{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:46:39Z","timestamp":1777891599311,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NRE"],"published-print":{"date-parts":[[2023,2,23]]},"abstract":"<jats:p>BACKGROUND: High collision rates and frequency of entering the opening from non-paretic sides are associated with collision in individuals with stroke. OBJECTIVE: To identify factors associated with collision avoidance behavior when individuals with stroke walked through narrow openings. METHODS: Participants with subacute or chronic stroke walked through a narrow opening and had to avoid colliding with obstacles. Multiple regression analyses were conducted with pathophysiology, motor function, and judgment ability as predictor variables; collision rate and frequency of entering the opening from non-paretic sides were outcome variables. RESULTS: Sixty-one eligible individuals with stroke aged 63\u00b112 years were enrolled. Thirty participants collided twice or more and 37 entered the opening from the non-paretic side. Higher collision occurrence was associated with slower Timed Up and Go tests and left-right sway (odds ratios, 1.2 and 5.6; 95% confidence intervals, 1.1\u20131.3 and 1.3\u201328.2; p\u200a=\u200a.008 and.025, respectively). Entering from non-paretic sides was associated with lesions in the thalamus, left-sided hemiplegia, and Brunnstrom stage 3 or lower (odds ratios, 6.6, 8.7, and 6.7; 95% confidence intervals, 1.3\u201352.5, 2.5\u201336.5, and 1.2\u201357.5; and p\u200a=\u200a.038,.001, and.048, respectively). CONCLUSION: Walking ability is associated with avoiding obstacle collision, while pathophysiological characteristics and degree of paralysis are associated with a preference for which side of the body enters an opening first. Interventions to improve walking ability may improve collision avoidance. Avoidance behavior during intervention varies depending on the lesion position.<\/jats:p>","DOI":"10.3233\/nre-220174","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T11:51:06Z","timestamp":1666093866000},"page":"155-163","source":"Crossref","is-referenced-by-count":2,"title":["Pathophysiological and motor factors associated with collision avoidance behavior in individuals with stroke"],"prefix":"10.1177","volume":"52","author":[{"given":"Daisuke","family":"Muroi","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences, Division of Physical Therapy, Faculty of Health Care Sciences, Chiba Prefectural University of Health Sciences, Chiba, Japan"},{"name":"Department of Health Promotion Science, Tokyo Metropolitan University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shosuke","family":"Ohtera","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Economic Evaluation for Health, National Institute of Public Health, Saitama, Japan"},{"name":"Department of Health Economics, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaro","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kameda Medical Center, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aki","family":"Koyake","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kameda Medical Center, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Science, Tokyo Metropolitan University, Tokyo, 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