뇌졸중 환자들의 지역사회 보행을 위한 고려사항 : 문헌고찰 = Considerations for Community Ambulation of Patients with Chronic Stroke

다국어 초록 (Multilingual Abstract)

In treating patients with post-stroke hemiparesis, the highest goal is to walk within their community without any difficulties and to promote the return to participation in their
community. This study aimed to identify a variety of factors to influence on the improvement of the requirement skills in community ambulation by reviewing literatures. In patients with chronic stroke, community ambulation depends on physical and cognitive function associated with walking. Some factors have been considered to predict their ability for community ambulation: walking velocity, endurance, self-efficacy, attention, and strength. In addition, there
are environmental components that should be included for suitable walking program for community ambulation. Recent studies support that walking training taken under actual community environment may be more beneficial to improve the skills for community ambulation, considering these factors. It is important that clinicians try to establish a treatment plan for them after full consideration and the recognition of community ambulation, and study effort should be continued to underline the necessity of community ambulation in stroke
rehabilitation.