Abstract:
PURPOSE:To determine the prognostic value of single items of the Barthel Index (BI) at discharge from rehabilitation, in predicting independence in personal activities of daily living (ADL) (BI score ≥ 95/100) at five years after stroke. METHOD:People with stroke were recruited consecutively from four European rehabilitation centres. BI was assessed on discharge and at five years after stroke. Stepwise multivariate logistic regression analysis was used to determine independent predictors of BI score ≥ 95/100 at five years after stroke. Thereupon, percentage chance of reaching BI ≥ 95/100 at five years after stroke was calculated. RESULTS:Data were available for 153 patients. Independence in dressing (odds ratio (OR)=5.22, 95% confidence interval (CI)=1.85-14.76, p=0.002) and bathing (OR=8.10, 95% CI=3.40-19.32, p<0.0001) were independent predictors. Independence in both items resulted in 74.1% (57.6-85.8) chance of reaching BI ≥ 95/100 at five years after stroke. Dependence in both items resulted in 6.3% (5.1-7.9) chance. Independence in bathing, but dependence in dressing resulted in 35.4% (30.7-40.4) chance whereas the opposite resulted in 26.1% (20.7-32.3) chance. CONCLUSION:Simple assessment of dressing and bathing on discharge from rehabilitation enables therapeutic staff to predict prognosis for long-term independence in personal ADL. This method can be used for early identification of persons with stroke who need intensive follow-up. Implications for Rehabilitation (In)dependence for dressing and bathing at discharge from a rehabilitation centre are significant factors in the prediction of (in)dependence in personal ADL at five years after stroke. This predictive tool can be used for targeting inpatient stroke rehabilitation and early identification of those patients who need intensive follow-up.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
De Wit L,Putman K,Devos H,Brinkmann N,Dejaeger E,De Weerdt W,Jenni W,Lincoln N,Schuback B,Schupp Wdoi
10.3109/09638288.2013.793411subject
Has Abstractpub_date
2014-01-01 00:00:00pages
353-8issue
5eissn
0963-8288issn
1464-5165journal_volume
36pub_type
杂志文章abstract:OBJECTIVE:To describe physiotherapists' perceptions of fall risk and appropriate fall prevention interventions in rehabilitating stroke patients. METHOD:A web-based survey addressed to physiotherapy units on a stroke unit, general neurology department or rehabilitation ward/centre in Flanders. RESULTS:Hospital respon...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280802355015
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To explore the psychosocial outcomes of an inclusive adapted sport and adventurous training course that aims to support the rehabilitation and personal development of military personnel who have sustained physical and/or psychological disability. METHOD:Narrative life story interviews were conducted with 11 me...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2013.802376
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:Stroke rehabilitation has received increased attention in the past decade. Recent trials with new alternatives such as home-based rehabilitation services are being conducted. The purpose of the study was to explore differences between a therapy session with a stroke patient in two different contexts, i.e. in th...
journal_title:Disability and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.3109/09638289809166095
更新日期:1998-10-01 00:00:00
abstract:PURPOSE:The purpose of this study was to determine the feasibility of providing a community-based aquatic exercise programme and to examine the effects of a group aquatic exercise programme in individuals with multiple sclerosis. This study illustrates the implementation of a multidisciplinary community-based programme...
journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2010.507855
更新日期:2011-01-01 00:00:00
abstract:UNLABELLED:This article considers the conceptualization and operationalization of "social environment" and "social context" with implications for research and practice with children and youth with impairments. We first discuss social environment and social context as constructs important for understanding interaction b...
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abstract::Purpose: To evaluate the implementation of an integrated multidisciplinary Movement Disorder Clinic using a model of knowledge translation.Methods: A mixed methods design was used to evaluate implementation outcomes. After recognising poor referral rates to allied health, Movement Disorder Clinic team-members identifi...
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abstract::This article reports results from a qualitative study in the U.K. of people with aphasia who have been involved in volunteering. The study describes their experiences; explores, from their perspective, the effects of involvement; and identifies key facilitators and barriers to the successful participation of people wi...
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.528141
更新日期:2011-01-01 00:00:00
abstract::Aim: To understand how people with stroke and carers adapt over time, and how health professionals support transition to home.Method: A multi-perspective, prospective, qualitative, longitudinal study was conducted using in-depth semi-structured interviews one and six months after inpatient discharge. Twenty-four parti...
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journal_title:Disability and rehabilitation
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更新日期:2011-01-01 00:00:00
abstract:PURPOSE:Patients and carers frequently express disappointment with the extent of recovery achieved at the point of discharge from physiotherapy. Research has suggested that high expectations of recovery may be encouraged by physiotherapists. This study examined the information exchanged between physiotherapists and pat...
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更新日期:2019-10-17 00:00:00
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journal_title:Disability and rehabilitation
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abstract:PURPOSE:Exercise therapy is effective in a wide range of chronic diseases. Comorbid disease necessitates adaptations to exercise therapy. Guidance on how to develop such adaptations is currently not available. We present an innovative strategy for the development of comorbidity-related adaptations to exercise therapy i...
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更新日期:2016-01-01 00:00:00
abstract:PURPOSE:Aphasia is a debilitating chronic acquired language disorder that impacts heavily on a person's life. Behavioural treatments aim to remediate language processing skills or to enhance communication between the person with aphasia and others, and a number of different treatments are efficacious. However, it is un...
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更新日期:2019-09-27 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1260648
更新日期:2018-02-01 00:00:00
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更新日期:2010-01-01 00:00:00
abstract:PURPOSE:Research has suggested that people with Parkinson's disease (PD) can experience apathy. This study explored the lived experiences of apathy in people with PD. METHOD:Seven participants with Parkinson's disease who were also described as having apathy were interviewed and the data analysed using interpretative ...
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pub_type: 杂志文章
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更新日期:1995-07-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2005-02-18 00:00:00
abstract:PURPOSE:The study had two aims: (2) To explore whether knowledge about HIV and AIDS was similar among adolescents with disabilities compared with their non-disabled peers; and (2) To determine factors which may increase vulnerability of disabled adolescents to HIV infection and/or inappropriate access to HIV-related se...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2005-11-30 00:00:00
abstract::Purpose To investigate shoulder function, pain and Health-Related Quality of life (HRQoL) among adults with joint hypermobility syndrome/Ehlers-Danlos syndrome-hypermobility type (JHS/EDS-HT), compared with the general population (controls). Method In a cross-sectional study using postal survey, 110 patients diagnosed...
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pub_type: 杂志文章
doi:10.3109/09638288.2015.1102336
更新日期:2016-07-01 00:00:00
abstract:PURPOSE:This survey was carried out to study the views of multidisciplinary health professionals about discussing sexual issues with patients. METHODS:A questionnaire was sent to professionals (nurses, doctors, physiotherapists and occupational therapists) to return by post. A duplicate questionnaire was sent 4 weeks ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2003-03-18 00:00:00
abstract:PURPOSE:To develop and validate parallel short forms for the assessment of activities of daily living in cardiac rehabilitation patients (PADL-cardio I & II). METHOD:PADL-cardio I & II were developed based on a sample of 106 patients [mean age = 57.6; standard deviation (SD) = 11.1; 72.6% males] using Rasch analysis...
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pub_type: 杂志文章
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更新日期:2019-04-01 00:00:00
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更新日期:2018-09-01 00:00:00
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更新日期:2003-06-03 00:00:00