Yan-Hua Huang, Ching-Yi Wu, Keh-Chung Lin, Yu-Wei Hsieh, Wilaiwan M. Snow, Tien-Ni Wang; Determinants of Change in Stroke-Specific Quality of Life After Distributed Constraint-Induced Therapy. Am J Occup Ther 2013;67(1):54-63. doi: 10.5014/ajot.2013.004820.
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© 2019 American Occupational Therapy Association
OBJECTIVE. We identified the predictive factors of change in quality of life (QOL) after a distributed form of constraint-induced therapy (dCIT) among stroke survivors.
METHOD. Seventy-four participants were treated with dCIT. We identified eight potential determinants of change: age, gender, side of lesion, time since stroke, cognitive status, motor impairment of the upper extremity, activities of daily living (ADLs), and instrumental ADLs (IADLs). The Stroke-Specific Quality of Life Scale (SS–QOL) was used to assess QOL.
RESULTS. Right-sided lesion and onset >17 mo earlier determined greater improvement in the SS–QOL Energy domain. Onset >10 mo earlier, poorer IADL performance, and age >68 yr predicted improvement in the Family Role, Mobility, and Mood domains, respectively.
CONCLUSION. Side of lesion, time since stroke, IADL performance, and age were the most important determinants of QOL in patients receiving stroke motor rehabilitation.
Side of lesion, time since stroke, IADL performance, and age are important determinants of change in HRQOL. This study showed that these four predictors of SS–QOL warrant consideration when implementing stroke rehabilitation programs such as dCIT.
CHAID analysis is a useful method for exploring predictors of change in HRQOL after stroke rehabilitation.
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