Perceptions of individuals with stroke regarding the use of a cane for walking: A qualitative study

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dc.creatorLucas Rodrigues Nascimento
dc.creatorLouise Ada
dc.creatorGerdeany Mendes da Rocha
dc.creatorLuci Fuscaldi Teixeira-Salmela
dc.date.accessioned2023-01-11T13:20:19Z
dc.date.accessioned2025-09-08T23:22:18Z
dc.date.available2023-01-11T13:20:19Z
dc.date.issued2019-01
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.identifier.doihttps://doi.org/10.1016/j.jbmt.2018.02.001
dc.identifier.issn1532-9283
dc.identifier.urihttps://hdl.handle.net/1843/48854
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Bodywork and Movement Therapies
dc.rightsAcesso Restrito
dc.subjectAcidente vascular cerebral
dc.subjectTecnologia médica
dc.subjectPesquisa qualitativa
dc.subjectReabilitação
dc.subject.otherStroke
dc.subject.otherAssistive technologies
dc.subject.otherQualitative research
dc.subject.otherRehabilitation
dc.titlePerceptions of individuals with stroke regarding the use of a cane for walking: A qualitative study
dc.typeArtigo de periódico
local.citation.epage170
local.citation.issue1
local.citation.spage166
local.citation.volume23
local.description.resumoIt is well known that clinical decisions, which include prescription of canes after stroke, should not only be based on biomechanical research. According to the principles of evidence-based medicine, patients' perceptions and preferences should also be investigated to help planning good clinical decisions. The purpose of this study was to comprehend how ambulatory people with stroke, naïve to the use of canes, perceive using a cane during walking. An exploratory, qualitative study was conducted. Twenty-four people, on average 6 years after a stroke, were included. Participants were categorized as slow (<0.4 m/s), intermediate (0.4–0.8 m/s), or fast walkers (>0.8 m/s), based on their baseline walking speed. Participants' spontaneous perceptions regarding the use of a cane were collected during a timed-walk test and analyzed, following standardized recommendations. The discourse of each participant was categorized into “positive perceptions” or “negative perceptions”. Overall, the nature of the perceptions was both positive (i.e., improvements of mobility and/or independence, and improvement of safety/balance and/or reduced risk of falls) and negative (i.e., social stigmatisms, and interference with use of the non-paretic upper limb). However, participants’ perceptions were diverse, depending on their walking ability. Participants categorized as slow walkers perceived the use of a cane as positive, but this positive perception decreased, as walking ability increased. The most positive perceptions came from individuals with severe and moderate walking limitations, who tended to believe that using a cane may be helpful for improving walking, safety, and promoting independence. Fast walkers provided negative perceptions, and may not choose to use canes for walking due to social stigmatisms or interference with use of the non-paretic upper limb.
local.identifier.orcidhttps://orcid.org/0000-0002-6792-0819
local.identifier.orcidhttps://orcid.org/0000-0003-1369-5721
local.identifier.orcidhttps://orcid.org/0000-0001-8358-8636
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S1360859218300676?via%3Dihub

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