Article

OBJECTIVE: To investigate the extent to which physical performance measures of
strength, balance, and mobility taken at discharge from inpatient stroke
rehabilitation can predict health-related quality of life (HRQoL) and community
reintegration after 6 months. DESIGN: Longitudinal study. SETTING: University
laboratory. PARTICIPANTS: Adults (N=75) recruited within 1 month of discharge
home from inpatient stroke rehabilitation. INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURES: 36-Item Short Form Health Survey (SF-36) for HRQoL and
Subjective Index of Physical and Social Outcome (SIPSO) for community
reintegration. Physical performance measures were the 6-minute walk test, timed
Up and Go (TUG) test, Berg Balance Scale, Community Balance and Mobility Scale,
and isokinetic torque and power of hip, knee, and ankle on the paretic and
nonparetic sides. Other prognostic variables included age, sex, stroke type and
location, comorbidities, and motor FIM score. RESULTS: Separate stepwise linear
regressions were performed using the SF-36 and SIPSO as dependent variables. The
total paretic lower limb torque and 6-minute walk test predicted the SF-36
Physical Component Summary (adjusted R(2)=.30). The total paretic lower limb
torque and TUG test predicted the SIPSO physical component (adjusted R(2)=.47).
The total paretic lower limb torque significantly predicted the SF-36 Mental
Component Summary, but the adjusted R(2) was low (.06). Similarly, the TUG test
significantly predicted the SIPSO social component, but again the adjusted R(2)
was low (.09). CONCLUSIONS: Measures of physical performance including muscle
strength and mobility at discharge can partially predict HRQoL and community
reintegration 6 months later. Further research is necessary for more accurate
predictions.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS