Variations in Health-Related Quality of Life After Stroke: Insights From a Clinical Trial on Arm Rehabilitation With a Long-Term Follow-Up.
| Autor: | Milani, Giada, Mantovani, Linda, Baroni, Andrea, Lamberti, Nicola, Basaglia, Nino, Lavezzi, Susanna, Manfredini, Fabio, Straudi, Sofia |
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| Předmět: |
HAND physiology
GRIP strength ANALYSIS of variance ISCHEMIC stroke AGE distribution REGRESSION analysis MANN Whitney U Test TREATMENT effectiveness SEVERITY of illness index SEX distribution ARM ROBOTICS COMPARATIVE studies SUBACUTE care QUALITY of life DESCRIPTIVE statistics REPEATED measures design ELECTRIC stimulation HEALTH care teams DATA analysis software STATISTICAL models SECONDARY analysis |
| Zdroj: | Advances in Rehabilitation Science & Practice; 11/29/2023, p1-9, 9p |
| Abstrakt: | Despite rehabilitation, stroke patients continue to have impaired function and reduced health-related quality of life (HRQoL) even in a chronic stage. However, no clear information is available on long-term variations in HRQoL. In this study, we aimed to report the short- and long-term changes in HRQoL in a subacute stroke sample that was enrolled in a clinical trial on arm rehabilitation. Thirty-nine stroke survivors (62% male, mean age 68 years) were assessed using the Stroke Impact Scale Version 2.0 (SIS 2.0) pre and post rehabilitation and at 6 months and 6 years follow-up. Long-term changes in physical function were explored through clinically meaningful changes in the Stroke Impact Scale-16 (SIS-16). After rehabilitation (P <.001), an overall improvement was found in all SIS domains except the memory and thinking, emotions, and communication domains. The baseline SIS-16 score (P <.001), the presence of a sensory deficit, and rehabilitation setting (P <.05) were factors related to the SIS-16 domain scores at the end of rehabilitation and at 6 months follow-up. Patients showed the most deterioration in the mobility (P <.001), strength (P <.003), and hand function (P <.05) domains 6 years after stroke. Stroke severity, male gender, and age ⩾65 years are related with a long-term HRQoL reduction after stroke. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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