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Non-motor Factors Associated with the Attainment of Community Ambulation after Stroke.
- Source :
-
Clinical Medicine & Research . Jun2015, Vol. 13 Issue 2, p58-64. 7p. - Publication Year :
- 2015
-
Abstract
- Objective: Detect the main predictive non-motor factors related to independent community ambulation after stroke. Furthermore, we propose a scale to estimate the probability of a stroke patient achieving independent community ambulation after 6 months of rehabilitation. Design and Settings: Prospective cohort. Subjects treated in a rehabilitation center in a large metropolitan area. Independent community ambulation was evaluated after rehabilitation according to the Hoffer classification. Functional ambulation was assessed at four levels: nonambulatory, nonfunctional ambulation, household ambulation, and community ambulation. Participants: Patients (n=201) with a moderate disability after stroke. Results: The average time of hospitalization was 19.3 days. However, only 32.8% of the patients started the rehabilitation program during the first 6 months after stroke. We found that 121 patients achieved community ambulation (60.2%), 40 achieved household ambulation (19.9%), 12 achieved therapeutic ambulation (5.9%), and 28 were non-ambulatory after 6 months of treatment. Based on our final model, a scoring scale was created in order to evaluate the probability of stroke patients achieving independent community ambulation after 6 months of rehabilitation. Higher scores were associated with better chances of community ambulation within 6 months. Conclusions: The scale that evaluated these factors proved to have acceptable sensitivity and specificity to establish the prognosis of community ambulation after 6 months of rehabilitation. [ABSTRACT FROM AUTHOR]
- Subjects :
- *WALKING
*CHI-squared test
*CONFIDENCE intervals
*FISHER exact test
*LONGITUDINAL method
*MULTIVARIATE analysis
*PROBABILITY theory
*REHABILITATION centers
*RESEARCH funding
*LOGISTIC regression analysis
*INDEPENDENT living
*RECEIVER operating characteristic curves
*DATA analysis software
*STROKE rehabilitation
*STROKE patients
*DESCRIPTIVE statistics
*ODDS ratio
*PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 15394182
- Volume :
- 13
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Clinical Medicine & Research
- Publication Type :
- Academic Journal
- Accession number :
- 108490111
- Full Text :
- https://doi.org/10.3121/cmr.2014.1232