Predictors of daily mobility skills 6 months post-discharge from acute care or rehabilitation in older adults with stroke living at home

Purpose. To determine the evolution of daily mobility skills from the timed up-and-go (TUG) upto 6 months after home return in older adults with stroke discharged from acute care or rehabilitation; and to identify the best predictive factors of the TUG at 6 months post-discharge. Methods. In this lo...

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Bibliographic Details
Published in:Disability and rehabilitation 2009, Vol.31 (15), p.1267-1274
Main Authors: Paquet, Nicole, Desrosiers, Johanne, Demers, Louise, Robichaud, Line, Brad Group
Format: Article
Language:English
Subjects:
Activities of daily living
Acute services
Aged
Aged, 80 and over
Canes
Female
Humans
Male
Mobility
Movement
Rehabilitation
stroke
Stroke Rehabilitation
Strokes
TUG
Walkers
Walking
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Summary:Purpose. To determine the evolution of daily mobility skills from the timed up-and-go (TUG) upto 6 months after home return in older adults with stroke discharged from acute care or rehabilitation; and to identify the best predictive factors of the TUG at 6 months post-discharge. Methods. In this longitudinal prospective study, people with stroke aged 65 years or more and discharged home from an acute care hospital (n = 82) or a rehabilitation service (n = 109) were included. The TUG was measured at discharge (T1), and at 3 and 6 months post-discharge (T2 and T3). Correlations between the TUG at T3 and sociodemographic and clinical variables, as well as physical, cognitive, perceptual and psychological measures at T1, were used in a multiple regression model to identify the best predictors of TUG at T3. Results. TUG did not change between T1, T2 and T3 in the two groups of participants. The best predictors of TUG at T3 in participants from acute care were the use of a walking aid in daily life, age, deficits in oral expression and the presence of depressive symptoms. In participants from rehabilitation, predictors were the stage of motor recovery of the foot, the use of a walking aid in daily life, number of schooling years and memory impairments. Conclusion. Daily mobility skills, as assessed with the TUG, did not deteriorate upto 6 months after home return in older adults with stroke. The best predictor of the TUG at T3 is the use of a walking aid during daily life in participants from acute care, and motor recovery of the foot in participants from rehabilitation.
ISSN:0963-8288
1464-5165
DOI:10.1080/09638280802621374