Achievement of simple mobility milestones after stroke

Arch Phys Med Rehabil. 1999 Apr;80(4):442-7. doi: 10.1016/s0003-9993(99)90283-6.


Objectives: To observe the mobility outcomes of an inpatient population of stroke patients grouped according to the Oxfordshire Community Stroke Project classification.

Study design: "Mobility milestones," standardized measures of functional movement, were used to examine mobility recovery.

Participants: Two hundred thirty-eight stroke patients admitted to the Western General Hospital, Edinburgh.

Main outcome measures: Times taken to achieve four mobility milestones: 1-minute sitting balance, 10-second standing balance, a 10-step walk, and a 10-meter walk.

Results: For all subjects the median times to achieve the milestones were as follows: 1-minute sitting balance, day of stroke; 10-second standing balance, 3 days; 10-step walk, 6 days; and a 10-meter walk, 9 days. Subjects sustaining a partial anterior circulation infarct, lacunar infarct, or posterior circulation infarct achieved the mobility milestones most rapidly and generally had a shorter hospital stay.

Conclusions: A hierarchical pattern of recovery of mobility reflecting variation between subgroups was observed. Predicted timescales for recovery of mobility are suggested.

MeSH terms

  • Achievement*
  • Activities of Daily Living / classification*
  • Aged
  • Aged, 80 and over
  • Cerebral Infarction / rehabilitation*
  • Female
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Patient Admission
  • Patient Care Team
  • Postural Balance*
  • Treatment Outcome
  • Walking*