Predictors of handicap situations following post-stroke rehabilitation
Predictors of handicap situations following post-stroke rehabilitation
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DOI：
10.1080/09638280210125814
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发表时间：
2002-10-01
影响因子：
2.2
通讯作者：
Boutin, C
中科院分区：
文献类型：
--
作者：
Desrosiers, J;Noreau, L;Boutin, C
目的：许多中风幸存者必须科普可能导致残疾情况发生的损伤和残疾。本研究的目的是探索生物心理社会预测障碍的情况下，六个月后出院的强化rehabilitation programme.Methods：在出院的康复programme，参与者进行了评估与仪器测量运动，感觉，认知，知觉，情感和心理障碍和残疾，可能发挥作用的发展障碍。还收集了其他一些人口统计学和临床变量以及与康复相关的变量。结果：132例脑卒中患者参加了出院评估，102例同时参加了残疾测量。残疾程度与损伤和残疾的关系均具有统计学意义。多元回归分析显示，情感、下肢协调、康复时间、平衡、年龄和强化康复计划结束时的合并症是6个月后残疾情况的最佳预测因素（调整后的R-2：68.1%）。尽管这项研究是探索性的，但它表明，在大量的个人特征中，有些与障碍测量更相关，具有更大的预测价值。应进行其他研究，以证实这些调查结果，并考虑更多的环境因素，以便更好地了解与残疾状况发展有关的因素。
Purpose: Many stroke survivors have to cope with impairments and disabilities that may result in the occurrence of handicap situations. The purpose of the study was to explore bio-psycho-social predictors of handicap situations six months after discharge from an intensive rehabilitation programme.Methods: At discharge from a rehabilitation programme, participants were evaluated with instruments measuring motor, sensory, cognitive, perceptual, affective and psychosocial impairments and disabilities that may play a role in the development of handicap. Some other demographic and clinical variables, and those related to rehabilitation, were also collected. Six months later, they were re-assessed in their own environment in order to document their handicap level with the Assessment of Life Habits (LIFE-H).Results: One hundred and thirty-two stroke patients participated in the discharge evaluation and 102 of them also participated in the handicap measurement. Relationships between handicap level and impairments and disabilities were all statistically significant. Multiple regression analyses indicated that affect, lower extremity co-ordination, length of stay in rehabilitation, balance, age and comorbidity at the end of an intensive rehabilitation programme are the best predictors of handicap situations six months later (adjusted R-2 : 68.1%).Conclusions: In spite of its exploratory nature, this study revealed that, among a substantial number of personal characteristics, some were more related to a handicap measure and have greater predictive value. Other studies should be carried out to validate these findings and to consider more environmental factors in order to better understand factors related to the development of handicap situations.