| 1. |
- Cook, Peta, et al.
(författare)
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Level of physical activity is positively correlated with perceived impact on life 12 months after stroke: A cross-sectional study.
- 2020
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Ingår i: Journal of rehabilitation medicine. - : Medical Journals Sweden AB. - 1651-2081 .- 1650-1977. ; 52:5
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Tidskriftsartikel (refereegranskat)abstract
- To examine the relationship between, and impact of, level of physical activity and perceived impact on life at 12 months post-stroke.Cross-sectional study.A total of 73 participants with first-time stroke included in the Stroke Arm Longitudinal study at the University of Gothenburg (SALGOT study), Sweden.Perceived impact of stroke was assessed with the Stroke Impact Scale and level of physical activity was assessed with the Saltin-Grimby Physical Activity Scale at 12 months post-stroke. Data were presented with descriptive and logistic regression analyses.The physically active group perceived their strength, emotion, mobility, participation and overall stroke recovery as significantly less problematic compared with the inactive group. Being physically active contributed to higher scores in the Strength domain (odds ratio, OR 7.89) and in the Stroke Recovery domain (OR 18.55). In the Participation domain being physically active (OR 8.01) and independent (OR 0.162) contributed to higher scores.A positive correlation was found between level of physical activity at 12 months post-stroke and levels of strength, participation and stroke recovery.
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| 2. |
- Kristersson, Therese, et al.
(författare)
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Evaluation of a short assessment for upper extremity activity capacity early after stroke.
- 2019
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Ingår i: Journal of rehabilitation medicine. - : Medical Journals Sweden AB. - 1651-2081 .- 1650-1977. ; 51:4, s. 257-263
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Tidskriftsartikel (refereegranskat)abstract
- To explore the concurrent validity, responsiveness, and floor- and ceiling-effects of the 2 items of Action Research Arm Test (ARAT-2) in comparison with the original ARAT and the Fugl-Meyer Assessment for Upper Extremity (FMA-UE) during the first 4 weeks post-stroke.A prospective longitudinal cohort study.A non-selected cohort of 117 adults with first-ever stroke and impaired upper extremity function.The activity capacity and motor function was assessed with ARAT and FMA-UE at 3 days, 10 days and 4 weeks post-stroke.Correlation between ARAT-2 and the other assessment scales was high (r=0.920.97) and ARAT-2 showed statistically significant changes between all time-points (effect size, r=0.310.48). The effect sizes for the change in ARAT and FMA-UE varied from 0.44 to 0.53. ARAT-2, similarly to ARAT, showed a floor effect at all time-points. The ceiling effect was reached earlier using ARAT-2 than with ARAT and FMA-UE.ARAT-2 appears to be valid and a responsive short assessment for upper extremity activity capacity, and suitable for use in the acute stage after stroke. However, when the highest score has been reached, the assessment needs to be complemented with other instruments.
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| 3. |
- Larsson, Alexandra C, 1986, et al.
(författare)
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Figuring Out Life After Covid-19 : a Qualitative Study From Sweden
- 2023
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Ingår i: Journal of Rehabilitation Medicine. - 1650-1977 .- 1651-2081. ; 55
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To obtain a deeper understanding of the daily life experiences of working aged people during the year following hospitalization due to SARS-CoV-2 (COVID-19), with a focus on function-ing in daily life and return to work.DESIGN: An explorative qualitative study using individual interviews.SUBJECTS: A purposive sample was selected of persons who had received inpatient hospital care, had been discharged approximately 1 year previously and were of working age.METHODS: Semi-structured interviews were conducted with 11 participants (9 men, 2 women). The interviews were transcribed and analysed with inductive thematic analysis.RESULTS: Four themes were identified. Navigating health, with or without support from healthcare, was described as challenging when managing consequences of COVID-19. Participants struggled with a lack of energy that interfered with daily life. It was a trial-and-error process trying to use familiar strategies in new ways to manage. The return to work process was facilitated by own strategies and support.CONCLUSION: This study contributes increased knowledge of everyday life experiences of people 1 year following hospitalization due to COVID-19. The lack of energy and a struggle to manage health while navigating the healthcare system emphasize the importance of strengthening personal and organizational health literacy to facilitate the recovery process after severe COVID-19.
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| 4. |
- Snickars, Jenny, 1986, et al.
(författare)
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Early clinical predictors of motor function in the upper extremity one month post-stroke.
- 2017
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Ingår i: Journal of rehabilitation medicine. - : Medical Journals Sweden AB. - 1651-2081 .- 1650-1977. ; 49:3, s. 216-222
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Tidskriftsartikel (refereegranskat)abstract
- To investigate factors within 3 days post-stroke that could predict severe impairment in motor function in the upper extremity at one month post-stroke.This cross-sectional study included 104 patients with first-ever stroke and impaired motor function in the upper extremity. Initial impairment in motor function, demographic data, type of stroke and stroke risk factors were chosen as possible predictors. Severe impairment in motor function was defined as ≤ 31p according to the Fugl-Meyer Assessment for Upper Extremity (FMA-UE). Logistic regression was used to predict severe impairment in motor function at one month post-stroke.Three possible prediction models were found, comprising stroke severity combined with grip strength and sex, finger extension or shoulder abduction. Models including grip strength or finger extension gave the most accurate predictions, with overall predictive ability 90.4% (95% confidence interval (95% CI) 0.847-0.961) and sensitivity 92.9% (95% CI 0.851-1.0) and 90.5% (95% CI 0.816-0.979), respectively.Within 3 days post-stroke, severe impairment in motor function in the upper extremity at one month can be predicted using assessment of stroke severity in combination with grip strength, finger extension or shoulder abduction. This may facilitate early planning of rehabilitation for patients with impaired upper extremity in the stroke unit.
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| 5. |
- Törnbom, Karin, 1982, et al.
(författare)
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Back to life: Is it possible to be myself again? A qualitative study with persons initially hospitalised due to COVID-19.
- 2022
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Ingår i: Journal of rehabilitation medicine. - : Medical Journals Sweden AB. - 1651-2081 .- 1650-1977. ; 54
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Tidskriftsartikel (refereegranskat)abstract
- To gain a deeper understanding of the lived experiences of patients with COVID-19, regarding rehabilitation, work and social life 6 months after hospital discharge.An explorative qualitative study with individual interviews.Patients of working age with persistent self-reported symptoms at a 3-month follow-up who had received inpatient hospital care with discharge approximately 6 months previously were purposively sampled.Semi-structured interviews were performed with 10 men and 5 women. The interviews were transcribed verbatim and analysed with inductive thematic analysis.Four themes were identified: "Social support - crucial, but decreased over time", "Varying needs of, and access to, rehabilitation", "Returning to work after COVID-19 - crucial for future prospects" and "An overwhelming experience that essentially changed one's personality".Rehabilitation provided participants with the valuable tools for recovery, giving them hope for future recovery. Support from next of kin was highly valued, creating stronger family bonds. A new meaning and greater appreciation of life was expressed.
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| 6. |
- Westerlind, Emma, 1992, et al.
(författare)
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Working capacity after a subarachnoid haemorrhage: A six-year follow-up.
- 2017
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Ingår i: Journal of rehabilitation medicine. - : Medical Journals Sweden AB. - 1651-2081 .- 1650-1977. ; 49:9, s. 738-743
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Tidskriftsartikel (refereegranskat)abstract
- Subarachnoid haemorrhage can lead to long-term disabilities. It is a major health issue for the patient and can affect work capacity. The aim of this study was to investigate working capacity after subarachnoid haemorrhage from a long-term perspective, using data from national sick leave records. In addition, factors associated with working capacity were analysed.A retrospective cohort study.A consecutive total sample of 38 working-age participants with first-ever subarachnoid haemorrhage was included. Working capacity of the 30 participants not on early retirement prior to the subarachnoid haemorrhage was analysed.Working capacity was defined as no longer being registered on sick leave or early retirement in the Social Insurance Agency and not being age retired or deceased.Regain of working capacity continued until 2.5 years post-subarachnoid haemorrhage and 73% of the participants were deemed to have working capacity. Functional independence at discharge from hospital, and higher responsiveness at admittance were the main factors associated with an earlier regain of working capacity.Nearly three-quarters of subjects were deemed to have working capacity within 2.5 years post-subarachnoid haemorrhage with a non-self-reported outcome. This information will help to individualize rehabilitation for affected persons.
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| 7. |
- Mühr, Oscar, 1989, et al.
(författare)
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Long-term outcome after reperfusion-treated stroke.
- 2017
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Ingår i: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1650-1977. ; 49:4, s. 316-321
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Tidskriftsartikel (refereegranskat)abstract
- To explore motor function, health-related quality of life and impact on activities of daily living 5 and 6 years after reperfusion treatment in patients with stroke.A total of 75 patients with first-time stroke received either thrombectomy or thrombolytic treatment at the Sahlgrenska University Hospital in Gothenburg during an 18-month period in 2009-2010. Follow-up involved questionnaires and clinical examinations, 5 and 6 years post-stroke. The results were compared with an individually matched reference group.At follow-up 54 persons with reperfusion-treated stroke were alive, of whom 31 (57%) answered the questionnaires and 16 agreed to a clinical examination. The Stroke Impact Scale showed impact in several areas, with the emotion domain being the most affected. The reperfusion-treated group reported significantly better strength and hand function compared with the reference group. Of those clinically examined, 44% were dependent in activities of daily living and 38% had cognitive impairment.Long-term outcome after reperfusion treatment is relatively good, with treated individuals having better strength and hand function compared with a reference group. However, emotional and cognitive problems persist and need to be addressed.
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| 8. |
- Nylén, Malin, et al.
(författare)
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Prediction of long-term functional outcome following different rehabilitation pathways after stroke unit discharge.
- 2024
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Ingår i: Journal of Rehabilitation Medicine. - 1650-1977. ; 56
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Tidskriftsartikel (refereegranskat)abstract
- To investigate whether referral for different types of rehabilitation on discharge from Swedish stroke units can predict functional outcomes at 1 and 5 years after a stroke.A longitudinal and registry-based study.A total of 5,118 participants with index stroke in 2011 were followed-up at 1 and 5 years after the stroke.Ordinal logistic regression models were developed to predict the category of functional outcome: independent, dependent, or dead. The primary predictors were planned rehabilitation in a home setting, inpatient rehabilitation, and outpatient rehabilitation, with no planned rehabilitation as the reference category.Planned outpatient rehabilitation predicted independence (compared with death) at 1 year. Planned rehabilitation in the home setting predicted independence (compared with death) at 1 and 5years. Compared with other planned pathways, participants planned for inpatient rehabilitation had more severe conditions, and planned inpatient rehabilitation did not predict independence.Planning for outpatient or home-based rehabilitation appeared to lead more effectively to participants achieving independence over the course of 1-5 years. This may have been due to the less severe nature of these participants' conditions, compared with those requiring inpatient rehabilitation.
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| 9. |
- Opheim, Arve, 1962, et al.
(författare)
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What comes first, spasticity, reduced range of motion or pain in patients after stroke?
- 2013
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Ingår i: Journal of Rehabilitation Medicine. Presented at the 3rd Baltic and North Sea Conference on Physical & Rehabilitation Medicine, the 118th Congress of the German Society for Physical Medicine & Rehabilitation, and the annual Congress for the Austrian Society for Physical Medicine & Rehabilitation. September 2013, Hannover, Germany. - : Medical Journals Sweden AB. - 1650-1977. ; 45
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction Pain, reduced range of motion (ROM) and reduced motor function has been found to be associated with spasticity in persons with stroke, but the developments of these impairments over time are less known. The aim of the study was to describe the development of spasticity, pain, ROM, sensibility and sensory motor function in persons with first stroke during the first year after stroke. Method 117 patients with first ever stroke was recruited for the study. No selections apart from reduced arm function on day 3 were made. The patients were assessed six times during the first year, at day 3, 10, week 4, month 3, 6 and 12. Upper limb spasticity was assessed with the modified Ashworth scale (MAS), and a MAS score ≥ 1 was regarded as presence of spasticity. Sensory motor function was assessed with the Fugl-Meyer Upper-Extremity scale (FM-UE). The presence of pain, reduced sensibility and range of motion (ROM) was regarded if lower than maximum scores on the non-motor domains of the FM-UE. Results The proportion of persons with spasticity increased from 0.25 at day 3 to 0.44 at week 4 and was stable up to 12 months. Sensory motor function improved from 28 (SD 25) at day 3 to 47 (SD 23) at 3 months and was stable up to 12 months. The proportion of persons with reduced ROM was 0.45 at day 3, was stable up to 3 months and increased at 6 and 12 months, 0.55 and 0.61, respectively. The proportion of patients with reduced sensibility decreased from 0.55 at day 3 to 0.36 at 12 months. Discussion Pain, spasticity and sensory motor function seemed to develop in about parallel the first 3 months. The proportion of persons with pain continued to increase during the first year. The proportion of patients with reduced ROM was unchanged during the first three months, but increased at 6 and 12 months. Based on this, reduced upper limb ROM seems secondary to pain and spasticity.
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| 10. |
- Reinholdsson, Malin, et al.
(författare)
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Association between pre-stroke physical activity and mobility and walking ability in the early subacute phase: A registry-based study
- 2021
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Ingår i: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1651-2081. ; 53:10 October
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate associations between pre-stroke physical activity and mobility, walking ability, and self-perceived upper extremity function during stroke unit care. DESIGN: A longitudinal, registry-based study with a consecutively collected cohort. SUBJECTS/PATIENTS: A total of 1,092 adults with stroke admitted to 3 Swedish stroke units between 2017 and 2018. METHODS: Logistic mixed effects regression models were performed to investigate associations (adjusted for age and sex). Pre-stroke physical activity was assessed with Saltin-Grimby Physical Activity Level Scale on admission. Mobility, walking ability, and self-perceived upper extremity function were assessed at admission and discharge from the stroke units and compared between pre-stroke physically active (45%) and inactive (55%) groups. RESULTS: All groups of patients showed improvements in mobility (p<0.001), walking ability (p<0.001), and upper extremity function (p<0.001). The chang-es over time tended to differ between the physically inactive and active groups for mobility (p<0.062) and walking ability (p<0.056), but the differences were not significant. CONCLUSION: Pre-stroke physically active people show-ed a tendency to be more independent in physical functioning early after stroke. Regardless of pre-stroke physical activity, all patients showed improvements in mobility, walking ability, and self-perceived upper extremity function during inpatient care.
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