Abstract
Objective
To estimate the effect of balance confidence measured at 1 month poststroke rehabilitation
on perceived physical function, mobility, and stroke recovery 12 months later.
Design
Longitudinal study (secondary analysis).
Setting
Multisite, community-based.
Participants
Community-dwelling individuals (N=69) with stroke living in a home setting.
Interventions
Not applicable.
Main Outcome Measures
Activities-specific Balance Confidence scale; physical function and mobility subscales
of the Stroke Impact Scale 3.0; and a single item from the Stroke Impact Scale for
perceived recovery.
Results
Balance confidence at 1 month postdischarge from inpatient rehabilitation predicts
perceived physical function (model 1), mobility (model 2), and recovery (model 3)
12 months later after adjusting for important covariates. The covariates included
in model 1 were age, sex, basic mobility, and depression. The covariates selected
for model 2 were age, sex, balance capacity, and anxiety, and the covariates in model
3 were age, sex, walking capacity, and social support. The amount of variance in perceived
physical function, perceived mobility, and perceived recovery that balance confidence
accounted for was 12%, 9%, and 10%, respectively.
Conclusions
After discharge from inpatient rehabilitation poststroke, balance confidence predicts
individuals' perceived physical function, mobility, and recovery 12 months later.
There is a need to address balance confidence at discharge from inpatient stroke rehabilitation.
Keywords
List of abbreviations:
6MWT (6-minute walk test), ABC (Activities-specific Balance Confidence), ADL (activities of daily living), IADL (instrumental activities of daily living), ISEL (Interpersonal Support Evaluation List), SF-36 (36-Item Short Form Health Survey), SIS (Stroke Impact Scale)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: April 05, 2016
Footnotes
Disclosures: W.C.M. has received an operating grant from the Heart and Stroke Foundation of Canada, British Columbia and Yukon. K.L.B. was awarded a Vanier Canada Graduate Scholarship. J.J.E. has received Health Research Senior Scholar Award from the Michael Smith Foundation. The other author has nothing to disclose.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
