Balance confidence: A predictor of perceived physical function, perceived mobility, and perceived recovery one year following inpatient stroke rehabilitation

Once again, prediction rather than SOLUTIONS I blame our lack of stroke leadership for that. 
http://www.sciencedirect.com/science/article/pii/S000399931630034X

• Caryne Torkia, MSc, BScOT^{1, 2},
• Krista L. Best, PhD^{1, 2},
• William C. Miller, PhD, FCAOT^{1, 2, 3, ,} ,
• Janice J. Eng, PT/OT, PhD^{1, 2, 4}

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doi:10.1016/j.apmr.2016.03.004

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Abstract

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.