USELESS! Nothing here helps survivors recover!
Lower extremity physical function and quality of life in patients with stroke: a longitudinal cohort study
Appeared in: Quality of Life Research
Abstract
Purpose
Lower extremity physical
function (LEPF) is a key component for mobility and is impacted in
stroke-related disability. A reduction in LEPF can have a significant
impact on an individual’s Quality of Life (QoL). The aim of this study
is to characterise the relationship between LEPF and QoL.
Methods
The MOBITEC-Stroke Study is
a longitudinal cohort-study including patients with their first
occurrence of ischaemic stroke. Using a linear mixed-effects model, the
relationship between LEPF (timed up-and-go performance (TUG); predictor)
and QoL (Stroke Specific Quality of Life scale (SS-QoL); outcome) at 3
and 12 months post stroke was investigated and adjusted for sex, age,
Instrumental Activities Daily Living (IADL), fear of
fallingSeverrokeality scale, NIHSS), accounting for the repeated
measurements.
Results
Data of 51 patients (65%
males, 35% females) were analysed. The mean age was 71.1 (SD 10.4)
years, median NIHSS score was 2.0. SS-QoL was 201.5 (SD 20.5) at 3
months and 204.2 (SD 17.4) at 12 months; the mean change was 2.7 (95% CI
-2.4 to 7.7), p 0.293. A positive association was found between
baseline TUG performance (estimate log score -13.923; 95% CI -27.495 to
-0.351; p-0.048) and change in SS-QoL score in multivariate regression
analysis.
Conclusion
Higher LEPF (i.e better TUG
performance) at baseline, was associated with an improvement in QoL
from 3- to 12-months post stroke. These results highlight the critical
role of physical function, particularly baseline LEPF, in influencing
the QoL of stroke survivors.
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