期刊
JOURNAL OF REHABILITATION MEDICINE
卷 46, 期 10, 页码 963-968出版社
FOUNDATION REHABILITATION INFORMATION
DOI: 10.2340/16501977-1865
关键词
stroke; Stroke Impact Scale; rehabilitation; longitudinal study
资金
- Karolinska Institutet
- Centre for Health Care Science
- Karolinska University Hospital
- ALF
- Stockholm County Council
- Solstickan Foundation
- Swedish Association of Occupational Therapists in Stockholm, Sweden
Objective: To examine data collected using the Stroke Impact Scale 3.0 (SIS) at 3 and 12 months post-stroke, and to explore any clinically meaningful changes in everyday life in relation to age, gender and stroke severity. Design: Prospective longitudinal study. Methods: A total of 204 persons were assessed using the SIS at 3 and 12 months after onset of stroke. Changes in domain scores were calculated over time and in relation to age, gender and stroke severity. Results: The Strength, Hand Function and Participation domains had the highest perceived impact at 3 and 12 months, indicating problems in everyday life. Stroke recovery was perceived to be significantly higher at 12 than at 3 months irrespective of stroke severity, age or gender. The impact on the Strength and Emotion domains was significantly lower at 12 months than at 3 months. Most clinically meaningful changes, both positive and negative ( 15 points), were seen in the Participation domain and in Stroke recovery. Few changes were associated with age, gender or stroke severity. Conclusion: Both positive and negative clinically meaningful changes related to impact of stroke were found between 3 and 12 months post-stroke. Therefore it is important to pay close attention to patients' perceptions of their everyday life situation during rehabilitation and at discharge.
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