Article

OBJECTIVE: To estimate the effect of balance confidence measured at 1 month
poststroke rehabilitation on perceived physical function, mobility, and stroke
recovery 12 months later. DESIGN: Longitudinal study (secondary analysis).
SETTING: Multisite, community-based. PARTICIPANTS: Community-dwelling individuals
(N=69) with stroke living in a home setting. INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURES: Activities-specific Balance Confidence scale; physical function
and mobility subscales of the Stroke Impact Scale 3.0; and a single item from the
Stroke Impact Scale for perceived recovery. RESULTS: Balance confidence at 1
month postdischarge from inpatient rehabilitation predicts perceived physical
function (model 1), mobility (model 2), and recovery (model 3) 12 months later
after adjusting for important covariates. The covariates included in model 1 were
age, sex, basic mobility, and depression. The covariates selected for model 2
were age, sex, balance capacity, and anxiety, and the covariates in model 3 were
age, sex, walking capacity, and social support. The amount of variance in
perceived physical function, perceived mobility, and perceived recovery that
balance confidence accounted for was 12%, 9%, and 10%, respectively. CONCLUSIONS:
After discharge from inpatient rehabilitation poststroke, balance confidence
predicts individuals' perceived physical function, mobility, and recovery 12
months later. There is a need to address balance confidence at discharge from
inpatient stroke rehabilitation.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS