期刊
SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY
卷 25, 期 2, 页码 119-126出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/11038128.2017.1329343
关键词
ADL; cerebrovascular disorders; cohort study
资金
- Stroke Centre West
- Research and Development Council of the County of Sodra Alvsborg
- Research and Development Council of the County of Sodra Alvsborgs Sjukhus
- STROKE-Riksforbundet
- Stiftelsen Handlanden Hjalmar Svenssons Research Fund
- Swedish Research Council
- Swedish Heart-Lung Foundation
- Region Vastra Gotaland
- University of Gothenburg under ALF
Background: Although stroke prevalence is increasing and large proportions of stroke survivors are expected to live many years after stroke onset, research on the long-term consequences of stroke for instrumental activities of daily living (IADL) is limited. Aim: To explore performance of IADL seven years post-stroke onset and identify predictors of long-term IADL performance based on commonly employed acute measures and demographic characteristics in young and middle-aged stroke survivors. Methods: Data on stroke survivors were collected from SAHLSIS. IADL performance was assessed at 7 years using the Frenchay Activities Index (FAI). Demographic data and baseline measures were assessed as predictors of FAI outcome, using logistic regression. Results: 237 stroke survivors with a median age of 63 at follow-up were included. Participants had predominantly suffered a mild stroke and >90% lived at home with no community services. Mean FAI was 25.7(score range 0-45), indicating reduced levels of participation in IADL. Frequency of performance of IADL was lowest for work/leisure activities. Gender, cohabitation status, initial stroke severity and baseline score on mRS were independently associated with IADL outcome. Conclusions: Reduced levels of part a ion in IADL persist' many years after stroke onset and indicate a need to adapt a long-term perspective on stroke rehabilitation.
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