Thursday, May 14, 2020

Gait measures at admission to inpatient rehabilitation after ischemic stroke predicts 3‐mo quality of life and function

Under what scenario do you have proof that survivors give one flying fuck about predictions?  And suggesting that your tyranny of low expectations is not a valid answer.

Gait measures at admission to inpatient rehabilitation after ischemic stroke predicts 3‐mo quality of life and function

First published: 09 May 2020
https://doi.org/10.1002/pmrj.12402

Abstract


Objective

Ischemic stroke can impact a patient's quality‐of‐life, but the extent is unknown. We evaluated the association between gait measures during inpatient rehabilitation facility with quality‐of‐life scores and function at 3‐mo in patients with stroke.

Methods

6‐min walk test and 10‐m walk test were recorded on admission to rehabilitation. We analyzed the association between gait function at rehabilitation and 3‐mo quality‐of‐life and poor functional outcome (modified Rankin scale >2) using multivariable logistic regression.

Results

85 patients (mean age 68.3 ± 14.9 yr; 54.3% male) were enrolled. In adjusted analyses, an increase of 0.31 m/s (ie, 1 SD) on the 10‐m walk test was linked with a decreased odds of impaired lower extremity quality‐of‐life by 94% (OR 0.06, 95% CI 0.01‐0.52; P = 0.01), and decreased odds of poor functional outcome by 98% (OR 0.02, 95% CI <0.01‐0.47; P = 0.01). For 6‐min walk test, an increase of 109.5 m (ie, 1 SD) was linked with decreased odds of having impaired lower extremity quality‐of‐life by 1% (OR 0.99, 95% CI 0.98‐1.00; P < 0.01) and poor functional outcome by 1% (OR 0.99, 95% CI 0.99‐1.00; P = 0.04).

Conclusions and Relevance

Gait measurements at rehabilitation can predict 3‐mo lower extremity quality‐of‐life and function.
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