Discharge Rehabilitation Measures Predict Activity Limitations in Patients with Stroke Six Months after Inpatient Rehabilitation.
Academic Article
Overview
abstract
OBJECTIVE: The aim of this study was to identify rehabilitation measures at discharge from acute inpatient stroke rehabilitation (ISR) that predict activity limitations at six-months post-discharge. DESIGN: This is a retrospective analysis of a prospective, longitudinal, observational cohort study. It was conducted in an acute inpatient rehabilitation unit at an urban, academic medical center. Activity limitations in patients (N = 141) with stroke of mild-moderate severity were assessed with the activity measure for post-acute care (AM-PAC) at ISR discharge and six-month follow-up. Rehabilitation measures at discharge were investigated as predictors for activity limitations at six months. RESULTS: Measures of balance (Berg balance scale), functional limitations in motor-based activities (functional independence measure-motor subscore) and motor impairment (motricity index), in addition to discharge AM-PAC scores, strongly predicted activity limitations in basic mobility and daily activities at six-months (51% and 41% variance explained respectively). Functional limitations in cognition (functional independence measure-cognitive subscore) and executive function impairment (trail making test-part B), in addition to the discharge AM-PAC score, modestly predicted limitations in cognitively-based daily activities at six months (12% of variance). CONCLUSIONS: Standardized rehabilitation measures at ISR discharge can predict future activity limitations, which may improve prediction of outcome post-stroke and aid in post-discharge treatment planning.
