OBJECTIVES: To investigate the development of mobility status during the second year after stroke in patients who had had inpatient rehabilitation, and to evaluate risk factors for mobility decline. DESIGN: Evaluation of change in Rivermead Mobility Index (RMI) score over the second year after stroke in an inception cohort of first-ever stroke patients eligible for inpatient rehabilitation. Logistic regression techniques were used to predict decline. Independent variables were measured with standardized instruments 1 year after stroke. SETTING: Home or institution, after discharge from rehabilitation center. PARTICIPANTS: Patients (N=148) with single first-ever stroke (supratentorial), age more than 18 years. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Decline of 2 or more points on the RMI and the percentages and odds ratios (ORs) for decline. RESULTS: The mean RMI score did not significantly change over time. Mobility declined in 12% of the patients. Mobility decline was found more often in patients with depression (25%) than without (7%), with right-sided weakness (17% vs 8%), with ischemic stroke (13% vs 8%), with aphasia (22% vs 11%), with cognitive dysfunction (17% vs 11%), with comorbidity interfering with locomotion (25% vs 12%), with poor social functioning (15% vs 10%), and with mobility disability (16% vs 8%). Statistical significance was found only for depression (OR=4.2; 95% confidence interval, 1.3-13.2). CONCLUSIONS: Most patients maintained the level of mobility they achieved during inpatient rehabilitation over the second year after stroke. Only 12% had a decline in mobility, and depression was the only statistically significant predictor for decline.
OBJECTIVES: To investigate the development of mobility status during the second year after stroke in patients who had had inpatient rehabilitation, and to evaluate risk factors for mobility decline. DESIGN: Evaluation of change in Rivermead Mobility Index (RMI) score over the second year after stroke in an inception cohort of first-ever strokepatients eligible for inpatient rehabilitation. Logistic regression techniques were used to predict decline. Independent variables were measured with standardized instruments 1 year after stroke. SETTING: Home or institution, after discharge from rehabilitation center. PARTICIPANTS: Patients (N=148) with single first-ever stroke (supratentorial), age more than 18 years. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Decline of 2 or more points on the RMI and the percentages and odds ratios (ORs) for decline. RESULTS: The mean RMI score did not significantly change over time. Mobility declined in 12% of the patients. Mobility decline was found more often in patients with depression (25%) than without (7%), with right-sided weakness (17% vs 8%), with ischemic stroke (13% vs 8%), with aphasia (22% vs 11%), with cognitive dysfunction (17% vs 11%), with comorbidity interfering with locomotion (25% vs 12%), with poor social functioning (15% vs 10%), and with mobility disability (16% vs 8%). Statistical significance was found only for depression (OR=4.2; 95% confidence interval, 1.3-13.2). CONCLUSIONS: Most patients maintained the level of mobility they achieved during inpatient rehabilitation over the second year after stroke. Only 12% had a decline in mobility, and depression was the only statistically significant predictor for decline.
Authors: Elen B Pinto; Iara Maso; Julio L B Pereira; Thiago G Fukuda; Jamile C Seixas; Daniela F Menezes; Carolina Cincura; Iuri S Neville; Pedro A P Jesus; Jamary Oliveira-Filho Journal: Health Qual Life Outcomes Date: 2011-08-10 Impact factor: 3.186
Authors: Barbara Resnick; Kathleen Michael; Marianne Shaughnessy; Susan Kopunek; Eun Shim Nahm; Richard F Macko Journal: Top Stroke Rehabil Date: 2008 Sep-Oct Impact factor: 2.119