Capacidade, desempenho e confiança na marcha como preditores da participação social relacionada à mobilidade em indivíduos pós acidente vascular encefálico

Abstract

The aim of the present study was to evaluate the correlation between capacity, performance and confidence in walking and social participation related to the mobility of individuals after stroke; in addition to investigating which of these three variables, related to gait, can predict the social participation of this population. 95 individuals were evaluated according to walking capacity (10-meter walk test), walking performance (ABILOCO-Brazil), walking confidence (Modified Gait Efficacy Scale - mGES-Brazil) and social participation (Stroke Impact Scale 3.0). Pearson's correlation coefficient was used to assess the correlations between walking measures (capacity, performance, and confidence) and social participation. Multiple linear regression was used to assess which walking variables (capacity, performance, and confidence) best predicts social participation related to mobility. Significant, positive, high magnitude correlations were found between social participation and walking ability (r=0.54; p<0.001), walking performance (r=0.54; p<0.001), and confidence walking (r=0.67; p<0.001). In the regression analysis, confidence in walking alone was able to explain 44% of social participation related to mobility. When walking performance was added to the model, this variable added an explanatory power of 4%, increasing the total explanation of the final model to 48%. Capacity, performance and confidence in walking are directly related to social participation related to mobility in individuals after stroke. However, only performance and confidence can be considered as predictors of this participation. Therefore, rehabilitation with the objective of improving social participation related to mobility should focus not only on increasing walking speed, but mainly on increasing confidence and performance in this activity.