Nariaki Shiraishi1, Yusuke Suzuki2, Daisuke Matsumoto3, Seungwon Jeong4, Motoya Sugiyama5, Katsunori Kondo6. 1. Department of Rehabilitation, Faculty of Health Science, Nihon Fukushi University, Handa-city, Aichi, Japan. Electronic address: n-shira@n-fukushi.ac.jp. 2. Department of Comprehensive Community Care Systems, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan. 3. Department of Physical Therapy, Faculty of Health Science, Kio University, Koryo, Nara, Japan. 4. Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu City, Aichi, Japan. 5. Department of Rehabilitation, Chubu Rosai Hospital, Nagoya, Aichi, Japan. 6. Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu City, Aichi, Japan; Center for Preventive Medical Sciences, Chiba University, Chiba-shi, Chiba, Japan.
Abstract
OBJECTIVE: To investigate whether self-exercise programs for patients after stroke contribute to improved activities of daily living (ADL) at hospital discharge. DESIGN: Retrospective, observational, propensity score (PS)-matched case-control study. SETTING: General hospitals. PARTICIPANTS: Participants included patients after stroke (N=1560) hospitalized between January 3, 2006, and December 26, 2012, satisfying the following criteria: (1) data on age, sex, duration from stroke to hospital admission, length of stay, FIM score, modified Rankin Scale (mRS) score, Glasgow Coma Scale score, Japan Stroke Scale score, and self-exercise program participation were available; and (2) admitted within 7 days after stroke onset, length of stay was between 7 and 60 days, prestroke mRS score was ≤2, and not discharged because of FIM or mRS exacerbation. A total of 780 PS-matched pairs were selected for each of the self-exercise program and no-self-exercise program groups. INTERVENTION: Self-exercise program participation. MAIN OUTCOME MEASURES: At discharge, FIM motor score, FIM cognitive score, FIM motor score gain (discharge value - admission value), FIM motor score gain rate (gain/length of stay), a binary variable divided by the median FIM motor score gain rate (high efficiency or no-high efficiency), and mRS score. RESULTS: Patients were classified into a self-exercise program (n=780) or a no-self-exercise program (n=780) group. After matching, there were no significant between-group differences, except motor system variables. The receiver operating characteristic curve for PS had an area under the curve value of .71 with a 95% confidence interval of .68 to .73, and the model was believed to have a relatively favorable fit. A logistic regression analysis of PS-matched pairs suggested that the self-exercise program was effective, with an overall odds ratio for ADL (high efficiency or no-high efficiency) of 2.2 (95% confidence ratio, 1.75-2.70). CONCLUSIONS: SEPs may contribute to improving ADL.
OBJECTIVE: To investigate whether self-exercise programs for patients after stroke contribute to improved activities of daily living (ADL) at hospital discharge. DESIGN: Retrospective, observational, propensity score (PS)-matched case-control study. SETTING: General hospitals. PARTICIPANTS: Participants included patients after stroke (N=1560) hospitalized between January 3, 2006, and December 26, 2012, satisfying the following criteria: (1) data on age, sex, duration from stroke to hospital admission, length of stay, FIM score, modified Rankin Scale (mRS) score, Glasgow Coma Scale score, Japan Stroke Scale score, and self-exercise program participation were available; and (2) admitted within 7 days after stroke onset, length of stay was between 7 and 60 days, prestroke mRS score was ≤2, and not discharged because of FIM or mRS exacerbation. A total of 780 PS-matched pairs were selected for each of the self-exercise program and no-self-exercise program groups. INTERVENTION: Self-exercise program participation. MAIN OUTCOME MEASURES: At discharge, FIM motor score, FIM cognitive score, FIM motor score gain (discharge value - admission value), FIM motor score gain rate (gain/length of stay), a binary variable divided by the median FIM motor score gain rate (high efficiency or no-high efficiency), and mRS score. RESULTS:Patients were classified into a self-exercise program (n=780) or a no-self-exercise program (n=780) group. After matching, there were no significant between-group differences, except motor system variables. The receiver operating characteristic curve for PS had an area under the curve value of .71 with a 95% confidence interval of .68 to .73, and the model was believed to have a relatively favorable fit. A logistic regression analysis of PS-matched pairs suggested that the self-exercise program was effective, with an overall odds ratio for ADL (high efficiency or no-high efficiency) of 2.2 (95% confidence ratio, 1.75-2.70). CONCLUSIONS: SEPs may contribute to improving ADL.