School of Kinesiology, Western University, London, Ontario, Canada.
School of Physical Therapy, Western University, London, Ontario, Canada; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
Arch Phys Med Rehabil. 2018 Apr;99(4):713-719. doi: 10.1016/j.apmr.2017.12.007. Epub 2018 Jan 6.
To investigate the extent to which physical performance measures of strength, balance, and mobility taken at discharge from inpatient stroke rehabilitation can predict health-related quality of life (HRQoL) and community reintegration after 6 months.
Longitudinal study.
University laboratory.
Adults (N=75) recruited within 1 month of discharge home from inpatient stroke rehabilitation.
Not applicable.
36-Item Short Form Health Survey (SF-36) for HRQoL and Subjective Index of Physical and Social Outcome (SIPSO) for community reintegration. Physical performance measures were the 6-minute walk test, timed Up and Go (TUG) test, Berg Balance Scale, Community Balance and Mobility Scale, and isokinetic torque and power of hip, knee, and ankle on the paretic and nonparetic sides. Other prognostic variables included age, sex, stroke type and location, comorbidities, and motor FIM score.
Separate stepwise linear regressions were performed using the SF-36 and SIPSO as dependent variables. The total paretic lower limb torque and 6-minute walk test predicted the SF-36 Physical Component Summary (adjusted R=.30). The total paretic lower limb torque and TUG test predicted the SIPSO physical component (adjusted R=.47). The total paretic lower limb torque significantly predicted the SF-36 Mental Component Summary, but the adjusted R was low (.06). Similarly, the TUG test significantly predicted the SIPSO social component, but again the adjusted R was low (.09).
Measures of physical performance including muscle strength and mobility at discharge can partially predict HRQoL and community reintegration 6 months later. Further research is necessary for more accurate predictions.
调查出院后进行的力量、平衡和移动性等身体表现测量在多大程度上可以预测 6 个月后的健康相关生活质量（HRQoL）和社区融入情况。
纵向研究。
大学实验室。
从住院脑卒中康复中出院后 1 个月内招募的成年人（N=75）。
无。
36 项简短健康调查（SF-36）用于 HRQoL，主观身体和社会结果指数（SIPSO）用于社区融入。身体表现测量包括 6 分钟步行测试、计时起立行走测试（TUG）、伯格平衡量表、社区平衡和移动性量表以及患侧和非患侧髋关节、膝关节和踝关节的等速扭矩和功率。其他预后变量包括年龄、性别、脑卒中类型和部位、合并症和运动 FIM 评分。
使用 SF-36 和 SIPSO 作为因变量分别进行逐步线性回归。患侧下肢总扭矩和 6 分钟步行测试预测 SF-36 身体成分综合评分（调整后的 R=.30）。患侧下肢总扭矩和 TUG 测试预测 SIPSO 身体成分（调整后的 R=.47）。患侧下肢总扭矩显著预测 SF-36 心理成分综合评分，但调整后的 R 值较低（.06）。同样，TUG 测试显著预测 SIPSO 社会成分，但调整后的 R 值也较低（.09）。
出院时的身体表现测量，包括肌肉力量和移动性，可部分预测 6 个月后的 HRQoL 和社区融入情况。需要进一步研究以进行更准确的预测。
