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脑卒中后健康相关生活质量(HRQoL):下肢和平衡恢复之间的正相关关系。

Health-related quality of life (HRQoL) after stroke: Positive relationship between lower extremity and balance recovery.

机构信息

Non Invasive Brain Stimulation Unit (NIBSU), IRCCS Santa Lucia Foundation , Rome, Italy.

Department of Psychology, "eCampus" University , Novedrate, Italy.

出版信息

Top Stroke Rehabil. 2020 Oct;27(7):534-540. doi: 10.1080/10749357.2020.1726070. Epub 2020 Feb 10.

Abstract

: Stroke survivors have poor long-term quality of life (QoL), especially in the dimensions of mobility and daily activities. : We aimed to investigate how clinical variables influence QoL during subacute stroke rehabilitation. : We assessed the evolution of the health-related QoL (HRQoL), the balance skills, the sensory-motor functions, and the ability in the activity of daily living in 25 hospitalized patients (60.6 ± 11.14 years old; 32% female) during a period of 2 months of stroke rehabilitation. We used the Stroke-Specific Quality of Life scale (SSQoL) to assess the HRQoL; the Berg Balance Scale to assess gait and balance functions; the Fugl-Meyer Assessment scale for sensory-motor functions of upper (UE) and lower limb (LE); and the Barthel Index for activity of daily living. All data have been investigated with the repeated-measures analysis of variance before and after normalization. Multiple Regression Analysis (MRA) has been performed on the normalized data and between the normalized data and the demographic characteristics (Gender; Age; Lesion side). : A significant improvement was found in all the assessed scales during the time of observation. MRA shows a positive regression between HRQoL and the motor recovery of LE and between HRQoL and the balance skills in 60 days from the stroke (MR = 0.88; respectively: = 0.004 and = 0.02). : Our result shows that LE motor recovery impacts the QoL more than motor recovery of UE after 60 days of neurorehabilitation. This finding is strengthened by a positive regression between balance skills and QoL.

摘要

: 脑卒中幸存者的长期生活质量(QoL)较差,尤其是在移动性和日常活动方面。 : 我们旨在研究临床变量如何在亚急性脑卒中康复期间影响 QoL。 : 我们评估了 25 名住院患者(60.6 ± 11.14 岁;32%为女性)在 2 个月脑卒中康复期间健康相关 QoL(HRQoL)、平衡能力、感觉-运动功能和日常生活活动能力的演变。我们使用脑卒中特异性生活质量量表(SSQoL)评估 HRQoL;伯格平衡量表评估步态和平衡功能;Fugl-Meyer 评估上肢(UE)和下肢(LE)感觉-运动功能量表;以及 Barthel 指数评估日常生活活动。所有数据均在归一化前后进行重复测量方差分析。对归一化数据进行多元回归分析(MRA),并在归一化数据和人口统计学特征(性别;年龄;病变侧)之间进行 MRA。 : 在观察期间,所有评估量表均显示出显著改善。MRA 显示 HRQoL 与 LE 的运动恢复以及 HRQoL 与脑卒中后 60 天的平衡技能之间存在正回归(MR = 0.88;分别为: = 0.004 和 = 0.02)。 : 我们的结果表明,在神经康复 60 天后,LE 的运动恢复比 UE 的运动恢复对 QoL 的影响更大。平衡技能与 QoL 之间的正回归进一步证实了这一发现。

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