinal tract, good leg strength, self-care, no cognitive impairment, no visual field defect, good sitting posture, independent activities of daily living and other factors can jointly predict independence after 3 months The ability to walk

references:

Prediction of Independent Walking in People Who Are Nonambulatory Early After Stroke: A Systematic Review.

Prediction of Independent Walking in People Who Are Nonambulatory Early After Stroke: A Systematic Review.
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