| Change in mobility activity in the second year after stroke in a rehabilitation population: who is at risk for decline? | |
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MedLine Citation:
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PMID: 16401437 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Iris van Wijk; Ale Algra; Ingrid G van de Port; Bas Bevaart; Eline Lindeman |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 87 ISSN: 0003-9993 ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2006-01-10 Completed Date: 2006-02-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 45-50 Citation Subset: AIM; IM |
Affiliation:
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Rehabilitation Center de Hoogstraat, Rudolph Magnus Institute of Neuroscience, Department of Rehabilitation, University Medical Center Utrecht, the Netherlands. i.v.wijk@dehoogstraat.nl |
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living* Adult Age Factors Aged Aged, 80 and over Cohort Studies Disability Evaluation Disease Progression Female Follow-Up Studies Humans Logistic Models Male Middle Aged Motor Activity / physiology* Patient Discharge Physical Therapy Modalities Probability Recovery of Function / physiology* Rehabilitation Centers Risk Factors Statistics, Nonparametric Stroke / diagnosis*, rehabilitation* Time Factors |
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