The main question studied was: Could variables in func tion and disability, which have potential to be modified by rehabilitation, be determinants of selfrated health in chronic poststroke individuals? The variables investiga ted were: emotional function, motor recovery level, ma nual and locomotion skill, and participation. Only emo tional function determined the selfrated health of the subjects. Individuals with impaired emotional function were 6.6 times more likely to assess their own health as poor. Assessment of selfrated health and emotional function is recommended, since these factors can help to improve clinical decisionmaking in the rehabilitation process in chronic poststroke individuals.Objective: To investigate whether variables of func tion and disability, which have potential to be modi fied by rehabilitation, are determinants of self-rated health in poststroke individuals in the chronic pha se. Design: Crosssectional exploratory study. Methods: The dependent variable was selfrated health. The independent variables were organized according to the International Classification of Fun ctioning, Disability and Health components: Body structure and function (emotional function and mo tor recovery level), Activity (manual and locomo tion skill), and Participation (participation). Logistic regression analysis was performed to identify signi ficant associations between the independent variables and self-rated health (α = 5%). Results: Sixtythree individuals were included in the study: 44 (70%) rated their own health as good ("excellent"/"very good"/"good") and 19 (30%) as poor ("fair"/"poor"). Significant association with self-rated health was identified only for emotional function. Individuals with impaired emotional fun ction were 6.6 times more likely to assess their own health as poor (odds ratio (OR) 6.56; 95% confiden ce interval 1.53-28.21). Conclusion:Emotional function was found to be a determinant of selfrated health in poststroke indi viduals in the chronic phase and, therefore, must be assessed carefully in order to help provide integral healthcare and improve clinical decision-making. Fu ture studies should investigate whether enhancing emotional function is associated with improvements in selfrated health in poststroke individuals.
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