Determinants of change in stroke-specific quality of life after distributed constraint-induced therapy

Am J Occup Ther. 2013 Jan-Feb;67(1):54-63. doi: 10.5014/ajot.2013.004820.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Adult
  • Aged
  • Data Mining
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Rehabilitation / methods
  • Role
  • Stroke / physiopathology
  • Stroke Rehabilitation*