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Affiliation
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Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Canada; Vancouver Coastal Health Research Institute, GF Strong Rehabilitation Centre, Canada; Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Canada. |
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Abstract
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OBJECTIVE: To estimate the effect of balance confidence measured at one month post-stroke rehabilitation on perceived physical function, mobility, and stroke recovery 12 months later.
DESIGN: Longitudinal study (secondary analysis) SETTING: Multi-site, community-based PARTICIPANTS: Community-dwelling individuals (n=69) with stroke living in a home setting MAIN OUTCOME MEASURES: Activities-specific Balance Confidence scale; the physical function and mobility subscales of the Stroke Impact Scale (SIS) 3.0; and the SIS single-item for perceived recovery.
RESULTS: Balance confidence at one month post-discharge from inpatient rehabilitation predicts perceived physical function (model 1), mobility (model 2), and recovery (model 3) 12 months later adjusting for important covariates. The covariates included in model 1 were age, sex, basic mobility, and depression. The covariates selected for model 2 were age, sex, balance capacity, and anxiety, while the covariates in model 3 were age, sex, walking capacity, and social support. The amount of variance in perceived physical function, perceived mobility, and perceived recovery that balance confidence accounted for was 12%, 9%, and 10% respectively.
CONCLUSIONS: Following discharge from inpatient rehabilitation post-stroke, balance confidence predicts individuals' perceived physical function, mobility, and recovery one year later. There is a need to address balance confidence at discharge from inpatient stroke rehabilitation.
Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Language: en |