Fatigue predicts level of community integration in people with stroke.

IF 2.2 4区医学 Q1 REHABILITATION

Topics in Stroke Rehabilitation Pub Date : 2024-07-01 Epub Date: 2024-01-04 DOI:10.1080/10749357.2023.2298536

Lily Y W Ho, Cynthia Y Y Lai, Claudia K Y Lai, Shamay S M Ng

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引用次数: 0

Abstract

Background: The independent predictive power of fatigue for community integration has not been investigated, although there is an increasing amount of literature that recognizes the importance of fatigue in people with stroke.

Objectives: To examine the correlation between community integration and fatigue, walking endurance, and fear of falling; and to quantify the relative contribution of fatigue to community integration in people with stroke.

Methods: This was a cross-sectional study with 75 community-dwelling people with stroke. Data were collected using the Community Integration Measure (CIM), Fatigue Assessment Scale (FAS), 6-minute walk test (6MWT), and Survey of Activities and Fear of Falling in the Elderly (SAFE). Multiple linear regressions (forced entry method) were used to quantify the relative power of the FAS score to predict community integration in a model covering distance in the 6MWT and the SAFE score.

Results: After controlling for age, the CIM score significantly correlated with the scores for FAS (r=-0.48, p < 0.001), 6MWT distance (r = 0.24, p = 0.039), and SAFE (r=-0.39, p = 0.001). The entire model, including age, FAS score, 6MWT distance, and SAFE score, explained 26.1% of the variance in the CIM scores (F [4, 70] = 7.52, p < 0.001). The FAS scores independently explained 10.6% of the variance in the CIM scores.

Conclusions: This study suggests that fatigue is an independent predictor of community integration among people with stroke, taking into account walking endurance and fear of falling.

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疲劳可预测中风患者融入社区的程度。

背景：尽管越来越多的文献认识到疲劳对脑卒中患者的重要性，但尚未研究疲劳对社区融合的独立预测能力：研究社区融合与疲劳、行走耐力和跌倒恐惧之间的相关性，并量化疲劳对脑卒中患者社区融合的相对影响：这是一项横断面研究，对象是 75 名居住在社区的脑卒中患者。方法：这是一项对 75 名居住在社区的中风患者进行的横断面研究，使用社区融合测量（CIM）、疲劳评估量表（FAS）、6 分钟步行测试（6MWT）和老年人活动与跌倒恐惧调查（SAFE）收集数据。多重线性回归（强制进入法）用于量化 FAS 评分在涵盖 6MWT 距离和 SAFE 评分的模型中预测社区融合的相对能力：在控制年龄后，CIM 评分与 FAS 评分（r=-0.48，p r = 0.24，p = 0.039）和 SAFE 评分（r=-0.39，p = 0.001）显著相关。包括年龄、FAS 评分、6MWT 距离和 SAFE 评分在内的整个模型解释了 26.1% 的 CIM 评分变异（F [4, 70] = 7.52，p 结论）：本研究表明，考虑到行走耐力和跌倒恐惧，疲劳是脑卒中患者融入社区的一个独立预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.