Potential predictors for health-related quality of life in stroke patients undergoing inpatient rehabilitation

Abstract

BackgroundImproving HRQOL is the desired outcome for patients with stroke undergoing inpatient rehabilitation services. This study aimed to comprehensively identify the potential health-related quality of life (HRQOL) predictors in patients with stroke undergoing inpatient rehabilitation within the first year after stroke; thus far, such an investigation has not been conducted.MethodsWe enrolled 119 patients (88 males, 31 females) with stroke, and examined 12 potential predictors: age, sex, stroke type, stroke side, duration after onset, cognition (Mini-Mental State Examination; MMSE), depression (Beck Depression Inventory-II), stroke severity (National Institutes of Health Stroke Scale; NIHSS), upper- and lower-extremity motor function scores of the Fugl–Meyer Assessment (FMA) scale, balance (Berg Balance Scale; BBS), and functional status (Functional Independence Measure). HRQOL was measured using Stroke Impact Scale (SIS) 3.0.ResultsNIHSS score predicted the strength domain and total SIS score (41.5 % and 41.7 % of the variances, respectively). BBS score was a major predictor of mobility and participation/role domains (48.6 % and 10 % of the variances, respectively). MMSE score predicted the memory and communication domains (22.5 % and 36.3 % of the variances, respectively). Upper extremity score of the FMA scale predicted the daily living/instrumental activities of daily life and hand function domains (40.3 % and 20.6 % of the variances, respectively). Stroke side predicted the emotion domain (11.6 % of the variance).ConclusionsNIHSS, MMSE, BBS, FMA, and stroke side predicted most HRQOL domains. These findings suggest that different factors predicted various HRQOL domains in patients with stroke.

The impact of physical function on participation in the first year post-stroke

“…Self-assessments encourage subjectivity and can lift the role and status of the patients from passive recipients to active participants. 3,10,[19][20][21] How self-assessed functions associate with perceived participation is not well known, and there is a knowledge gap concerning factors that influences the level of experienced participation over time. 15,17 It is also important that persons with stroke feel that their perceptions are important for the research field.…”

Effects of unilateral stroke on multi-finger synergies and their feed-forward adjustments

“…However, our higher-resolution tests of enslaving and synergy indicated increased enslaving, or reduced finger individuation, and impaired anticipatory aspects of coordination. While clinical tests of impairment are often not strong predictors of functional independence, especially in cases of mild impairment (Chen et al, 2015) more precise measures of finger coordination such as enslaving and synergy indices might prove more predictive of functional independence. Further research is necessary to test this hypothesis.…”

Relationship between Quality of Life and Occupational Accidents in South-East of Iran (Zahedan)

“…Also, chronic lung disease is one of the most common medical conditions among chemical affected victims (Saeed, 2014). Health-related quality of life (HRQOL) has influenced largely the economic and social relations (Hyphantis, 2014) and SF-36 is now used widely for assessment of HRQOL (Chen, 2015). One of the concerns of employees is workplace hazards that may affect their quality of life (15) because occupational injuries and diseases lead to different complications that even affect everyday life.…”