Longitudinal changes in life-space mobility and the factors influencing it among chronic community-dwelling post-stroke patients

2021 ◽  
pp. 1-5
Author(s):  
S. Tsunoda ◽  
S. Shimizu ◽  
Y. Suzuki ◽  
A. Tsunoda ◽  
R. Yamada ◽  
...  
Keyword(s):  
Community Dwelling ◽  
Stroke Patients ◽  
Life Space ◽  
Longitudinal Changes ◽  
Post Stroke ◽  
Factors Influencing

scholarly journals Identifying unmet needs in long-term stroke care using in-depth assessment and the Post-Stroke Checklist – The Managing Aftercare for Stroke (MAS-I) study

2018 ◽  
Vol 3 (3) ◽  
pp. 237-245 ◽  
Author(s):  
Benjamin Hotter ◽  
Inken Padberg ◽  
Andrea Liebenau ◽  
Petra Knispel ◽  
Sabine Heel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Caregiver Burden ◽  
Unmet Needs ◽  
Community Dwelling ◽  
Social Needs ◽  
Interquartile Range ◽  
Stroke Patients ◽  
Post Stroke

Introduction Detailed data on the long-term consequences and treatment of stroke are scarce. We aimed to assess the needs and disease burden of community-dwelling stroke patients and their carers and to compare their treatment to evidence-based guidelines by a stroke neurologist. Methods We invited long-term stroke patients from two previous acute clinical studies ( n = 516) in Berlin, Germany to participate in an observational, cross-sectional study. Participants underwent a comprehensive interview and examination using the Post-Stroke Checklist and validated standard measures of: self-reported needs, quality of life, overall outcome, spasticity, pain, aphasia, cognition, depression, secondary prevention, social needs and caregiver burden. Results Fifty-seven participants (median initial National Institutes of Health Stroke Scale score 10 interquartile range 4–12.75) consented to assessment (median 41 months (interquartile range 36–50) after stroke. Modified Rankin Scale was 2 (median; interquartile range 1–3), EuroQoL index value was 0.81 (median; interquartile range 0.70–1.00). The frequencies for disabilities in the major domains were: spasticity 35%; cognition 61%; depression 20%; medication non-compliance 14%. Spasticity ( p = 0.008) and social needs ( p < 0.001) had the strongest impact on quality of life. The corresponding items in the Post-Stroke Checklist were predictive for low mood ( p < 0.001), impaired cognition ( p = 0.015), social needs ( p = 0.005) and caregiver burden ( p = 0.031). In the comprehensive interview, we identified the following needs: medical review (30%), optimization of pharmacotherapy (18%), outpatient therapy (47%) and social work input (33%). Conclusion These results suggest significant unmet needs and gaps in health and social care in long-term stroke patients. Further research to develop a comprehensive model for managing stroke aftercare is warranted. Clinical Trial Registration: clinicaltrials.gov NCT02320994.

scholarly journals Study of the Present Conditions of Physical Activity and Factors influencing it in Community-Dwelling Stroke Patients

2014 ◽  
Vol 29 (2) ◽  
pp. 233-238
Author(s):  
Jitsuhito FUKUO ◽  
Satoshi TANAKA ◽  
Kazuhiko OKITA ◽  
Masaki HASEGAWA
Keyword(s):  
Physical Activity ◽  
Community Dwelling ◽  
Stroke Patients ◽  
Factors Influencing

scholarly journals Discriminant Validity of the Stroke Impact Scale

Stroke ◽  
2001 ◽  
Vol 32 (suppl_1) ◽  
pp. 361-361
Author(s):  
Sue-Min Lai Dr ◽  
Stephanie Studenski Dr ◽  
Pamela W Duncan Dr ◽  
Subashan Perera Dr
Keyword(s):  
Quality Of Life ◽  
Discriminant Validity ◽  
Community Dwelling ◽  
Elderly Subjects ◽  
Stroke Patients ◽  
P Values ◽  
Post Stroke ◽  
Stroke Impact Scale ◽  
Impact Scale

P123 Purpose: The purpose of this study was to determine the discriminant validity of the Stroke Impact Scale (SIS) by comparing function and quality of life in stroke patients to assessments from stroke-free community dwelling elderly. Methods: The SIS was administered at 90 to 120 days post-stroke to subjects who participated in the Kansas City Stroke Registry (KCSR). The same impact scale was also administered cross-sectionally to community dwelling elderly who were recruited from primary care clinics for participation in an ongoing prospective study of health and function (Merck). All subjects were queried for responses to 64 items of the SIS including eight domains: strength, memory and thinking, emotion, communication, ADL/IADL, mobility, upper extremity, and social participation. Regression analyses were used to examine differences between stroke patients and stroke-free elderly in each of the eight SIS domains while controlling for demographics and comorbidities. Results: One hundred and sixty KCSR subjects and two hundred and forty-three subjects from the Merck study were included in the present analysis. The mean ages were 73±10.1 and 74±5.1, respectively. Gender and race were similar in both groups. The 90-days post-stroke mean Barthel ADL was 80±23 in the stroke patients. Mean scores of all 8 SIS domains were significantly lower in stroke patients than those in the stroke-free community dwelling elderly even after controlling for differences in age and comorbidities (all p values < 0.0001). Mean scores of the 7 SIS domains (except strength), even in stroke patients who had Barthel ADL > 90 at 90-days post-stroke, remained lower than those in the stroke-free community dwelling elderly (p values < 0.01). Conclusion: The SIS was able to discriminate well between stroke patients with disability and stroke-free elderly subjects. Patients who had recovered basic ADLs continued to have residual disability and impaired quality of life when compared to non-stroke patients.

scholarly journals Factors influencing locomotor capacity of hemiparetic post-stroke patients

2020 ◽  
Vol 21 (4) ◽  
Author(s):  
Antonio Vinicius-Soares ◽  
Carla T. Juvêncio-de-Oliveira ◽  
Fernando L. Fischer-Eichinger ◽  
Fabrício Noveletto
Keyword(s):  
Stroke Patients ◽  
Post Stroke ◽  
Factors Influencing ◽  
Locomotor Capacity

scholarly journals Functional Outcomes of Stroke Patients Admitted to a Tertiary Hospital in the Western Cape, South Africa

2013 ◽  
Vol 69 (2) ◽  
Author(s):  
I. Parekh ◽  
A. Rhoda
Keyword(s):  
Functional Outcomes ◽  
Tertiary Hospital ◽  
Stair Climbing ◽  
Stroke Severity ◽  
Western Cape ◽  
Stroke Patients ◽  
Functional Activities ◽  
Post Stroke ◽  
Factors Influencing ◽  
Tobit Analysis

Individuals with stroke often experience functional limitationssuch as the inability to walk independently. There are several factors that areassociated with functional outcome post stroke. The aim of the study was thereforeto determine functional outcomes and factors influencing functional outcomes ofstroke patients admitted to a South African tertiary hospital. A longitudinal designwas used to obtain the data. A convenient sampling method was used to recruit100 participants. Data was collected on admission, discharge and two months poststroke, using the National Institute of Health Stroke Scale, Barthel Index and asocio-demographic and medical profile data sheet. The data was analyzed usingSPSS version 18 and SAS version 9. Tobit analysis was used to determine the factors influencing functional outcomes at dischargeand two months post stroke. The necessary ethical clearance was obtained prior to commencement of the study. Stair climbing,mobility and transfers were the functional activities that the majority of the participants could not perform independently. Age andseverity of stroke significantly influenced the functional outcomes at discharge and two months post stroke. Factors such as ageand stroke severity should therefore be considered when planning rehabilitation interventions for stroke patients in this setting.

scholarly journals Malondialdehyde as a Useful Biomarker of Low Hand Grip Strength in Community-Dwelling Stroke Patients

2020 ◽  
Vol 17 (21) ◽  
pp. 7918
Author(s):  
Onchuma Mueangson ◽  
Parinya Vongvaivanichakul ◽  
Kornyok Kamdee ◽  
Chutima Jansakun ◽  
Wanatsanan Chulrik ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Grip Strength ◽  
Muscle Weakness ◽  
Serum Levels ◽  
Hand Grip Strength ◽  
Community Dwelling ◽  
Stroke Patients ◽  
Post Stroke ◽  
Hand Grip ◽  
Stress Oxidative

The assessment of muscle strength by hand grip strength (HGS) is used to evaluate muscle weakness and wasting among stroke patients. This study aimed to investigate the association of oxidative stress/oxidative damage and inflammatory biomarkers with muscle strength and wasting, as evaluated by HGS, among community-dwelling post-stroke patients. The HGS of both paretic and non-paretic limbs was negatively associated with modified Rankin scale (mRS) values. The serum levels of catalase activity and malondialdehyde (MDA), and plasma tumor necrosis factor (TNF)-α levels were significantly increased in post-stroke patients compared with non-stroke controls. Further analysis highlighted that hydrogen peroxide was positively correlated with HGS in the paretic limbs. Interestingly, an elevated MDA level, excluding advanced age and high mRS, increased the risk of low HGS in the non-paretic limbs of stroke patients. This study suggests that there is a detrimental association between MDA and muscle strength and early muscle wasting among post-stroke patients. Hence, MDA is a potentially useful biomarker of muscle weakness and wasting in post-stroke patients living in the community.

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