Ytterberg Charlotte, Dybäck Malin, Bergström Aileen, Guidetti Susanne, Eriksson Gunilla
Neurobiology, Care Sciences and Society, Karolinska Institutet, SE-141 83 Stockholm, Sweden.
J Rehabil Med. 2017 Aug 31;49(8):637-643. doi: 10.2340/16501977-2258.
To examine the perceived impact of stroke between 1 and 6 years after stroke using the Stroke Impact Scale 3.0 (SIS).
A prospective longitudinal study.
A total of 100 individuals were assessed using the SIS 3.0 at 1 and 6 years after onset of stroke and clinically meaningful changes were explored. Changes in domain scores were calculated over time in relation to age, sex and stroke severity.
The most impacted SIS domains after 6 years were Participation, Strength, Hand function, and Stroke recovery. Participants with moderate/severe stroke experienced a higher impact in all domains except Hand function and Stroke recovery, indicating more problems in everyday life, compared with those with mild stroke. Almost half of the participants had a clinically meaningful change in the domain Participation between 1 and 6 years. Those with moderate/severe stroke and the older age group experienced more negative clinically meaningful changes in several domains in comparison with those with mild stroke and the younger age group.
The long-term perceived impact of stroke highlights the importance of appropriate rehabilitation interventions within several areas to reduce the long-term negative impact in everyday life.
使用卒中影响量表3.0（SIS）来研究卒中后1至6年的感知影响。
一项前瞻性纵向研究。
共有100名个体在卒中发病后1年和6年时使用SIS 3.0进行评估，并探讨具有临床意义的变化。根据年龄、性别和卒中严重程度，计算各领域得分随时间的变化。
6年后受影响最大的SIS领域是参与度、力量、手部功能和卒中恢复。与轻度卒中患者相比，中度/重度卒中患者在除手部功能和卒中恢复外的所有领域都受到更高的影响，表明在日常生活中存在更多问题。几乎一半的参与者在1至6年期间参与度领域有具有临床意义的变化。与轻度卒中患者和较年轻年龄组相比，中度/重度卒中患者和较年长年龄组在几个领域经历了更多负面的具有临床意义的变化。
卒中的长期感知影响凸显了在多个领域进行适当康复干预以减少对日常生活长期负面影响的重要性。
