Review of determination of walking independence of hemiparetic stroke patients

Abstract

[Purpose] This study investigated the methods that physical therapists use to assess the walking independence of hemiparetic stroke patients, and the factors related to walking independence. [Method] English-language and Japanese-language studies were identified through searches of MEDLINE and ICHUSHI up to December 2011. [Result] Inclusion criteria were satisfied by 39 trials. The test batteries used to determine walking independence were FIM, FAC, and doctors and physical therapist decisions. Factors related to walking independence were walking ability, lower extremity function of the affected side, cognitive disorder, and higher cerebral dysfunction. However, their values and significance were not defined. [Conclusion] Results of this review suggest that walking independence of stroke patients is determined by qualitative evaluation. Therefore, comprehensive evaluation scales are necessary for physical therapists to objectively ascertain walking independence. © 2012, The Society of Physical Therapy Science. All rights reserved.