Background
The aim of the study is to determine the probability of achieving independence and
the related prognostic factors with regard to single activities of daily living after
3 months of rehabilitation following stroke.
Methods
This longitudinal observational study, conducted in a neurorehabilitation unit of
a research and health care institute, involved 435 subjects who were affected by stroke
(age, 68 ± 14 years, 230 men).
Barthel index (BI) scores were recorded at admission and dismissal 3 months later.
Results
The highest improvement after rehabilitation was observed for bowel and bladder function
and transfer and mobility, whereas the lowest improvement was seen in bathing, grooming,
dressing, and stair climbing.
Conclusions
Severity of stroke, presence of unilateral neglect, age, gender, and onset-to-admission
interval (OAI) were significant prognostic factors for 6 of 10 activities, as assessed
by BI subscores. Feeding was influenced only by neglect and OAI, whereas OAI did not
affect bowel or bladder function recovery.
Practice
Patients and their relatives could be informed about the specific activities in which
patients will be expected to be independent after rehabilitation and the specific
needs that they might have on returning home.
Implication
Our results might help optimize the management of the rehabilitative process.
Key Words
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Article info
Publication history
Published online: June 04, 2015
Accepted:
May 6,
2015
Received in revised form:
March 17,
2015
Received:
August 25,
2014
Footnotes
This work is supported by Italian Ministry of Health with the Grant Number (RC2013G).
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.05.006
Copyright
© 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.
