Mobility Safety in Chronic Elderly Stroke: Evaluation and Assessment A Narrative Review of the Current Literature and Future Directions | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 24, Volume 77, Issue 3, October 2019, Page 5235-5241 PDF (300.52 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.55485 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Bani Ahmed Ali A. 
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| Department of Physical Therapy, Faculty of Applied Medical Sciences, University of Tabuk | ||||
| Abstract | ||||
| Purpose: Safe ambulation is a multidisciplinary approach of combined skills of medical, nursing, and physical therapy staff to achieve safe outcomes within in- and outpatient settings. The purpose of this literature review is an in-depth evaluation of the available research on factors contribute to mobility falls in chronic ambulatory stroke survivors as a vascular brain pathology with senseromotor consequences especially in geriatric population. Most importantly, the review proposes guidelines for a comprehensive assessment tool combining the major threats assessed of mobility safety in integrated approach. Material and Methods: This narrative review searched in PubMed/MEDLINE was presented in four sections: (Section one) represents the gait motor impairment, (section two) represents the gait motor recovery (section three) addresses walking speed and how it relate to community ambulation and (section four) represents the major threats to mobility safety in chronic stroke survivors. Results: The three major factors that are related to mobility-related fall risk are vision, fast walking and cognitive functions. The literature point to no conclusions regarding the mobility safety benchmarks assessment in an integrated approach. Conclusion: Our literature review shows a complete lack of a comprehensive well-tested clinical assessment tool for measuring mobility safety in stroke. The review propose future research using Dynamic Visual Acuity test as an integrated assessment methodology to assess mobility safety in chronic ambulatory stroke survivors. | ||||
| Keywords | ||||
| Stroke mobility, safety; Dynamic visual acuity | ||||
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