In What Daily Activities Do Patients Achieve Independence after Stroke?

Research output: Contribution to journalArticle

Abstract

Background The aim of the study is to determine the probability of achieving independence and the related prognostic factors with regard to single activities of daily living after 3 months of rehabilitation following stroke. Methods This longitudinal observational study, conducted in a neurorehabilitation unit of a research and health care institute, involved 435 subjects who were affected by stroke (age, 68 ± 14 years, 230 men). Barthel index (BI) scores were recorded at admission and dismissal 3 months later. Results The highest improvement after rehabilitation was observed for bowel and bladder function and transfer and mobility, whereas the lowest improvement was seen in bathing, grooming, dressing, and stair climbing. Conclusions Severity of stroke, presence of unilateral neglect, age, gender, and onset-to-admission interval (OAI) were significant prognostic factors for 6 of 10 activities, as assessed by BI subscores. Feeding was influenced only by neglect and OAI, whereas OAI did not affect bowel or bladder function recovery. Practice Patients and their relatives could be informed about the specific activities in which patients will be expected to be independent after rehabilitation and the specific needs that they might have on returning home. Implication Our results might help optimize the management of the rehabilitative process.

Original languageEnglish
Pages (from-to)1931-1937
Number of pages7
JournalJournal of Stroke and Cerebrovascular Diseases
Volume24
Issue number8
DOIs
Publication statusPublished - Aug 1 2015

Keywords

  • activity of daily living
  • outcomes
  • prognostic factors
  • rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Rehabilitation
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'In What Daily Activities Do Patients Achieve Independence after Stroke?'. Together they form a unique fingerprint.

  • Cite this