Physical performance and cognition as predictors of instrumental activities of daily living after stroke: A prospective multicenter cohort study

You blithering idiots should be creating protocols that improve ADLs. Not this useless shit of predicting failure to recover. Do you even have two functioning neurons to rub together?

 Physical performance and cognition as predictors of instrumental activities of daily living after stroke: A prospective multicenter cohort study

Archives of Physical Medicine and Rehabilitation , Volume 103(7) , Pgs. 1320-1326.

NARIC Accession Number: J89441.  What's this?
ISSN: 0003-9993.
Author(s): Einstad, Marte S.; Thingstad, Pernille; Lydersen, Stian; Gunnes, Mari; Saltvedt, Ingvild; Askim, Torunn.
Publication Year: 2022.
Number of Pages: 7.

Abstract: 

 Study investigated whether cognition and physical performance, both separately and combined at 3 months post stroke, predict change in instrumental activities of daily living (IADL) 15 months later. It also explored whether different paths of IADL could be identified by different scenarios, defined by combinations of high and low scores on physical performance and cognition. A total of 544 adult survivors of stroke were followed up at 3 and 18 months after stroke. The primary outcome was IADL as measured by Nottingham Extended Activities of Daily Living at 3- and 18-month follow-ups. At 3 months, the Short Physical Performance Battery (SPPB) and Montreal Cognitive Assessment (MoCA) were used to assess physical performance and cognition, respectively. Mixed-effects linear regression analyses showed that the regression coefficient for the interaction with time was significant for MoCA, but not for SPPB scores. The model combining SPPB and MoCA was significantly better than separate models. Overall, there was no improvement in IADL over time. A combination of SPPB and MoCA scores in the upper quartile at 3 months was associated with improved IADL over time. Findings suggest that combining measures of cognition and physical performance gave the best prediction of change in IADL. Function at 3 months seems to be predictive for long-term IADL status, which highlights the importance of targeted rehabilitation in the early and subacute phases after stroke.
Descriptor Terms: COGNITION, DAILY LIVING, FUNCTIONAL STATUS, LONGITUDINAL STUDIES, OUTCOMES, PHYSICAL FITNESS, PREDICTION, REHABILITATION, STROKE.


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Citation: Einstad, Marte S., Thingstad, Pernille, Lydersen, Stian, Gunnes, Mari, Saltvedt, Ingvild, Askim, Torunn. (2022). Physical performance and cognition as predictors of instrumental activities of daily living after stroke: A prospective multicenter cohort study.  Archives of Physical Medicine and Rehabilitation , 103(7), Pgs. 1320-1326. Retrieved 8/21/2022, from REHABDATA database.