Kimberly Hreha1, Jennifer Wong2, Ivan Molton2, Ian K Nelson2, Danbi Lee3. 1. University of Texas Medical Branch, Division of Rehabilitation Sciences, USA. Electronic address: kihreha@utmb.edu. 2. University of Washington Medical Center, Department of Rehabilitation Medicine, USA. 3. University of Washington Medical Center, Department of Occupational Therapy, USA.
Abstract
BACKGROUND: An increased number of people who have a long-term physical disability (LTPD) are aging. Similar to older adults without previous disability, individuals with LTPD may experience age-related comorbidities secondary to aging. A leading cause of disability in the United States among older adults is stroke. Limited evidence supports that individuals with LTPD are at higher risk of a stroke compared to those without disability. Stroke may negatively impact physical, cognitive, and/or psychosocial function. For those who have lived longer with LTPD, the impact of stroke may differ. OBJECTIVE: To determine the impact of stroke on health outcomes in people with LTPD. METHODS: Thirty-three individuals with both LTPD and self-reported stroke were identified in a national purposive sample of adults reporting physical disability associated with LTPD (Group A). Group A was compared to an age matched sample of 33 individuals with the same conditions but no stroke (Group B). Group A participants were also compared to national norms based on age cohort from a national sample of 182 stroke survivors (Group C). RESULTS: Age range of all participants = 65-74 years. Combine sample among three groups = 248. Group A did not differ from Group B. However, Group A reported significantly higher pain interference (p < .001), fatigue (p = .003), and decreased physical function (p < .001) than Group C. CONCLUSIONS: The study informs how the impact of acquiring another condition after living with a LTPD differs among a general stroke population and those who are living with LTPD.
BACKGROUND: An increased number of people who have a long-term physical disability (LTPD) are aging. Similar to older adults without previous disability, individuals with LTPD may experience age-related comorbidities secondary to aging. A leading cause of disability in the United States among older adults is stroke. Limited evidence supports that individuals with LTPD are at higher risk of a stroke compared to those without disability. Stroke may negatively impact physical, cognitive, and/or psychosocial function. For those who have lived longer with LTPD, the impact of stroke may differ. OBJECTIVE: To determine the impact of stroke on health outcomes in people with LTPD. METHODS: Thirty-three individuals with both LTPD and self-reported stroke were identified in a national purposive sample of adults reporting physical disability associated with LTPD (Group A). Group A was compared to an age matched sample of 33 individuals with the same conditions but no stroke (Group B). Group A participants were also compared to national norms based on age cohort from a national sample of 182 stroke survivors (Group C). RESULTS: Age range of all participants = 65-74 years. Combine sample among three groups = 248. Group A did not differ from Group B. However, Group A reported significantly higher pain interference (p < .001), fatigue (p = .003), and decreased physical function (p < .001) than Group C. CONCLUSIONS: The study informs how the impact of acquiring another condition after living with a LTPD differs among a general stroke population and those who are living with LTPD.
Authors: Henk J Arwert; Daniella M Oosterveer; Jan W Schoones; Caroline B Terwee; Thea P M Vliet Vlieland Journal: Arch Rehabil Res Clin Transl Date: 2022-03-25