Eric L Voorn, Sander Oorschot, Roos Ritmeester, Lois De Zeeuw, Sandra De Morée, Fieke S Koopman, Annerieke C Van Groenestijn, Judith G M Jelsma
{"title":"Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study.","authors":"Eric L Voorn, Sander Oorschot, Roos Ritmeester, Lois De Zeeuw, Sandra De Morée, Fieke S Koopman, Annerieke C Van Groenestijn, Judith G M Jelsma","doi":"10.2340/jrm.v57.42577","DOIUrl":"10.2340/jrm.v57.42577","url":null,"abstract":"<p><strong>Objective: </strong>To explore perceived barriers to and facilitators of behaviour change towards a more active lifestyle in people with neuromuscular diseases.</p><p><strong>Design: </strong>A qualitative study.</p><p><strong>Subjects: </strong>Nineteen subjects (63% females, age range 28-73 years), representing 4 different neuromuscular diseases.</p><p><strong>Methods: </strong>Data from a randomized controlled trial were used. Subjects followed a physical activity programme including coaching sessions using motivational interviewing techniques. All sessions were audio-recorded, and thematic analyses were conducted on a random selection of 29 audio recordings, using the International Classification of Functioning, Disability and Health as a framework.</p><p><strong>Results: </strong>Barriers and facilitators were identified in the following domains: body functions and structures (i.e., neuromusculoskeletal, sensory and mental functions), activities and participation (i.e., undertaking multiple tasks and complex interpersonal interactions), environmental factors (i.e., products and technology for personal use in daily living, design/construction of buildings for public and private use, financial assets, climate, natural events, support and relationships) and personal factors (i.e., satisfaction with life, attitude toward health and disease, attitude toward intervention, exercise habits and methodical skills).</p><p><strong>Conclusion: </strong>Identified barriers and facilitators could guide healthcare professionals to facilitate the discussion of physical activity behaviour and to address them in a personalized way during neuromuscular rehabilitation treatment.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42577"},"PeriodicalIF":2.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marcus Sagerfors, Izabela Blaszczyk, Anette Chemnitz, Helena Johansson, Joakim Strömberg
{"title":"Trends in spasticity-reducing surgery and botulinum toxin treatment for post-stroke spasticity: a register study on 6,258 patients in Sweden, 2010-2021.","authors":"Marcus Sagerfors, Izabela Blaszczyk, Anette Chemnitz, Helena Johansson, Joakim Strömberg","doi":"10.2340/jrm.v57.42684","DOIUrl":"10.2340/jrm.v57.42684","url":null,"abstract":"<p><p>Spasticity is characterized by increased muscle tone, which can result in pain, contractures, impaired hygiene, and deformities. Stroke is a leading cause of paresis, and nearly 40% of stroke patients will develop spasticity.</p><p><strong>Objective: </strong>To assess trends in upper and lower extremity spasticity-reducing surgery and botulinum toxin A (BoNT-A) treatment.</p><p><strong>Design: </strong>A national cohort register study.</p><p><strong>Methods: </strong>Upper and lower extremity spasticity-reducing surgery and BoNT-A treatment in Swedish stroke patients over a 12-year period was assessed using the National Patient Register.</p><p><strong>Results: </strong>A total of 6,258 patients were treated during this period; their mean age was 58, and the majority were male. In both upper and lower extremities, tenotomy was the most common surgical procedure, followed by tendon lengthening. The need for BoNT-A injections was significantly reduced after surgery compared with before surgery. The total number of BoNT-A treatments increased during the study period, and ultrasound guidance of injections became more common.</p><p><strong>Conclusion: </strong>The frequency of BoNT-A treatments was significantly reduced in patients who underwent surgery. Even though no causative association can be established due to the nature of these registry data, this may indicate that surgery reduces the need for further BoNT-A treatments.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42684"},"PeriodicalIF":2.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigation of independence in the tasks involving the use of public transportation in patients with subacute stroke.","authors":"Shin Kitamura, Yohei Otaka, Kazuki Ushizawa, Seigo Inoue, Sachiko Sakata, Kunitsugu Kondo","doi":"10.2340/jrm.v57.42025","DOIUrl":"https://doi.org/10.2340/jrm.v57.42025","url":null,"abstract":"<p><strong>Objective: </strong>To clarify the percentage of stroke patients who are independent in performing tasks involved in public transportation use and problems faced while doing so.</p><p><strong>Design: </strong>Single-institution retrospective study.</p><p><strong>Patients: </strong>A total of 237 post-stroke patients utilized public transportation during their hospitalization in subacute rehabilitation wards.</p><p><strong>Methods: </strong>Participants' actual performance in 14 tasks involving public transportation use was assessed using the Public Transportation Use Assessment Form. For each task, the percentage of participants who could perform the task independently was calculated and identified performance problems were categorized.</p><p><strong>Results: </strong>The task with the lowest percentage of independent participants was \"Walking in crowds\", with 146 of 236 (61.9%) participants performing this independently, followed by \"Selecting departure time and platform\" (149 of 229, 65.1%), and \"Getting on and off trains\" (162 of 230, 70.4%). Problems faced when \"Walking in crowds\" included the \"Risk of colliding with others\" (n = 34), \"Stopping abruptly\" (n = 16), \"Lack of attention to surroundings\" (n = 14), and \"Unable to walk with the flow of people\" (n = 11).</p><p><strong>Conclusion: </strong>A significant number of patients could not perform tasks independently and faced various performance problems. These issues should be addressed during rehabilitation to enable patients to use public transportation.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42025"},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Whitteker, Dhyey Desai, Hannah Baker, Sudarshan Srirangapatanam, Lucas R Wiegand, Hubert S Swana
{"title":"Emergency department utilization by spina bifida patients in Florida 2016-2020.","authors":"Sarah Whitteker, Dhyey Desai, Hannah Baker, Sudarshan Srirangapatanam, Lucas R Wiegand, Hubert S Swana","doi":"10.2340/jrm.v57.41412","DOIUrl":"10.2340/jrm.v57.41412","url":null,"abstract":"<p><strong>Objective: </strong>To investigate emergency department use of spina bifida patients in Florida and identify presenting diagnoses across all age groups.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Subjects/patients: </strong>Individuals with a diagnosis of spina bifida who presented to the emergency department between 2016 and 2020 in Florida.</p><p><strong>Methods: </strong>The State Emergency Department Databases of Florida from the Healthcare Cost and Utilization Project were utilized. Principal diagnosis codes were queried, and patients were classified into paediatric (ages 0-19), transitional (ages 20-29), adults (ages 30-59), and geriatric (ages 60 or greater). To analyse patient-level factors and observed case numbers, χ2 testing was used. The transitional period was further evaluated by pair-wise tests of proportions with Bonferroni adjustment.</p><p><strong>Results: </strong>The transitional age group (20-29) patients had the highest number of emergency department encounters (24.1%). The most common presenting diagnoses were infections (23.1%) followed by epilepsy and seizure (17.3%). Transitional groups were responsible for the most emergency department encounters across all categories (p < 0.001).</p><p><strong>Conclusion: </strong>Transitional ages patients (20-29) were responsible for the majority of encounters, suggesting the significance and the need for continued multidisciplinary coordinated care during the transitional of care between paediatric and adult settings for patients with spina bifida.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41412"},"PeriodicalIF":2.5,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictive factors for functional and motor recovery following spontaneous intracerebral haemorrhage.","authors":"Shu-Mei Yang, Yen-Heng Lin, Ting-Ju Lai, You-Lin Lu, Hsing-Yu Chen, Hsiao-Ting Tsai, Chueh-Hung Wu, Kuo-Chuan Wang, Meng Ting Lin","doi":"10.2340/jrm.v57.42159","DOIUrl":"10.2340/jrm.v57.42159","url":null,"abstract":"<p><strong>Objective: </strong>Intracerebral haemorrhage significantly impacts patients' functional and motor recovery. Identifying predictive factors is crucial for enhancing post-intracerebral haemorrhage rehabilitation strategies. This study explores the predictors of functional improvement and motor recovery in intracerebral haemorrhage survivors.</p><p><strong>Design: </strong>This retrospective cohort study was conducted at a tertiary referral hospital, encompassing patients diagnosed with acute spontaneous intracerebral haemorrhage from 1 June 2019, to 30 June 2023.</p><p><strong>Methods: </strong>Data on clinical characteristics, activity-based indicators like the initial ability to sit independently without physical assistance and the ability to sit independently for 2 minutes, and haematoma location were analysed to determine their association with functional and motor recovery outcomes, assessed by the modified Rankin Scale, Barthel Index, and Brunnstrom stages.</p><p><strong>Results: </strong>Among 310 patients, significant predictors for functional outcomes included hypertension, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, length of hospitalization, and initial National Institute of Health Stroke Scale (NIHSS). For motor recovery, the initial ability to sit independently with-out physical assistance, the initial ability to sit independently for 2 min, 24-h NIHSS, and length of hospitalization were identified as strong predictors for Brunnstrom stage recovery of upper and lower limbs.</p><p><strong>Conclusion: </strong>Predictive factors including hypertension, early NIHSS, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, and length of hospitalization play a crucial role in predicting functional and motor recovery after intracerebral haemorrhage.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42159"},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Undine Lehmann, Katja Uhlmann, André Meichtry, Marc Spielmanns, Sabine Spielmanns, Ramin Khatami, Laura Marty, Susanne Rüegsegger, Reto W Kressig, Caroline M Kiss, Clare Maguire, Andrea Zurfluh, Thimo Marcin
{"title":"Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence.","authors":"Undine Lehmann, Katja Uhlmann, André Meichtry, Marc Spielmanns, Sabine Spielmanns, Ramin Khatami, Laura Marty, Susanne Rüegsegger, Reto W Kressig, Caroline M Kiss, Clare Maguire, Andrea Zurfluh, Thimo Marcin","doi":"10.2340/jrm.v57.42215","DOIUrl":"10.2340/jrm.v57.42215","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of malnutrition and sarcopenia in different disciplines of inpatient rehabilitation and the course of nutritional status parameters.</p><p><strong>Design: </strong>Multi-centre cross-sectional prevalence study and longitudinal observational study.</p><p><strong>Subjects/patients: </strong>Inpatients (> 18 years) in geriatric, pulmonary, cardiovascular, internal medicine/oncological, musculoskeletal, or neurological rehabilitation in 5 rehabilitation centres were included.</p><p><strong>Methods: </strong>Malnutrition was assessed according to the Global Leadership Initiative on Malnutrition criteria. Sarcopenia was assessed according to the European Working Group on Sarcopenia in Older People criteria. Bodyweight, hand grip strength (HGS), and functional independence measure (FIM) were assessed within 3 days of admission and after 21 days of rehabilitation and analysed using linear mixed models with time*diagnosis interaction.</p><p><strong>Results: </strong>The study included 558 patients (51.8% male, median age 73.0 years). The overall prevalence of malnutrition and sarcopenia was 35.5% (95% CI 31.5, 39.6%) and 32.7% (95% CI 28.8, 36.8%), respectively. Patients with risk of malnutrition lost on average 1.14 kg (95% CI -1.64, -0.63) during rehabilitation. Patients slightly increased their HGS and FIM, irrespective of risk or diagnosis of malnutrition or sarcopenia. However, at the end of the rehabilitation, malnourished or sarcopenic patients had still a significantly lower bodyweight, HGS, and FIM than patients without (p < 0.01). Some 37.3% of patients at risk of and 35.4% with diagnosed -malnutrition did not receive group or individual nutritional -counselling.</p><p><strong>Conclusion: </strong>Malnutrition and sarcopenia are highly prevalent during inpatient rehabilitation. Nevertheless, dietitians are often not involved in the therapy. While nutritional parameters and functional independence improve, patients with malnutrition and sarcopenia remain on a lower level after 3 weeks of rehabilitation. Long-term follow-up after rehabilitation is recommended to prevent nutritional and muscular decline and related negative health outcomes.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42215"},"PeriodicalIF":2.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary on \"The effects of moderate-intensity aerobic exercise on cognitive function in individuals with stroke-induced mild cognitive impairment: a randomized controlled pilot study\".","authors":"Simran Sunil Khutarkar, Divya Khati, Sidharth Bansal","doi":"10.2340/jrm.v57.42555","DOIUrl":"10.2340/jrm.v57.42555","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42555"},"PeriodicalIF":2.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhamad F Zainudin, Natiara M Hashim, Wan N W M Zohdi, Nazirah Hasnan, Julia P Engkasan
{"title":"A path analysis of the healthcare utilization and services satisfaction among community-dwelling individuals with spinal cord injury in Malaysia.","authors":"Muhamad F Zainudin, Natiara M Hashim, Wan N W M Zohdi, Nazirah Hasnan, Julia P Engkasan","doi":"10.2340/jrm.v57.40621","DOIUrl":"10.2340/jrm.v57.40621","url":null,"abstract":"<p><strong>Purpose: </strong>To explore healthcare utilization patterns and healthcare services satisfaction among individuals with spinal cord injury in Malaysia.</p><p><strong>Methods: </strong>This cross-sectional study utilized the International Spinal Cord Injury (InSCI) Community Survey and involved 8 hospitals and 1 spinal cord injury organization. A total of 285 participants met the inclusion criteria. Subsequently, 6/11 sections of the InSCI questionnaire were analysed through a path analysis.</p><p><strong>Results: </strong>The 3 most utilized healthcare providers reported were physical and rehabilitation medicine specialists (76.5%), physiotherapists (36.8%), and primary care physicians (27.4%). The top 3 most severe health problems reported were sexual dysfunction, muscle spasm and spasticity, and contractures. Healthcare services satisfaction was high. Health problems predicted healthcare utilization (β = 0.443), while activity limitation and participation restriction predicted healthcare services satisfaction (β = -0.202). The activity limitation and participation restriction in male participants was moderated by the spinal cord injury severity (B = 2.330, p < 0.001) and health problems (B = 0.550, p < 0.001).</p><p><strong>Conclusions: </strong>Individuals with spinal cord injury in Malaysia rely heavily on physical and rehabilitation medicine specialists, highlighting accessibility challenges due to the centralized specialized rehabilitation services. Sexual dysfunction remains a significant yet under-addressed health concern. Despite these issues, satisfaction with healthcare services is high.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40621"},"PeriodicalIF":2.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barriers and facilitators to physical activity after transcatheter aortic valve replacement: A mixed-methods study.","authors":"Zhiyun Shen, Xiaojue Qian, Chenxu Huang, Daxin Zhou, Xiaohua Xu, Jiaying Lv, Ying Lin, Yuxia Zhang","doi":"10.2340/jrm.v57.39974","DOIUrl":"10.2340/jrm.v57.39974","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate post-transcatheter aortic valve replacement (TAVR) physical activity and explore the factors influencing participation.</p><p><strong>Design: </strong>A quantitatively driven sequential explanatory mixed-methods study was performed from October 2021 to February 2022 in Shanghai, China.</p><p><strong>Patients: </strong>The study sample comprised 195 patients who underwent TAVR (58.46% men, mean age = 74.38 years.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted to assess the extent of physical activity maintenance after TAVR via the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Preliminary factors were identified via Poisson regression. Subsequently, Fogg's behaviour model-guided targeted qualitative interviews were conducted to confirm and expand on barriers and facilitators to physical activity engagement.</p><p><strong>Results: </strong>93.33% of post-TAVR patients lacked regular physical activity. Fourteen barriers and facilitators were identified and grouped into motivation (health expectation, social belonging, feeling after physical activity, kinesiophobia), ability (complex forms of physical activity, misperceptions, scheduling conflicts, traffic and distance, self-regulation), and triggers (surroundings and environment, peer and family support, professional support, mobile health, internalization of exercise habits).</p><p><strong>Conclusion: </strong>The study findings indicate low adherence to regular physical activity among patients post-TAVR. Intervention strategies that increase patients' motivation and ability to perform physical activity and provide appropriate triggers should be further developed.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm39974"},"PeriodicalIF":2.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of a stroke care pathway on self-perceived health 3 months after stroke.","authors":"Elin Bergh, Torunn Askim, Ole Morten Rønning, Stian Lydersen, Bente Thommessen","doi":"10.2340/jrm.v57.42443","DOIUrl":"10.2340/jrm.v57.42443","url":null,"abstract":"<p><strong>Background: </strong>A national stroke care pathway aiming at reducing time delays in stroke care was implemented in Norway in 2018. This study aimed to investigate the impact of goal attainment in the pre- and intrahospital care pathway on self-perceived health 3 months after stroke.</p><p><strong>Methods: </strong>Data from the Norwegian Stroke Register (NSR) from 2019 were used. Patients were classified into attainment or non-attainment groups, depending on goal achievement of the SCP. Linear regression analyses were used to assess a possible association between goal attainment and self-perceived health evaluated by EQ-5D-5L and EQ-VAS at 3 months post-stroke.</p><p><strong>Results: </strong>Among 4,133 included patients, 908 (22%) were included in the attainment group. We found no effect of goal attainment upon mean EQ-5D-5L. However, when adjusting for stroke severity, attaining the SCP was significantly associated with self-perceived health.</p><p><strong>Conclusion: </strong>In this study, with a cohort of patients with mild to moderate strokes, we found no association between attaining goals of the stroke care pathway and self-perceived health. However, stroke severity might have acted as a suppressor variable underscoring the importance of stroke severity for self-perceived health.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42443"},"PeriodicalIF":2.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}