1. Motor Function in the Late Phase After Stroke: Stroke Survivors’ Perspective
- Author
-
Bunketorp-Käll, Lina, Pekna, Marcela, Pekny, Milos, Samuelsson, Hans, Blomstrand, Christian, and Nilsson, Michael
- Subjects
030506 rehabilitation ,medicine.medical_specialty ,medicine.medical_treatment ,lcsh:Medicine ,Walking speed ,Motor activity ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Randomized controlled trial ,Recovery ,law ,medicine ,Stroke ,Uncategorized ,Rehabilitation ,business.industry ,lcsh:R ,Perspective (graphical) ,Horseback riding therapies ,medicine.disease ,Spearman Rank-Order Correlation ,Preferred walking speed ,Berg Balance Scale ,Original Article ,0305 other medical science ,business ,Stroke recovery ,030217 neurology & neurosurgery - Abstract
Objective To examine the association between observer-assessed functional status and perceived recovery in the late phase after stroke. The study also aimed to determine whether observer-assessed functional improvements as a result of horse-riding therapy (H-RT) are related to enhanced perception of stroke recovery.Methods This is a descriptive correlational study using data derived from a three-armed randomized controlled trial in which 123 individuals were enrolled, among whom 43 received H-RT for 12 weeks. The measures included the Modified Motor Assessment Scale, Berg Balance Scale, Timed Up and Go, timed 10-m walk, and perceived recovery from stroke indicated by item #9 in the Stroke Impact Scale (version 2.0). Spearman rank order correlation (rs) was used in the analyses.Results There were moderate to strong positive or negative correlations between all four observer-assessed motor variables and participants’ ratings of perceived late-phase stroke recovery at trial entrance, ranging from rs=-0.49 to rs=0.54 (ps=-0.41, p=0.01 and rs=-0.38, p=0.02, respectively).Conclusion This study provided data supporting the association between individual ratings of self-perceived recovery after stroke and observer-assessed individual motor function. The results further demonstrate that enhancement in perceived stroke recovery after completing the intervention was associated with objectively measured gains in both self-selected and fast gait speed.
- Published
- 2020
- Full Text
- View/download PDF