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Return to employment after stroke in young adults: How important is the speed and energy cost of walking?

Stroke Oct 05, 2019

Jarvis HL, Brown SJ, Price M, et al. - Researchers explored how a stroke affects walking performance in young adults (eg, walking speed and metabolic cost) vs healthy age-matched controls, as well as determined the predictive ability of the walking performance parameters to return to poststroke employment. They recruited 46 people (18–40 years: n = 6, 41–54 years: n = 21, 55–65 years: n = 19) who have had a stroke and 15 healthy age-matched able-bodied controls from six hospital sites in Wales, United Kingdom. This research is the first to capture parameters of walking performance of young adults who have had a stroke and identify slower and less effective walking. Data reported that only 23% of stroke candidates returned to employment poststroke. Walking speed emerged as the most powerful predictor of returning to work. Walking speed is recommended to be used as a simple but sensitive clinical functional performance indicator to guide rehabilitation and inform readiness to return to poststroke work.
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