Fukumoto Hiroto, Oyake Kazuaki, Mizoguchi Hiroto, Momose Kimito
Department of Rehabilitation, Toyama Prefectural Rehabilitation Hospital & Support Center for Children with Disabilities, Japan.
Department of Health Sciences, Graduate School of Medicine, Shinshu University, Japan.
J Phys Ther Sci. 2025 Feb;37(2):67-71. doi: 10.1589/jpts.37.67. Epub 2025 Feb 1.
[Purpose] The aim of this study was to investigate the association between the ability to perform basic movements at admission and returning home from convalescent rehabilitation in patients with subacute stroke after adjusting for socioenvironmental factors. [Participants and Methods] This retrospective cohort study used data from the medical records. The primary outcome was returning home, and the associated factors were basic movement ability and socioenvironmental factors. Basic movement ability was assessed using the revised version of the Ability for Basic Movement Scale. Socioenvironmental factors included pre-stroke cohabitation status, support at home, and marital status. [Results] Of the 480 participants included in the analysis, 380 had returned home. The revised version of the Ability for Basic Movement Scale scores were found to be significantly associated with returning home, even after adjusting for socioenvironmental factors. Among the various influencing socioenvironmental factors, only pre-stroke cohabitation status remained significant after adjustment. [Conclusion] Even after adjusting for socioenvironmental factors, basic movement abilities were found to be associated with returning home. Assessing the revised version of the Ability for Basic Movement Scale scores at admission and pre-stroke cohabitation status may be useful for reasonable hospitalization planning to return home after subacute stroke.
[目的]本研究旨在探讨亚急性卒中患者在调整社会环境因素后，入院时基本运动能力与康复疗养后回家之间的关联。[参与者与方法]本回顾性队列研究使用了病历数据。主要结局是回家情况，相关因素为基本运动能力和社会环境因素。基本运动能力采用修订版基本运动能力量表进行评估。社会环境因素包括卒中前同居状况、家庭支持和婚姻状况。[结果]纳入分析的480名参与者中，380人已回家。即使在调整社会环境因素后，仍发现修订版基本运动能力量表得分与回家情况显著相关。在各种影响社会环境因素中，调整后仅卒中前同居状况仍具有显著性。[结论]即使在调整社会环境因素后，仍发现基本运动能力与回家情况相关。评估入院时修订版基本运动能力量表得分和卒中前同居状况可能有助于亚急性卒中后回家的合理住院规划。
